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The Wisconsin P 626 form serves as a crucial tool for individuals and businesses to report various tax violations to the Wisconsin Department of Revenue. This form collects essential information about both the person and the business involved, including names, addresses, and identification numbers. It prompts the reporter to specify the type of tax violation, such as income tax discrepancies or sales and use tax issues, and provides space to detail unreported income across multiple tax years. Additionally, the form inquires about the availability of financial records and whether the taxpayer poses any potential danger. Reporters are encouraged to provide context regarding how they obtained their information, ensuring transparency in the reporting process. The option to remain anonymous is also offered, respecting the privacy of those who come forward. Completing the P 626 form accurately is vital, as it not only aids the Department of Revenue in addressing tax compliance but also plays a role in maintaining the integrity of the tax system in Wisconsin.

Form Example

Wisconsin Tax Information Referral Form

INFORMATION ON INDIVIDUAL

INFORMATION ON BUSINESS

 

Person’s name

 

 

 

 

Business name

 

 

 

 

 

 

 

 

 

 

 

 

Street address

 

 

 

 

Street address

 

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

Zip

City

State

 

Zip

 

 

 

 

 

 

 

 

Social security number

 

Date of birth

Employer identification number

 

 

 

 

 

 

 

 

 

 

 

 

Occupation

 

 

 

 

What kind of business? (e.g., grocery store)

 

 

 

 

 

 

 

 

 

 

 

 

Marital status (check one)

 

 

 

 

 

 

 

 

Married

Single

Head of household

 

 

 

 

Divorced

Separated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of spouse, if applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.Type of tax violation (check all that apply)

 

 

Income tax or withholding tax

Sales and use tax

Corporation franchise/income tax

Other

2a.

Amount of unreported income and tax years (fill in tax years and dollar amounts, if known; e.g., TY 2006, $20,000)

 

 

 

 

 

 

 

 

 

 

 

 

 

TAX YEAR

AMOUNT

TAX YEAR

AMOUNT

TAX YEAR

AMOUNT

TAX YEAR

 

AMOUNT

 

 

 

$

 

$

 

 

$

 

$

 

 

 

 

 

 

 

 

 

 

 

2b.

Other type of tax violation, for example overstated expense, wrongly claimed dependent, ineligibility for certain credits,

 

etc. Describe in comments below.

 

 

 

 

 

 

 

Comments. Briefly describe who, what, where, when and how. (Attach 2nd page if more space is needed.)

3.

Are books / records available?

Yes

4.

Do you consider the taxpayer dangerous?

Yes

5.

Banks, financial institutions used by taxpayer:

 

No

 

No

If yes, why?

Name

 

 

Name

 

 

 

 

 

 

 

 

Address

 

 

Address

 

 

 

 

 

 

 

 

City

State

Zip

City

State

Zip

 

 

 

 

 

 

6.

Please describe how you learned and/or obtained the information in this report (attach 2nd page if more space is needed):

7.

If we have additional questions, can we contact you?

Yes

No

8.

Do you want to remain anonymous?

Yes

No

 

 

 

 

 

Your name

MAIL THIS FORM TO: Wisconsin Department of Revenue

 

 

 

 

 

 

 

 

 

Audit Bureau, MS 5-257

Address

 

 

PO Box 8906

 

 

 

 

 

 

 

 

 

 

Madison WI 53708-8906

City

 

State

Zip

 

 

 

 

 

 

 

 

FAX: 608-221-6637

Telephone number (include area code)

QUESTIONS ABOUT THIS FORM: Call 608-266-2772

 

 

 

 

 

 

 

 

 

 

P-626 (R. 12-13)

Wisconsin Department of Revenue

2. Comments. Briefly describe who, what, where, when and how.

6. Please describe how you learned and/or obtained the information in this report:

P-626 (R. 9-13)

- 2 -

Wisconsin Department of Revenue

Document Specs

Fact Name Description
Form Purpose The Wisconsin P 626 form is used to report tax violations related to individuals and businesses.
Governing Law This form is governed by Wisconsin Statutes Chapter 71, which covers taxation.
Information Required It requires personal information, business details, and specifics about the tax violation.
Tax Violations Reportable violations include income tax, sales and use tax, and corporation franchise/income tax.
Anonymity Option Individuals can choose to remain anonymous when submitting the form.
Contact Information The form provides a contact number for questions, which is 608-266-2772.
Submission Details Completed forms should be mailed to the Wisconsin Department of Revenue, Audit Bureau.
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