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IRSOther IRS Forms (1000–1999)

Official form guide

Form 13424: Low Income Taxpayer Clinic (LITC) Application Information

Internal Revenue Service Form 13424 is the Low Income Taxpayer Clinic (LITC) Application Information used by organizations applying for new or continuation LITC grants. It collects grant period, requested amount (up to $100,000) and clinic contact details.

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Form Overview

IRS Form 13424 - Low Income Taxpayer Clinic (LITC) Application Information

Internal Revenue Service Form 13424 is the Low Income Taxpayer Clinic (LITC) Application Information used by organizations applying for new or continuation LITC grants. It collects grant period, requested amount (up to $100,000) and clinic contact details.

The form collects the sponsoring organization’s name and contact info, the grant period and amount requested, and the clinic’s location, phone numbers, website, languages served, and key staff members.

Risk Radar

Scan points
  • 1Requesting a multi‑year grant without a prior LITC award.
  • 2Failing to check the correct Grant Period box, such as selecting multi‑year when only a single‑year is allowed.
  • 3Requesting more than $100,000 for the grant year, exceeding the maximum allowed amount.
  • 4Omitting the zip‑plus‑four code in the applicant’s mailing address, leaving the address incomplete.
  • 5Providing phone numbers that do not follow the required 123‑456‑7890 x.111 format.

Plain English

Form 13424 gathers basic data about a clinic that wants an IRS grant. It records the grant length, how much money is requested, and the clinic’s address and staff contacts. The information helps the IRS list LITCs for 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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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • Use this form when an organization is submitting a Full Grant Application or a Non‑Competitive Continuation (NCC) Request for a Low Income Taxpayer Clinic grant.
  • Do not use it when the organization is not submitting a Full Grant Application or NCC Request for an LITC grant.

Form selector

Use this form or another form?

Applying for a new LITC grant

Required to report grant period and amount

Verify form completed

Form 13424

Requesting a non‑competitive continuation for second year

Must check second‑year box for multi‑year grant

Verify correct year box selected

Form 13424

Requesting a non‑competitive continuation for third year

Must check third‑year box for multi‑year grant

Verify correct year box selected

Form 13424

Deadline or filing window

Not stated in the official source.

Checklist

What you need before filling it out

1

Grant amount requested

Whole‑dollar amount field · Form field on page 1

Enter amount exceeding $100,000High
2

Grant period selection

Single‑year or multi‑year box · Form page 1

Choose multi‑year without prior awardHigh
3

Applicant legal name

Organization’s SAM‑registered name · Applicant Information section

Mismatch with SAM registrationMedium
4

Clinic website address

Direct link or “none” · Clinic Information section

Provide placeholder instead of “none”Low
5

Languages served

List each language beyond English · Clinic Information section

Combine languages in one lineLow

Before you submit

  1. 1Verify the Grant Period Request box matches eligibility (single‑year for first‑time applicants, appropriate year for NCC).
  2. 2Confirm the requested amount does not exceed $100,000 and is entered in whole dollars.
  3. 3Ensure the applicant’s legal name exactly matches the SAM registration.
  4. 4Provide complete mailing address with zip plus‑four code for both applicant and clinic.
  5. 5Format all phone numbers as 123‑456‑7890 x.111.
  6. 6List each language served beyond English on a separate line.
  7. 7Enter “none” for website address if the clinic has no website.
  8. 8Check that all required licenses/certifications boxes are marked for staff.

How to file this form

  1. 1Complete every required field on Form 13424, providing full responses as instructed.
  2. 2Review the form for accuracy, ensuring amounts, addresses, and selections are correct.
  3. 3Sign the completed form where indicated.
  4. 4Mail the signed form and any required attachments to the IRS LITC Program Office address listed in the instructions.
  5. 5Retain a dated copy of the submitted form and mailing receipt as proof of filing.

Known limitations

  1. 1Not applicable to organizations that are not submitting a Full Grant Application or NCC Request.
  2. 2First‑time applicants cannot request a multi‑year grant.
  3. 3The form does not cover grants exceeding $100,000 per year.

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 13424 is revised 4-2018; the source shows this is the current edition with no later revision noted.

