Tax Form 4642
Michigan taxpayers can quickly and easily checkoff their support for the Alzheimer’s Association vision of a world without Alzheimer’s.
When preparing your 2014 Michigan income taxes, complete Tax Form 4642 - 2014 Michigan Voluntary Contributions Schedule.
Donate $5, $10 or more directly from your Michigan Income Tax return to the Alzheimer’s Association.
If you are receiving a refund, this donation will be taken directly from your refund.
If you are not receiving a refund, this donation will increase your tax due.
Frequently Asked Questions
Since I am making this donation in 2015, does that mean I can apply it to my 2015 income tax return?
No, your donation will be considered a gift from the 2014 tax year.
Where can I get Tax Form 4642?
Click on this link to download the form.
How do I make a donation if I am doing an electronic form or using tax software?
You will be able to fill out Tax Form 4642 to give a Voluntary Charitable Contribution toward the end of your electronic return. Please use the help options to locate this feature if it doesn’t come up automatically.
If I want to submit my taxes on a paper form, what form should I use to make my donation?
The form will be available soon.
Is there a minimum or maximum amount that I can donate?
Yes, the minimum amount is $5. There is not a maximum amount.
Will I receive a receipt for my donation?
No, you will not receive a separate receipt. You should keep a copy of your tax forms as a receipt for your reference.
Will the Alzheimer’s Association know that I gave a donation?
All donations will be submitted through the Michigan Department of Treasury, and for privacy reasons, the Alzheimer’s Association will not be provided the names of who gave donations.
If I have more questions, who should I contact for answers?