Lockbox Remittance Theft ReportExhibit 3.0.230–4 shows a blank Lockbox Remittance Theft Report Form. The following fields must be completed: Name of Taxpayer, Taxpayer Identification Number (TIN), Remittance type, Tax Year, Name of Lockbox Bank, Loss Amount, Date of Remittance, Remittance Security Coordinator (RCS) Name of Person Theft Reported TO, Date, TIGTA Name of Person Theft Reported To, Date, Headquarters Name of Person Theft Report To, Date, STAUP, Date, Evidence Linking Theft to Bank, Briefly Describe Action Taken, Name of Lockbox Coordinator, Phone Number, Name of Inspector, and Phone Number.