What changed or needs a fresh check

  • Edition date — confirm revision reads 4-2018
  • Fee — Not stated in the official source
  • Mailing address — confirm includes zip plus‑four code as required
  • Signature — Not stated in the official source

Quick Facts

All organizations submitting a Full Grant Application or a Non‑Competitive Continuation (NCC) Request must file IRS Form 13424.
The form collects the sponsoring organization’s name and contact info, the grant period and amount requested, and the clinic’s location, phone numbers, website, languages served, and key staff members.
Not stated in the official source.
Not stated in the official source.
Not stated in the official source.
Complete all fields on pages 1‑3, checking the appropriate Grant Period box and entering the requested amount (maximum $100,000). Provide full mailing addresses with zip‑plus‑four, list phone numbers in 123‑456‑7890 x.111 format, and list all languages served beyond English. Submit the completed form together with the full grant application or NCC request.

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After you file

  1. 1Keep the signed copy of Form 13424 for at least three years.
  2. 2Monitor email or mail for the IRS award notice or clarification request.
  3. 3If an error is discovered, submit a corrected Form 13424 with “Amended” noted at the top.
  4. 4Store any FOIA release notices securely, as the form may be publicly disclosed.
  5. 5Update the organization’s SAM registration if any information changes after filing.

Sources

  • SRCForm p.1 — revision date 4-2018 shown in header.
  • SRCForm p.2 — Who Must Complete This Form states all organizations submitting a Full Grant Application or NCC Request must complete.
  • SRCForm p.2 — Grant amount requested (maximum $100,000) appears in grant amount field description.
  • SRCForm p.2 — Applicants never awarded a grant cannot request multi‑year; only single‑year allowed.
  • SRCForm p.2 — Current grantees requesting NCC must check second or third year box.
  • SRCForm p.2 — Applicant’s legal name must match SAM registration.
  • SRCForm p.3 — Phone numbers format 123-456-7890 x.111 required.
  • SRCForm p.3 — Clinic website address: provide direct link or write “none.”
  • SRCForm p.3 — List all languages in addition to English individually.
  • SRCForm p.2 — Provide complete mailing address with zip plus‑four code.

Common confusion points

Can I request a multi‑year grant as a first‑time applicant?

Source only allows multi‑year for existing grantees.

Verify you have never received an LITC grant before selecting multi‑year.

Do I need to write ‘same’ for identical clinic mailing and street addresses?

Instructions prohibit using “same.”

Enter the full address again, including zip plus‑four.

What format should I use for phone numbers?

Instructions specify 123‑456‑7890 x.111.

Ensure extension follows ‘x.’ with numbers.

Is a website required for the clinic?

Form asks for direct link or ‘none.’

Enter ‘none’ if no website exists.

How many languages can I list?

The form asks to list all languages individually.

List each language on its own line.

Do I need to attach a separate fee payment?

No fee is mentioned in the form.

No fee attachment required.

Workflow map

Related forms and next steps

4 signals

Before

Form 13424 — complete to gather basic LITC applicant data.

Current

13424

After

Form 13424 — IRS LITC Program Office reviews and may publish info in Publication 4134.

Often used with

Form 13424 — submitted together with a Full Grant Application or NCC Request.

⚠ If something goes wrong

  • Form 13424 — file an amendment or corrected form noting ‘Amended’.

Questions about IRS Form 13424

What is IRS Form 13424 used for?

Form 13424 gathers basic data about a clinic that wants an IRS grant. It records the grant length, how much money is requested, and the clinic’s address and staff contacts. The information helps the IRS list LITCs for taxpayers.

Who must file IRS Form 13424?

All organizations submitting a Full Grant Application or a Non‑Competitive Continuation (NCC) Request must file IRS Form 13424.

What information does IRS Form 13424 require?

The form collects the sponsoring organization’s name and contact info, the grant period and amount requested, and the clinic’s location, phone numbers, website, languages served, and key staff members.

How do I complete IRS Form 13424?

Complete all fields on pages 1‑3, checking the appropriate Grant Period box and entering the requested amount (maximum $100,000). Provide full mailing addresses with zip‑plus‑four, list phone numbers in 123‑456‑7890 x.111 format, and list all languages served beyond English. Submit the completed form together with the full grant application or NCC request.

Can I request a multi‑year grant as a first‑time applicant?

Source only allows multi‑year for existing grantees. Verify you have never received an LITC grant before selecting multi‑year.

Do I need to write ‘same’ for identical clinic mailing and street addresses?

Instructions prohibit using “same.” Enter the full address again, including zip plus‑four.

What format should I use for phone numbers?

Instructions specify 123‑456‑7890 x.111. Ensure extension follows ‘x.’ with numbers.

Is a website required for the clinic?

Form asks for direct link or ‘none.’ Enter ‘none’ if no website exists.

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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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