14204

Tax Counseling for the Elderly (TCE) Program Application Checklist and Contact Sheet

Agency
IRS
Revision
Rev. 3-2019
Fillable fields
24
Pages
1
Official source
IRS form page
Checked
October 21, 2026
Fill 14204 online
Page 1 of form 14204

Form 14204: TCE Program Application Checklist and Contact Sheet

Form 14204, Tax Counseling for the Elderly (TCE) Program Application Checklist and Contact Sheet, is a one-page IRS form for organizations applying for a TCE grant. It collects the organization's contact information and point of contact, asks about System for Award Management (SAM) registration and interest in a multi-year grant, and lists the 10 documents that make up the application.

The form is item 1 of its own checklist. The other items include a background narrative, the IRS nonprofit status determination letter, a proposed program and budget plan, Form 8653, Standard Form 424, a civil rights narrative and Form 14335. The form prints an application due date of May 31st.

It has no separate instructions. You can fill out Form 14204 free in your browser on this page and download it without an account.

What's on Form 14204

Contact Information

Name and address of the organization, telephone and fax numbers, and the point of contact's name, title and email address.

Administrative Information

Yes or no questions on SAM registration or renewal this year at www.sam.gov, interest in a multi-year grant, and whether the Publication 1101 criteria were checked.

Application Checklist and Assembly

A paragraph on signatures, completeness and review, followed by a checklist of 10 numbered documents.

Application due date

The form prints "Application Due Date: May 31st" with a note for when May 31st falls on a weekend.

Privacy and Paperwork Reduction Act Notice

The notice gives OMB Control Number 1545-2222, an estimated 10 minutes, and says the response is voluntary.

How to fill out Form 14204

  1. 1

    Organization details

    Enter the organization's name, address, telephone and fax numbers.

  2. 2

    Point of contact

    Enter the point of contact's name, title and email address.

  3. 3

    Administrative questions

    Answer yes or no on SAM registration and on a multi-year grant. If yes to the multi-year question, answer whether the criteria in Publication 1101 were checked.

  4. 4

    Assemble the 10 items

    Check off each document: this sheet, the background narrative, the determination letter or letterhead explanation, the program and budget plan, Form 8653, SF 424, the civil rights narrative, Form 14335 and SF LLL if required.

  5. 5

    Signatures

    The form says all documents requiring a signature contain either an electronic signature or a scanned copy of the original signature.

  6. 6

    Submit by the due date

    Double check that every document and piece of information is included before submitting by the printed due date.

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Due date, completeness and review

Due date

The form prints "Application Due Date: May 31st" and says that if May 31st falls on a weekend, the Monday following the 5/31 date will be the deadline for application submission.

Complete applications

The form says incomplete applications meeting basic eligibility will be scored based on the information available at time of review.

Review

Technical ranking occurs simultaneously with the GPO evaluation, and the form says missing information found by the GPO may not be considered by technical evaluators depending on when the review is completed.

Where it goes

The form prints no mailing address. It refers to Publication 1101 for the multi-year grant criteria.

Privacy

The notice says the response is voluntary, and that the information may be furnished to others who coordinate volunteer return preparation sites or outreach activities.

Who fills out Form 14204?

  • Organizations applying for a TCE grant

    The applicant organization enters its name, address, phone and fax numbers, and assembles the documents in the checklist. The form says it is the responsibility of the applicant to make sure all information is submitted.

  • The point of contact

    The organization names a point of contact (POC) with a title and email address.

  • Multi-year grant applicants

    An organization interested in a multi-year grant answers whether it checked the Multi-Year Grant Opportunities criteria in Publication 1101.

  • Organizations that do not file federal returns

    Checklist item 4 is an explanation on the organization's letterhead if federal tax returns are not required to be filed.

  • IRS reviewers

    The form says the Grant Program Office (GPO) evaluates the application while technical ranking takes place at the same time.

An organization applying for a Tax Counseling for the Elderly grant completes the form as part of its application. Individuals do not file it for their own taxes.

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Questions about Form 14204

What is Form 14204?

The application checklist and contact sheet for an organization applying for a Tax Counseling for the Elderly (TCE) grant.

What is the application due date?

The form prints May 31st. If May 31st falls on a weekend, the form says the following Monday is the deadline.

Which documents does the checklist list?

Form 14204, a background narrative, the IRS nonprofit status determination letter or a letterhead explanation, a proposed program and budget plan, Form 8653, Standard Form 424, a civil rights narrative, Form 14335, and Standard Form LLL if required.

Are electronic signatures accepted?

The form says documents requiring a signature contain either an electronic signature or a scanned copy of the original signature.

What happens to an incomplete application?

The form says incomplete applications meeting basic eligibility will be scored based on the information available at time of review.