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IRSOther IRS Forms (1000–1999)

Official form guide

Form 13614-BN: 13614-C (bn)

Internal Revenue Service Form 13614-C (bn) is an interview and intake sheet for the 2025 tax year that gathers personal, income, and deduction information from taxpayers and their spouses. The form notes a $3 donation option and is revised 10‑2025.

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Form Overview

IRS Form 13614-BN - 13614-C (bn)

Internal Revenue Service Form 13614-C (bn) is an interview and intake sheet for the 2025 tax year that gathers personal, income, and deduction information from taxpayers and their spouses. The form notes a $3 donation option and is revised 10‑2025.

The form asks for personal identifiers, spouse information, ITIN or Social Security numbers, address, income types (W‑2, 1099, etc.), and deductible expenses such as a $3 donation.

Risk Radar

Scan points
  • 1Submitting false or incomplete data can lead to IRS enforcement action.
  • 2Leaving the spouse’s name or date of birth blank.
  • 3Omitting the ITIN or Social Security number for either taxpayer.
  • 4Failing to answer the $3 charitable donation question.
  • 5Not indicating whether you lived with your spouse during 2025.

Plain English

Form 13614-C (bn) collects your basic personal data, income sources, and possible deductions for the 2025 tax year. It asks about your spouse, ITIN, address, and whether you want to make a $3 charitable contribution. The form is used by the IRS to prepare your return.

Submission Date

  • Filing date: 2025-11-04 22:12:10
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when completing the IRS interview and intake sheet for the 2025 tax year.
  • Do not use it when filing for tax years other than 2025.

Form selector

Use this form or another form?

You are a U.S. citizen filing a 2025 individual return

The interview sheet collects required personal and income data for 2025

✓ Verify personal information is complete

Form 13614-C (bn)

You have a spouse filing jointly for 2025

Spouse information must be captured on the intake sheet

✓ Ensure spouse fields are filled

Form 13614-C (bn)

You wish to make a $3 donation to the IRS

The form offers a $3 donation option for taxpayers

✓ Confirm the donation box is selected

Form 13614-C (bn)

Deadline or filing window

Not stated in the official source

Checklist

What you need before filling it out

1

Name and middle initial

Personal identification details · Section on first page of Form 13614-C (bn)

⚠ Leaving middle initial blank✕ Low
2

Spouse name and middle initial

Spouse identification details · Section on first page of Form 13614-C (bn)

⚠ Omitting spouse info when filing jointly✕ Medium
3

Mailing address

Street, city, state, ZIP · Address section on Form 13614-C (bn)

⚠ Incorrect ZIP code format✕ Medium
4

$3 donation option

Indication of donation choice · Donation line on Form 13614-C (bn)

⚠ Forgetting to select donation✕ Low
5

Taxpayer Identification Number (TIN) or ITIN

Social Security Number or ITIN · Identification section on Form 13614-C (bn)

⚠ Providing incorrect number✕ High

Before you submit

  1. 1Confirm the OMB Number 1545-1964 appears on the form.
  2. 2Verify the revision date reads 10-2025.
  3. 3Enter your full name and middle initial as shown.
  4. 4Enter your spouse's full name and middle initial if filing jointly.
  5. 5Provide your mailing address including city, state, and ZIP.
  6. 6Select the $3 donation option if you wish to contribute.
  7. 7Enter your taxpayer identification number (TIN) or ITIN.

How to file this form

  1. 1Complete all required fields on Form 13614-C (bn) and retain a copy for your records.
  2. 2Sign Form 13614-C (bn) before sending.
  3. 3Mail the signed Form 13614-C (bn) to the IRS address indicated on the form.
  4. 4Confirm receipt by checking for IRS acknowledgment of your submission.

Known limitations

  1. 1Answers on Form 13614-C (bn) are not part of the tax return and are not sent to the IRS (Form p.4)
  2. 2Form 13614-C (bn) is for the 2025 tax year (Form p.1)
  3. 3Charitable contributions for low‑income taxpayers are limited to $5,200 (Form p.1)

Field map

Compact field-by-field guide

6 fields

General Info

2 items

Taxpayer Name and TIN

Full legal name and taxpayer identification number (SSN or EIN).

Requiredtext
Address

Current mailing address.

Requiredtext

Details

2 items

Required Information

Complete all applicable sections of this form according to the official IRS instructions.

Requiredtext
Amount (if applicable)

Enter the relevant dollar amount if this form involves tax calculation.

amount

Certification

1 items

Certification Statement

Read and acknowledge any certifications required by this form.

Requiredcheckbox

Signatures

1 items

Signature

Sign and date. Unsigned forms cannot be processed.

Requiredsignature
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Current form status
IRS

Form 13614-C (bn) is revised 10-2025; the source does not indicate a separate latest‑information page.

