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IRSOther IRS Forms (1000–1999)

Official form guide

Form 13614-CL: 13614-C (pl)

Treasury Form 13614-C (pl) is a document used for acceptance, interview, and quality review by the Internal Revenue Service. This form requires filling out pages 1–5 and includes fields to report various income sources.

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Form Overview

IRS Form 13614-CL - 13614-C (pl)

Treasury Form 13614-C (pl) is a document used for acceptance, interview, and quality review by the Internal Revenue Service. This form requires filling out pages 1–5 and includes fields to report various income sources.

The form collects personal data like names, dates of birth, and addresses in fields such as 'Imię' (First Name) and 'Adres do korespondencji'. Specific financial details are documented under various income sources listed on Page 2, such as '(B) Wynagrodzenie dla pracownika zatrudnionego w niepełnym lub pełnym wymiarze godzin.'

Risk Radar

Scan points
  • 1The taxpayer is responsible for ensuring all information on Form 13614-C (pl) is exhaustive and exact.
  • 2Filing without listing all people who lived with the taxpayer in the previous year (excluding spouse).
  • 3Failing to check 'Tak' or 'Nie' for whether the filer resided/worked in at least two states in 2025.
  • 4Not specifying how the refund will be received if applicable (e.g., Bank Transfer vs. Check).
  • 5Omitting required documentation like W-2s, 1099s, or Social Security cards.

Plain English

This form helps individuals or couples provide comprehensive details to the IRS about their financial situation. It collects information on where money came from in 2025, such as wages, investments, and benefits. By completing Form 13614-C (pl), filers allow the IRS to assess their tax status accurately.

Submission Date

  • Filing date: 2025-11-05 22:10:31
  • 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 seeking acceptance, undergoing an interview, or having a quality review conducted by the Internal Revenue Service.
  • Do not use this form when you only need to submit tax documents without needing formal assessment or interview documentation.
  • Check Form 13614-C (pl) instead when you are filling out the primary acceptance/interview card.

Form selector

Use this form or another form?

Filing for VITA assistance

This form helps enable participation in IRS programs supporting basic tax filing.

Check Form 13614-C

Volunteer Income Tax Assistance

Filing for TCE assistance

This form allows documentation of support from IRS-certified counselors for elderly taxpayers.

Check Form 13614-C

Tax Counseling for the Elderly

General acceptance/interview

This is the main form used for initial review and quality assessment by the agency.

Check Form 13614-C

Form 13614-C (pl)

Deadline or filing window

Form 13614-C (pl) covers financial activities in the year 2025. There is no specific filing deadline stated, but the form must be completed to reflect the status as of December 31, 2025. No extension period is explicitly detailed in this excerpt.

Checklist

What you need before filling it out

1

Required Documents

Tax documents (W-2, 1099, 1098, 1095) · Page 1

Forgetting required documentation leads to delays.High
2

Social Security/ITIN Cards

Social Security cards or letters showing ITIN numbers for everyone on the return · Page 1

Omitting proof of identity for a filer results in processing halts.High
3

Identification Document

Photo ID (e.g., valid driver's license) for taxpayer and spouse · Page 1

Not providing photo ID prevents verification of identity.Medium
4

Filing Period Coverage

Confirming residency/work in at least two states in 2025 · Page 1

Incorrectly answering this question affects state filing requirements.Medium
5

Race/Ethnicity Data (e.g., Hispanic)

Selecting the appropriate category from the list provided (Page 4) · Page 4

Inaccurate selection may affect eligibility for VITA/TCE programs.Low

Before you submit

  1. 1Ensure all fields on pages 1 through 5 are completed.
  2. 2Verify that the taxpayer accepts responsibility for the accuracy and completeness of the information provided.
  3. 3If filing by mail, ensure you have included a copy of the completed Form 13614-C (pl).
  4. 4Confirm the preferred method for receiving a refund is selected (e.g., Bank Transfer or Check mailed by mail).
  5. 5Check if the taxpayer wishes to receive written correspondence in a language other than English.
  6. 6Verify that all applicable race/ethnicity categories on page 4 are checked.
  7. 7If filing electronically, confirm the address/phone number provided is current.

How to file this form

  1. 1Complete fields for Name, DOB, SSN/ITIN, and employment details for both the taxpayer and spouse (Page 1).
  2. 2Indicate whether the filer lived or worked in two or more states in 2025, and check any applicable status boxes (e.g., US Citizen, College Attendance) (Page 1).
  3. 3Select how the refund will be received or how payment will be made if there is a balance due (Page 1).
  4. 4Mark all appropriate race/ethnicity categories on page 4 to facilitate program participation.
  5. 5Sign and date the form, then return the completed Form 13614-C (pl) to the IRS.

Known limitations

  1. 1The filer does not have to complete Form 13614-C (pl) to use the IRS's tax preparation services.
  2. 2If a taxpayer does not provide required information, IRS social consultants may be unable to help prepare and file the tax return.
  3. 3Information provided on pages 4 of Form 13614-C (pl) is for statistical purposes only and is not part of the official tax return submitted to the IRS.

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

The current edition of IRS Form 13614-C (pl) is Revision 10-2025, which indicates the revision date is October 2025; this version is available on www.irs.gov.

What changed or needs a fresh check

  • Edition date — confirm the revision reads 10-2025.
  • OMB Number — confirm it is 1545-1964.
  • Mailing address — confirm correspondence should be sent to Internal Revenue Service, Tax Products Coordinating Committee, SE:TS:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224.
  • Signature — confirmation is required on the form (implied by fields like Name/Address).
  • Form number — confirm the catalog number reads 58976D.

