Skip Ribbon Commands
Skip to main content
The University of Michigan Law School

         The University of Michigan Law School


Prospective Client Online Application

Please note that you do not automatically become a client by submitting this form. After receiving your completed form, the LITC will contact you to set up an initial consultation meeting. After the consultation meeting, a clinician will inform you about your status.

Please bring copies of the following items (when applicable) to your first consultation:

  • IRS 30-Day Letter
  • Tax returns you filed for any year in controversy, supporting schedules that are part of the tax returns, W-2's, and other documentation relating to the tax returns
  • Any correspondence to and from the IRS
  • Any other notices received from the IRS.
First Name:
Last Name:
Date of Birth:
Select a date from the calendar.
Address:
Preferred Telephone:
Alternate Telephone:
Email:
Tax years in question:
Amount due to the IRS:
Briefly describe your tax issue:

  
Please tell us how much income you receive from the following sources. Type "N/A" if it does not apply to you.   :
Type of   IncomeSource of Income
  (Ex: Name of your Employer)
Amount of income/Month
(Ex: $878/month)
Wages  

Unemployment  

Social   Security/Disability

Self-   Employment

Rental   Income

Gambling   Winnings

Dividends  

Disability  

Child   Support

Alimony Received

  
Do you own any real estate?:
If Yes, what type and where?:
Do you own a small business?:
:
If   Yes, how much income do they receive?
  Person 1 income:
  Person 2 income:
  Person 3 income: