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LSS Tax Program Appointment Form
Free tax preparation for current and former foster youth. Our site will be open past the April 15th filing deadline until June 30, 2024. Please contact vita1@lssnorcal.org for questions.
* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Applicant's Information
Name
*
Your answer
Who is completing this form?
*
Myself
LSS Case Manager
Social Worker
Other:
Did you file your 2022 taxes with LSS' Tax Program last year?
Yes
No
Clear selection
Applicant's Eligibility-At this time we are serving: individuals 18 to 25 who are current or former foster youth
OR
individuals 18 to 25 and are currently or formerly unsheltered)
Are you between 18 and 25 years old?
*
Yes
No (if no is marked, please go to this website for another VITA site
https://www.ftb.ca.gov/help/free-tax-help/VITA_Locator/
)
Are you a current or former foster youth?
*
Yes
No (if no is marked, please go to this website for another VITA site
https://www.ftb.ca.gov/help/free-tax-help/VITA_Locator/
)
Did you earn less than $60,000 in 2023?
*
Yes
No
Current Resident County
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
What is your preferred contact method ?
*
Phone Call
Text
Email
Required
Do you and other household members have a social security number ?
*
Yes
No
Do you or other household members have an Individual Tax Identification Number (ITIN)?
*
Yes
No
N/A
Do all adult household members have a government issued ID?
*
Yes
No
Do you have a spouse?
*
Yes
No
Do you have any dependents?
*
Yes
No
Were you employed in 2023?
*
Yes
No
Did you attend school in 2023?
*
Yes
No
Would you prefer a virtual or in-person appointment?
*
In-Person; Sacramento only as of April 16, 2024
Virtual
A copy of your responses will be emailed to the address you provided.
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