Quick Facts

Any person or couple who is filing with the Internal Revenue Service must complete this form. The filer category includes individuals signing on behalf of themselves, or a designated social consultant certified by the IRS.
The form collects personal data like names, dates of birth, and addresses in fields such as 'Imię' (First Name) and 'Adres do korespondencji'. Specific financial details are documented under various income sources listed on Page 2, such as '(B) Wynagrodzenie dla pracownika zatrudnionego w niepełnym lub pełnym wymiarze godzin.'
The form pertains to information from the year 2025. There is no specific due date mentioned for filing on Form 13614-C (pl), but it covers events occurring in 2025.
The source does not specify a single mailing address or service center, but general correspondence should be sent to the IRS. For reporting misconduct, information can be emailed to [email protected].
The taxpayer bears responsibility for the accuracy of the information provided on Form 13614-C (pl). If the information is not exhaustive and exact, this liability remains with the taxpayer.
First, the filer must complete pages 1 through 5 of Form 13614-C (pl). The filer must answer questions regarding marital status, residency, and income sources. Finally, the form requires signatures to confirm the accuracy of the information provided by the taxpayer or spouse.

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After you file

  1. 1The taxpayer bears responsibility for the information contained in the form, which must be complete and accurate.
  2. 2If questions arise after filing, contact an IRS social consultant who has been certified by the IRS.
  3. 3A copy of the completed Form 13614-C (pl) should be retained by the filer.
  4. 4The form is required to cover pages 1 through 5.

Sources

  • SRCInstructions p.1 — The form requires filling out pages 1–5 of Form 13614-C (pl).
  • SRCInstructions p.2 — On Page 2, answers must be provided to the questions listed on the left, marking only fields related to the taxpayer and/or spouse.
  • SRCInstructions p.3 — On Page 3, questions ask if the taxpayer incurred specific expenses in 2025 (e.g., mortgage interest, medical costs).
  • SRCInstructions p.3 — Page 3 includes sections for various income types, such as Scholarship Income (1098-T) and HSA contributions/distributions.
  • SRCInstructions p.4 — On Page 4, questions are statistical only; the taxpayer does not have to answer them.
  • SRCInstructions p.6 — Form 15080 is related to this form's function as it is a consent form for disclosure of tax data used by VITA/TCE processors.

Common confusion points

Which fields must I mark on Page 2?

Only those fields that pertain to the taxpayer and/or spouse need to be marked.

Check Page 2 of Form 13614-C (pl).

When do I answer the questions on Page 3?

The answers should address whether the taxpayer incurred specific expenses or received certain income in 2025.

Review the sections on Pages 3 and 3 of Form 13614-C (pl).

Does filling out the statistical questions on Page 4 affect my filing?

No, answers to these questions are only for statistics and are not sent to the IRS with the tax return.

Confirm the section heading 'Informacje dodatkowe' on Page 4.

What is required if I have a spouse?

The filer must mark fields that apply to either themselves or their spouse when answering questions.

Refer to instructions on Pages 2 and 3 of Form 13614-C (pl).

If I don't know the answer, can I leave it blank?

Not stated in the official source; however, the general instruction states information must be 'wyczerpujące i dokładne' (exhaustive and accurate).

Check Page 1 instructions for guidance on completeness.

Is there a specific deadline mentioned for filing Form 13614-C (pl)?

Not stated in the official source regarding a filing deadline, but the form is dated Rev. 10-2025.

Verify the revision date on Page 1.

Workflow map

Related forms and next steps

4 signals

Before

Not stated in the official source — verify on the agency site

Current

13614-CL

After

Not stated in the official source — verify on the agency site

Often used with

Form 1099 (various types) — Used to report income received in 2025.Form W-2 — Used to report wages for an employee.

Questions about IRS Form 13614-CL

What is IRS Form 13614-CL used for?

This form helps individuals or couples provide comprehensive details to the IRS about their financial situation. It collects information on where money came from in 2025, such as wages, investments, and benefits. By completing Form 13614-C (pl), filers allow the IRS to assess their tax status accurately.

Who must file IRS Form 13614-CL?

Any person or couple who is filing with the Internal Revenue Service must complete this form. The filer category includes individuals signing on behalf of themselves, or a designated social consultant certified by the IRS.

What information does IRS Form 13614-CL require?

The form collects personal data like names, dates of birth, and addresses in fields such as 'Imię' (First Name) and 'Adres do korespondencji'. Specific financial details are documented under various income sources listed on Page 2, such as '(B) Wynagrodzenie dla pracownika zatrudnionego w niepełnym lub pełnym wymiarze godzin.'

When is IRS Form 13614-CL due?

The form pertains to information from the year 2025. There is no specific due date mentioned for filing on Form 13614-C (pl), but it covers events occurring in 2025.

Where do I file IRS Form 13614-CL?

The source does not specify a single mailing address or service center, but general correspondence should be sent to the IRS. For reporting misconduct, information can be emailed to [email protected].

How do I complete IRS Form 13614-CL?

First, the filer must complete pages 1 through 5 of Form 13614-C (pl). The filer must answer questions regarding marital status, residency, and income sources. Finally, the form requires signatures to confirm the accuracy of the information provided by the taxpayer or spouse.

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

The taxpayer bears responsibility for the accuracy of the information provided on Form 13614-C (pl). If the information is not exhaustive and exact, this liability remains with the taxpayer.

Which fields must I mark on Page 2?

Only those fields that pertain to the taxpayer and/or spouse need to be marked. Check Page 2 of Form 13614-C (pl).

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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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