Form 13977 - Vita Grant Program Budget Plan - 2009
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4Department of the Treasury – Internal Revenue Service
13977
Form
VITA Grant Program Budget Plan
(June 2008)
Purpose: This form is to be used by VITA Grant Program Applicants. It should accompany the completed VITA
Grant Program Application Plan and only represent the categorical dollar expenses of estimated program
expenditures, cash contributions and third party-in-kind contributions (donated cash, property or services) qualifying
as matching funds. Attach a detailed breakdown listing individual items and their planned use in the Application Plan.
If “In-kind” contributions are included as matching funds, also attach a brief explanation on a separate sheet.
VITA Grant Proposed
Matching Funds
Name of Partner:
Expenditures
Proposed Expenditure
Reimbursement Expenses
Cost (B)
Cost (A)
1. VITA Grant Orientation Conference
2. Training Travel Reimbursement (Site Coordinator, Instructors,
Volunteers)
3. Volunteer Travel Reimbursement (Site operation)
4. Total Reimbursement Expenses (ADD Lines 1 - 3)
Administrative Expense
Cost (A)
Cost (B)
5. Salary Costs (Clerical, Site Administration, Instructor)
6. General Office Supplies
7. Audit Services
8. Publicity for VITA Tax Preparation Program
9. Volunteer Services
10. Volunteer Recognition
11. Interpreter Services
12. Space Rental (Includes Utilities, Insurance and
Custodial Services)
13. Total Administrative Expenses (ADD Lines 5 - 12)
Technology Expenses
Cost (A)
Cost (B)
14. Hardware - Computers and Printers
15. Software
16. Network Cards and Internet Connectivity
17. IT Support
18. Installation of Phone Lines for E-File and Tax Preparation
19. Actual Cost of E-Filing Supplies
20. Total Technology Expenses (ADD Lines 14 - 19)
Total Estimated Program Cost
Cost (A)
Cost (B)
21. Total Estimated Program Cost (ADD Lines 4, 13 and 20)
Comments / Remarks
Signature
Signature Of Responsible Official
Date
13977
Catalog Number 51502R
Form
(Rev. 6-2008)
NOTE: To be completed when applying for entry into the program.
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