Form 13424 - Low Income Taxpayer Clinic (Litc) Application Information

Download a blank fillable Form 13424 - Low Income Taxpayer Clinic (Litc) Application Information in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 13424 - Low Income Taxpayer Clinic (Litc) Application Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Low Income Taxpayer Clinic (LITC)
OMB Number
Application Information
1545-1648
Grant Period Request (Check one)
Single year request
Multi-year request
1st of 3 years
2nd of 3 years
3rd of 3 years
Grant Amount Requested
Controversy
ESL
Total
Applicant Information
Legal name of sponsoring organization
Prefix
Last name
First name
Middle initial
Suffix
Title
Phone number
FAX number
Email address
Applicant's Mailing Address
Street
Street address line 2
City
State
ZIP + 4 code
Clinic Information
Name of clinic
Public telephone number
Toll-Free telephone number (if applicable)
FAX number
Website address (if applicable)
Languages served in addition to English
Clinic Street Address
Clinic Mailing Address
Street
Street
City
State
ZIP + 4 code
City
State
ZIP + 4 code
Clinic Director Information
Prefix
Last name
First name
Middle initial
Suffix
Telephone number
Email address
Licenses/Certifications (Check all that apply)
Attorney
CPA
Enrolled Agent
Other
13424
Form
(Rev. 9-2012)
Catalog Number 36126D
Department of the Treasury - Internal Revenue Service

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2