Tax Counseling for the Elderly Program Application Plan

• Legal Form Number: 8653
• Year: 2016
• Issuer: Treasury Department
• Section: Treasury Department

Form 8653 (Rev. 4-2016)

www.irs.govCatalog Number 64328V

Form 8653

(April 2016)

Department of the Treasury - Internal Revenue Service

Tax Counseling for the Elderly Program

Application Plan

OMB Number

1545-2222

TCE

Reimbursement Expenses(b)

Cost

(a) Numbers

1. To volunteer tax assistors/quality reviewers

2. To volunteer tax instructors

3. To volunteer coordinators/administrators

4. Total (ADD 1-3)

Administrative Expenses

5. Salaries/Benefits (clerical, administrative or technical staff only)

6. Supplies/Volunteer Recognition—For TCE Program

7. Rent/Utilities/Custodial Services—When additional and necessary for TCE Program

8. Auditing

9. Daily site operations travel (travel to monitor TCE sites)

10. Program Publicity Development

11. Interpreter Services

12. Telephone Installation (No 800 Lines) or Internet Connectivity costs

13. Other (postage and/or food costs)

14. Total Administrative Expenses (ADD lines 5 through 13, column (b)). This figure

should not be more than 30% of line 15

15. Estimated Program Cost (ADD lines 4 and 14, column (b))

16. Estimated cost of Travel to IRS Office/IRS Training

17. Estimated cost of Electronic Filing Supplies/Services

18. Total estimated Program Cost (ADD lines 15, 16, and 17 column (b))

Other Information

19. Number of individual federal tax returns you expect to prepare60 + TaxpayersOther Taxpayers

a. Paper federal returns

b. Electronically filed federal returns

c. Total of 19a and 19b

20. Number of other taxpayers 60+ you plan to assist not included in Lines 19a

through 19c above.

21. Number of tax preparation sites planned

a. e-file sites

b. combination sites

c. Total of 21a and 21b

Signature of responsible officerDate