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Form 13424: Low Income Taxpayer Clinic (LITC) Application Information
IRS Form 13424 is Low Income Taxpayer Clinic (LITC) Application Information used to report basic details about an applicant and clinic services. The maximum grant amount requested on this form is $100,000.
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IRS Form 13424 - Low Income Taxpayer Clinic (LITC) Application Information
IRS Form 13424 is Low Income Taxpayer Clinic (LITC) Application Information used to report basic details about an applicant and clinic services. The maximum grant amount requested on this form is $100,000.
Risk Radar
Scan points- 1Ensure the applicant's legal name matches exactly what is registered with the System for Award Management (SAM).
- 2Failing to check the appropriate box in the Grant Period Request section.
- 3Not providing a complete response for any field on Form 13424.
- 4Listing an applicant name that does not exactly match SAM registration.
- 5Writing 'same' instead of providing a full address for Clinic Street/Mailing Address.
Plain English
This form tells the IRS about a group or organization that provides free tax help for low-income people. It lets the IRS know how much money the clinic needs and where they are located to serve taxpayers.
Submission Date
- Filing date: 2018-04-27 23:00:06
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use this form when reporting basic information about an applicant and clinic services for a Low Income Taxpayer Clinic (LITC) grant request.
- Do not use it when submitting information that does not relate to the organization, clinic location, or key staff members of the LITC.
- Check Publication 3319 instead when referencing general application and submission processes.
Form selector
Use this form or another form?
Requesting a Full Grant Application
This form must be completed to initiate a new grant request.
✓ Check the 'New application' box on Page 1.
Requesting a Non-Competitive Continuation (NCC) Request
Current grantees use this form for continuation requests.
✓ Ensure you check either the 'Second year' or 'Third year' box on Page 1.
Submitting to meet grant requirements
All organizations submitting a Full Grant Application or NCC Request must complete this form.
✓ Confirm all fields are filled completely and accurately.
Deadline or filing window
The form must be completed when submitting a Full Grant Application or an NCC Request. The LITC Program Office authorizes grants for up to three years under IRC § 7526, but applicants who have never received a grant may only request one year.
Checklist
What you need before filling it out
Grant Period Request
Checkbox selection (Single/Multi-year, Second/Third year) · Form p.1
Maximum Grant Amount Requested
$100,000 · Form p.2
Applicant Legal Name
Must match SAM registration exactly · Form p.2
Clinic Street Address
Complete response, including zip plus-four code · Form p.3
Language Services Provided
List all languages *in addition* to English · Form p.3
Required Completion Status
All organizations submitting Full Grant Application or NCC Request · Form p.2
Before you submit
- 1Verify that all fields have a complete response provided.
- 2Confirm the grant period requested (Single/Multi-year) matches the request type.
- 3Ensure the total funding amount requested is entered in whole dollars, not decimals.
- 4Check that the Applicant's Mailing Address includes a zip plus-four code.
- 5Verify the Clinic Street and Clinic Mailing Addresses both include a zip plus-four code.
- 6Confirm all phone numbers are formatted as 123-456-7890 x.111 (if applicable).
- 7Check that if a website exists, it is the direct link to the LITC page; otherwise, write 'none' for the Clinic Website Address.
How to file this form
- 1Complete all Applicant Information fields using the organization's exact name and contact details.
- 2Select the appropriate Grant Period Request box (New application, Single year, etc.) and enter the requested grant amount.
- 3Detail the Clinic information by providing full addresses, phone numbers, and listing all languages served in addition to English.
- 4Fill out the Clinic Director's personal contact details and check applicable Licenses/Certifications for the clinic staff.
- 5Review all entries against the instructions on Form 13424 (Rev. 4-2018) to ensure completeness.
- 6Sign the form (signature location is not specified in detail but implied by completion).
- 7Submit the completed Form 13424 to the IRS Program Office, keeping a copy for records.
Known limitations
- 1The form does not specify a general filing deadline; however, organizations submitting a Full Grant Application or Non-Competitive Continuation (NCC) Request must complete Form 13424.
- 2Applicants that have never been awarded an LITC grant may only request a single year grant under IRC § 7526.
- 3The form does not state the specific requirements for correcting an already submitted Form 13424, but it implies corrections should be made to the current edition (Rev. 4-2018).
Field map
Compact field-by-field guide
General Info
2 items
Full legal name and taxpayer identification number (SSN or EIN).
Current mailing address.
Details
2 items
Complete all applicable sections of this form according to the official IRS instructions.
Enter the relevant dollar amount if this form involves tax calculation.
Certification
1 items
Read and acknowledge any certifications required by this form.
Signatures
1 items
Sign and date. Unsigned forms cannot be processed.
Almost done reviewing the fields?
