13614-C
Intake/Interview and Quality Review Sheet (Polish Version)
Form 13614-C (pl) is the Polish version of the Intake/Interview and Quality Review Sheet used in the IRS Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly (TCE) program. The PDF is printed in Polish, including the volunteer columns and the privacy notice. Its heading reads "Przyjęcie/rozmowa i karta oceny jakości". It is meant for taxpayers who read Polish and get help from an IRS-certified volunteer preparer.
This edition is Rev. 10-2025, and its questions refer to 2025, such as marital status as of December 31, 2025. The first page says to complete pages 1 to 5 and to bring tax documents such as Forms W-2, 1099, 1098 and 1095, Social Security cards or ITIN letters for everyone on the return, and photo ID for you and your spouse.
The PDF ends with Form 15080 (pl), a Polish consent for Global Carry Forward of return data. The English Form 13614-C has its own page, linked below. You can fill out this edition free in your browser on this page and download it without an account.
Names, birth dates, job titles, address and phone, questions such as legally blind, U.S. citizen, on a visa, full-time student, disabled, identity protection PIN and digital assets, refund and payment choices, a language preference, marital status and a household table.
Checkboxes for wages, tips, retirement income, disability benefits, Social Security, unemployment, state refunds, interest and dividends, sales of stocks or real estate, alimony, rentals, gambling winnings, contract or self-employment pay, and any other money received.
Itemized expenses, student loan interest, child care, retirement contributions, teacher supplies and alimony paid, plus education, a home sale, an HSA, Marketplace insurance, energy-saving home items, cancelled debt, disaster losses, disallowed credits and IRS letters.
Questions on English ability, disability, veteran status and race or ethnicity. The form says the answers are not part of the return, are not sent to the IRS with it, and need not be answered. The privacy notice follows.
A page for additional notes, then the Polish consent form for Global Carry Forward of return data through TaxSlayer LLC, with lines for the primary and secondary taxpayer.
The form lists tax documents such as Forms W-2, 1099, 1098 and 1095, Social Security cards or ITIN letters for everyone on the return, and photo ID, such as a valid driver's license, for you and your spouse.
Enter your and your spouse's details, answer the 2025 status questions, choose how to receive a refund or pay a balance due, and give your marital status as of December 31, 2025.
Name everyone who lived with you last year except your spouse, and anyone you supported who did not live with you, with birth date, relationship and months lived in your home in 2025.
On pages 2 and 3, answer the questions on the left and check only the boxes that apply to you or your spouse. The columns on the right are for the certified volunteer.
Page 4 is optional. Form 15080 (pl) says you are not required to complete it to use the return preparation services, and that you have the right to a signed copy.
The form says you are responsible for the information on your return, to give complete and accurate information, and to ask the IRS-certified volunteer preparer if you have questions.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The sheet is used at the VITA or TCE site with the IRS-certified volunteer preparer. The form prints no IRS mailing address for it.
The form prints no deadline. This edition's questions refer to 2025.
The privacy notice says providing the information is voluntary, but without it the IRS volunteers may not be able to help prepare and file the return.
The form gives the email address [email protected] for reporting unethical behavior to the IRS.
If signed, Form 15080 (pl) lets TaxSlayer LLC make return data available to any VITA/TCE site using TaxSlayer the next year. The form says the consent is valid until November 30, 2027.
Form 15080 says you can contact the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484 if you believe your return information was disclosed or used without permission.
13614-C
297 fields, 6 pages
15080
5 fields, 1 page
15080
5 fields, 1 page
13614-NR
246 fields, 2 pages
5695
167 fields, 4 pages
1095-A
81 fields, 3 pages
The taxpayer and spouse answer the questions in Polish, and an IRS-certified volunteer at a VITA or TCE site completes the volunteer columns.
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It is the Polish edition of the same IRS intake sheet. This PDF prints Rev. 10-2025 and its questions refer to 2025. The English edition has its own page, linked under related forms.
The taxpayer answers the questions. Columns set aside for the certified volunteer are filled in by the IRS-certified volunteer preparer at the VITA or TCE site.
The form lists Forms W-2, 1099, 1098 and 1095, Social Security cards or ITIN letters for everyone on the return, and photo ID for you and your spouse.
No. The form says those questions are for statistical purposes only, are not part of your return, are not sent to the IRS with it, and are not required.
A Polish consent to share return data through Global Carry Forward with TaxSlayer LLC. The form says it is not required for return preparation and, if signed, is valid until November 30, 2027.
The form says to email the IRS at [email protected].