Form 2333-V - Order For Vita/tce Program - 2013
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Department of the Treasury Internal Revenue Service
2333-V
Form
Order for VITA/TCE Program
(September 2013)
2013 Tax Year Products
Ship To Address and Contact Information
To make corrections, highlight entire box and type over current information
1. Account number
2. Organization
3. Additional organization information
273724
D06
4. Contact name*
5. Shipping address*
6. Additional delivery information
DAVID ARMSTRONG
137 RAINTREE RD
7. City*
8. State Region*
9. ZIP code*
+ 4
10. Telephone number*
Extension
11. Email address (Enter only one email address)*
VERONA
VA
24482
2842
802-598-8579
12. Country code*
*Required
Codes
US
US
SPEC Use Only
(Blocks 13-16)
13. Order point number
14. SPEC contact person
15. SPEC contact's email address
16. SPEC contact's telephone number
Estimated
Product Name
Quantity
Order
Training Materials
No.
Carton
Title
Options
Quantity
Quantity
Estimated
Product Name
Quantity
Order
Publication 5052 (CD)
No.
Carton
Title
Options
Quantity
Volunteer Site Assistance Guides
Quantity
15
240
(Publications 1084, 3189, 1345, 3112,
Publication 1290 (CD)
and 5110)
1
250
Link and Learn Taxes on CD-ROM
Document 9282-E
16
5600
Publication 4011
Business Reply Labels (Austin)
2
140
Foreign Student and Scholar Volunteer
Resource Guide
Document 9282-G
17
6000
Business Reply Labels-CAA-ITIN
Publication 4012
3
14
VITA/TCE Volunteer Resource Guide
Document 13123
18
5000
Publication 4480
Volunteer ID Holder
VITA/TCE Link & Learn Taxes
4
9
Training Kit
Form 13615
(Pub. 4480 Cover Sheet, Pub. 5051 (CD),
19
2500
Volunteer Agreement - Standards of
Pub. 4012, Pub. 4491-W, and Form 6744)
Conduct – VITA/TCE Programs
Publication 4491
5
6
VITA/TCE Training Guide
Form 14509
20
5000
Volunteer ID Insert Badge
Publication 4961
6
200
VITA/TCE Volunteer Standards of
Site Materials - Return Preparation
Conduct-Ethics Training
Publication 17
Publication 5051 (CD)
21
30
Your Federal Income Tax
VITA/TCE Electronic Training Materials -
(For Individuals)
7
250
CD-ROM (Publications 4011, 4012, 4491,
4491-W, 4704-FS, 4942, 4961, 4695 (PR),
Publication 17 (SP)
and Forms 6744, 13614-C (EN and SP))
22
26
Your Federal Income Tax
For Individuals (Spanish)
Form 6744
8
56
VITA/TCE Volunteer Assistor’s
Publication 596
23
120
Test/Retest
Earned Income Credit
Site Materials - Administrative
Publication 596 (SP)
24
94
Earned Income Credit (Spanish)
Publication 3676A (EN/SP)
9
600
VITA/TCE Site Location Poster (English/
Publication 730 (EN/SP) Important Tax
Spanish)
25
500
Records Envelope (VITA/TCE)
Publication 4053 (EN/SP)
10
1000
Your Civil Rights are Protected Poster
Publication 4269
26
1200
I Speak - Language Identification
Publication 4299
Flashcard
11
240
Privacy, Confidentiality and Standards
of Conduct - A Public Trust
Form 13614-C
27
1000
Intake/Interview & Quality Review Sheet
Publication 4391
12
9000
Volunteer Privacy Statement (Stuffer)
Form 13614-C (SP)
Publication 4454
28
1000
Intake/Interview & Quality Review Sheet
13
930
Your Civil Rights are Protected
(Spanish)
Publication 4454 (SP)
Form 13614-NR
14
930
29
1000
Your Civil Rights are Protected
Nonresident Alien Intake and
Interview Sheet
(Spanish Version)
2333-V
Catalog Number 18356V
Form
(Rev. 9-2013)
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