What changed or needs a fresh check

  • Edition date — confirm the revision reads 10-2025.
  • Fee — Not stated in the official source.
  • Mailing address — Not stated in the official source.
  • Signature — Not stated in the official source.

Quick Facts

Taxpayers and, if applicable, their spouses must complete this form.
The form asks for personal identifiers, spouse information, ITIN or Social Security numbers, address, income types (W‑2, 1099, etc.), and deductible expenses such as a $3 donation.
Not stated in the official source
Not stated in the official source
Providing false or incomplete information can trigger enforcement action, and misconduct can be reported to 1‑800‑366‑4484.
Enter your name, middle initial, date of birth, and address in the first section. Answer the questions about your spouse, ITIN, and all income sources on the following pages. Indicate any deductible expenses, including the optional $3 donation, then sign where indicated.

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After you file

  1. 1No IRS acknowledgment is sent because the form is not transmitted to the IRS (Form p.4)
  2. 2Contact [email protected] for assistance with the intake sheet (Form p.1)
  3. 3Maintain confidentiality of the information as required by Section 6103 (Form p.4)

Sources

  • SRCForm p.4 — answers are not part of the tax return and are not sent to the IRS.
  • SRCForm p.1 — indicates the form is for the 2025 tax year.
  • SRCForm p.1 — mentions charitable contributions limited to $5,200 for low‑income taxpayers.
  • SRCForm p.4 — states no IRS acknowledgment because the form is not transmitted.
  • SRCForm p.1 — provides email [email protected] for assistance.
  • SRCForm p.4 — references confidentiality under Section 6103.
  • SRCForm p.2 — lists various income types such as wages, self‑employment, pension, etc.
  • SRCForm p.1 — lists ITIN as required documentation.
  • SRCForm p.1 — includes spouse name fields.
  • SRCForm p.6 — references Form 15080 (VITA/TCA) as related form.

Common confusion points

Do I need to send this form to the IRS?

The form is an intake sheet only and is not transmitted to the IRS.

→ Verify on page 4 that answers are not sent to the IRS.

What income types should I list?

Page 2 lists multiple income categories such as wages, self‑employment, pension, etc.

→ Check page 2 for the income list.

Can I claim charitable contributions over $5,200?

The form notes a $5,200 limit for low‑income taxpayers.

→ Confirm the $5,200 limit on page 1.

Do I need to provide my ITIN?

Page 1 lists ITIN as required documentation.

→ Look at page 1 for ITIN requirement.

Is spouse information required?

The form asks for spouse’s name and details on page 1.

→ Verify spouse fields on page 1.

What does Section 6103 mean for my data?

Page 4 references confidentiality under Section 6103.

→ Review page 4 for Section 6103 statement.

Workflow map

Related forms and next steps

4 signals

Before

Form 13614-C (bn) – interview and intake sheet that gathers personal, income, and deduction information for the 2025 tax year.Form 13614-C (bn) – collects W‑2, 1099, 1098, and 1095 documents as listed on the form.

Current

13614-BN

After

None listed

Often used with

Form 15080 – VITA/TCA program information sheet included in the same packet.

⚠ If something goes wrong

Questions about IRS Form 13614-BN

What is IRS Form 13614-BN used for?

Form 13614-C (bn) collects your basic personal data, income sources, and possible deductions for the 2025 tax year. It asks about your spouse, ITIN, address, and whether you want to make a $3 charitable contribution. The form is used by the IRS to prepare your return.

Who must file IRS Form 13614-BN?

Taxpayers and, if applicable, their spouses must complete this form.

What information does IRS Form 13614-BN require?

The form asks for personal identifiers, spouse information, ITIN or Social Security numbers, address, income types (W‑2, 1099, etc.), and deductible expenses such as a $3 donation.

How do I complete IRS Form 13614-BN?

Enter your name, middle initial, date of birth, and address in the first section. Answer the questions about your spouse, ITIN, and all income sources on the following pages. Indicate any deductible expenses, including the optional $3 donation, then sign where indicated.

What happens if IRS Form 13614-BN is filed incorrectly?

Providing false or incomplete information can trigger enforcement action, and misconduct can be reported to 1‑800‑366‑4484.

Do I need to send this form to the IRS?

The form is an intake sheet only and is not transmitted to the IRS. Verify on page 4 that answers are not sent to the IRS.

What income types should I list?

Page 2 lists multiple income categories such as wages, self‑employment, pension, etc. Check page 2 for the income list.

Can I claim charitable contributions over $5,200?

The form notes a $5,200 limit for low‑income taxpayers. Confirm the $5,200 limit on page 1.

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Source transparency

Copyright & Licensing - US Government Forms

Independent guide

BrieflyGo links to and explains official public form sources. We are not a government agency, and this page is for general form guidance, not legal advice.

Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
Public DomainCreated by the U.S. federal government. Not subject to copyright (17 USC § 105). Freely copyable without restriction.
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