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Federal Free Printable Form 13424-I (Rev. 4-2012) for 2019 Federal Low Income Taxpayer Clinic (LITC) LITC Tax Information Authorization

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Low Income Taxpayer Clinic (LITC) LITC Tax Information Authorization
Form 13424-I (Rev. 4-2012)

Low Income Taxpayer Clinic (LITC) LITC Tax Information Authorization OMB Number 1545-1648 As provided for in Publication 3319, all applicants for an LITC grant must be in compliance with Federal tax responsibilities. The LITC Program Office will conduct compliance checks on organizations applying for an LITC grant and will also conduct periodic checks throughout the grant period. Therefore, any LITC that is part of a larger organization (e.g., university) will need to have an authorized official from the larger organization complete the following authorization: Name of academic institution or other parent organization Name of Low Income Taxpayer Clinic (LITC) I authorize the Internal Revenue Service to disclose the following return information, as that term is defined in Internal Revenue Code section 6103(b), of the Academic Institution or Parent Organization (listed above) to the Director of the Low Income Taxpayer Clinic (listed above) in connection with the clinic’s application for a low income taxpayer clinic matching grant and continued entitlement to such grant. Specifically, I authorize the Internal Revenue Service to disclose that the Academic Institution or Parent Organization has an outstanding federal tax liability (amount, type of tax, and periods) that may affect the approval of the clinic’s grant application by the Internal Revenue Service or the clinic’s continued entitlement to such grant. I am aware that without this authorization the return information of the Academic Institution or Parent Organization is confidential and is protected by law under the Internal Revenue Code. I certify that I am authorized by law to bind the Academic Institution or Parent Organization and that I have authority to execute this consent to disclose return information. Taxpayer name Street City State ZIP + 4 code Employer Identification Number (EIN) Name of authorized person Title of authorized person Telephone number Email address of authorized person Signature of authorized person Form 13424-I (Rev. 4-2012) Date signed Catalog Number 57683F www.irs.gov Department of the Treasury - Internal Revenue Service
Extracted from PDF file 2018-federal-form-13424-i.pdf, last modified April 2012

More about the Federal Form 13424-I Other TY 2018

We last updated the Low Income Taxpayer Clinic (LITC) LITC Tax Information Authorization in February 2019, so this is the latest version of Form 13424-I, fully updated for tax year 2018. You can download or print current or past-year PDFs of Form 13424-I directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 13424-I from the Internal Revenue Service in February 2019.

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Historical Past-Year Versions of Federal Form 13424-I

We have a total of six past-year versions of Form 13424-I in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2018 Form 13424-I

Form 13424-I (Rev. 4-2012)

2017 Form 13424-I

Form 13424-I (Rev. 4-2012)

2016 Form 13424-I

Form 13424-I (Rev. 4-2012)

Low Income Taxpayer Clinic (LITC) LITC Tax Information Authorization 2015 Form 13424-I

Form 13424-I (Rev. 4-2012)

Low Income Taxpayer Clinic (LITC) LITC Tax Information Authorization 2012 Form 13424-I

Form 13424-I (Rev. 4-2012)

Low Income Taxpayer Clinics (LITCs) LITC Tax Information Authorization 2011 Form 13424-I

Form 13424-I (5-2011)


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