Fillable formOpen in Editor->The current edition referenced is Form 13424, Revision 4-2018. The source does not explicitly state a link to the most current version but provides the specific revision date.
What changed or needs a fresh check
- Edition date — confirm the revision reads 4-2018.
- Catalog Number — confirm it is 36126D.
- Grant Amount — confirm the maximum requested amount is $100,000.
- Organization Name — ensure the name matches the System for Award Management (SAM) registration exactly.
- Clinic Address — verify both Street and Mailing addresses include a zip plus-four code.
Quick Facts
Downloads
After you file
- 1Retain a copy of Form 13424 after submitting it.
- 2If granted, the award will be payable to the organization listed in the Applicant Information section.
- 3The information provided on this form is used by the Program Office to publicize service providers in IRS publications and online (e.g., Publication 4134).
- 4A complete response means an entry must be provided for every field on Form 13424.
- 5If a Freedom of Information Act (FOIA) request is made, the LITC Program Office will release the form after appropriate redactions.
Sources
- SRCForm 13424 Catalog Number 36126D and Revision Date (04/18) are listed on Form p.1.
- SRCThe purpose of Form 13424 is to report basic information about the applicant, grant request amount/period, contact info, clinic location, and key staff members (Instructions p.2).
- SRCAll organizations submitting a Full Grant Application or Non-Competitive Continuation (NCC) Request must complete this form (Instructions p.2).
- SRCThe maximum requested funding for any grant year is $100,000 (Grant Period Request instructions on Form p.2).
- SRCApplicants who have never been awarded an LITC grant may only request a single year grant under IRC § 7526 (Instructions p.2).
- SRCFor the Clinic Street/Mailing Addresses, a complete response including zip plus-four code is required (Form p.3).
- SRCPhone numbers must be formatted as 123-456-7890 x.111 for both Applicant and Clinic Director fields (Forms p.2 & p.3).
- SRCThe organization's legal name on the form must match the name used to register with the System for Award Management (SAM) (Instructions p.2).
Common confusion points
Which name to use for the clinic?
The name entered in the Clinic section should match the name used in materials publicizing the LITC’s services to taxpayers and the public.
→ Check the box/field next to 'Name of clinic' on Form 13424.
What is required for the Applicant's Mailing Address?
A complete response must be provided, including the zip plus-four code.
→ Ensure all fields (Street, Street address line 2, City, State, ZIP + 4) are filled out completely.
How should phone numbers be formatted?
Phone numbers should be formatted as 123-456-7890 x.111.
→ Apply this format to the Applicant's and Clinic Director's telephone number fields.
What if there is no clinic website?
If no website exists, write 'none' in the Website address field.
→ Do not leave the website field blank; enter 'none' instead.
Do I need to list every language?
Yes, individually list all languages served in addition to English on site.
→ Ensure you are listing *additional* languages beyond just English.
What is the maximum grant amount?
The maximum funding that may be awarded for any single grant year is $100,000.
→ Verify this dollar amount against the 'Grant amount requested' field.
Workflow map
Related forms and next steps
Before
Current
After
Often used with
⚠ If something goes wrong
- Not stated in the official source — verify on the agency site (This form does not list a specific correction/amendment form, but it is the primary application document).
Questions about IRS Form 13424
What is IRS Form 13424 used for?
This form tells the IRS about a group or organization that provides free tax help for low-income people. It lets the IRS know how much money the clinic needs and where they are located to serve taxpayers.
Who must file IRS Form 13424?
All organizations submitting a Full Grant Application or a Non-Competitive Continuation (NCC) Request must complete Form 13424.
What information does IRS Form 13424 require?
The form collects contact details for the sponsoring organization, information about the clinic where services are provided, and lists key staff members, including their licenses/certifications.
Where do I file IRS Form 13424?
The form must be submitted to the IRS Program Office, as this office uses the information to correspond with clinics and publicize services.
How do I complete IRS Form 13424?
First, check the Grant Period Request section to select single-year or multi-year. Next, fill out Applicant Information and Clinic Information completely before listing staff details under Qualified Tax Expert, QBA, or Tax Compliance Officer sections.
What happens if IRS Form 13424 is filed incorrectly?
If information reported on Form 13424 is incomplete or inaccurate, the LITC Program Office will use that data when corresponding with the clinic or preparing IRS Publication 4134.
Which name to use for the clinic?
The name entered in the Clinic section should match the name used in materials publicizing the LITC’s services to taxpayers and the public. Check the box/field next to 'Name of clinic' on Form 13424.
What is required for the Applicant's Mailing Address?
A complete response must be provided, including the zip plus-four code. Ensure all fields (Street, Street address line 2, City, State, ZIP + 4) are filled out completely.
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