Prospective Client Online Application

We are currently at capacity and not accepting online applications. If you submit an application it will not be reviewed at this time. We will open for application review on May 19, 2025.

​​Please note that you do not automatically become a client b​y 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 recei​ved from the IRS.​
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  How did you hear about us? First Name: Last Name: Date of Birth: Date of Birth Date Address: Preferred Telephone: Alternate Telephone: Email: Tax years in question: Amount due to the IRS: Briefly describe your tax issue: How many people are in your household (related by blood, marriage, or adoption)?     Please tell us how much income you receive from the following sources. Type "N/A" if it does not apply to you.     : Type of   Income Source 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?: Yes No If Yes, what type and where?: Do you own a small business?: Yes No Does anyone else living in your home receive income?: Yes No If   Yes, how much income do they receive?   Person 1 income:   Person 2 income:   Person 3 income:   I hereby affirm that the financial information I have provided The University of Michigan law School Low Income Taxpayer Clinic is correct.
  
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