Contact the Tax Clinic

Contact Information

Name:

I can be contacted between 9am-5pm by:

Phone:

Mailing Address:


City: State: ZIP:

How did you find out about the Tax Clinic?

I was referred to the Tax Clinic by:
Friend
IRS/DRS Employee
Notice or letter I received in the mail from the IRS
Notice I received from the U.S. Tax Court
Lawyer or Legal Aid/Legal Services
Accountant
Tax Clinic poster
Tax Clinic website
Social Worker
Community Organization:
Please tell us what community organization referred you:
Other:
Please indicate the referrer here::

Tell us about your tax problem

What year(s) do you have a problem with?

What is the problem? (Check all that apply)
I did not get my refund
The IRS/DRS says my tax return is wrong
The IRS/DRS says I owe taxes and I disagree
The IRS/DRS says I owe taxes and I cannot pay what I owe
I have not filed taxes for years and I want to arrange to do so Number of years without filing:
I filed a joint return with my spouse and want to claim innocent spouse relief
Other Please Explain Briefly:

How much of a refund are you due or how much total taxes do you owe? (approximately):

Our services are free if you qualify for our clinic.

How many people who are related to you live with you?

How much total income (including wages, salaries, social security, public assistance benefits, interest and dividends, net gambling winnings, and other regular income) do you estimate you will receive during 2007?

Tell us about best way to set up a meeting

Best time between 9am-5pm that I can meet
Monday Tuesday Wednesday Thursday Friday 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM

How will you get to the clinic?
I can drive to your clinic (please see the Law School Map)
I rely on public transportation
I will need to arrange a ride with a friend.

Do you require any special assistance?

I am disabled and need special accommodations Please describe any special accommodations you require:

English is not my first language AND I will need an interpreter I need an interpreter who can speak:

What should you bring to your first meeting?

• Tax returns you filed or had prepared for year(s)in issue, including your most current return.
• Copies of your most recent pay stubs or documents that show your current yearly income.
• All correspondence to and from the IRS/DRS and Tax Court.
• Any documents you think relates to your case.

Important information you should know about the clinic

• The Tax Clinic is independent of the IRS/DRS.
• The Tax Clinic will keep all information confidential.
• Representation is free, but incidental costs such as court filing fees, will be your responsibility.
• We will not decide to accept the case until s/he comes in for an initial appointment and the matter is discussed with the Director of the Clinic. A decision to accept or decline the case is usually made within 7-10 days after that appointment.
• The Tax Clinic reserves the right to withdraw if at any time it is discovered that you either intentionally or negligently misrepresented or omitted any material fact(s) with regard to your case, including, but not limited to, information pertaining to your personal or financial status.