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Tax Check Off - End ALZ
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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 2013 Michigan income taxes, complete Tax Form 4642 - 2013 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.

Questions? micheckoff@alz.org

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Frequently Asked Questions

Since I am making this donation in 2014, does that mean I can apply it to my 2014 income tax return?

No, your donation will be considered a gift from the 2013 tax year.

 

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?

Download here and submit Tax Form 4642 MICHIGAN Voluntary Contributions Schedule.

 

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?

Please contact Lindsay Bacon, Director of Public Policy at lbacon@alz.org or micheckoff@alz.org

 


Thank you Senator Pappageorge, Representative Lori, and Governor Snyder for your support of the Tax Checkoff. This legislation is a powerful step toward raising awareness and helping more Michiganders affected by Alzheimer's disease and related dementias.


Picture (L to R): Todd Tennis, Capitol Services; Senator John Pappageprge (District 13 - Troy); Jennifer Lepard, President/CEO Alzheimer's Association, Greater Michigan Chapter; Governor Rick Snyder; Jennifer Howard, Executive Director, Alzheimer's Association, Michigan Great Lakes Chapter; Don Rosenberg, Board Chair Alzheimer's Association, Greater Michigan Chapter; Lindsay Bacon, Director of Public Policy, Alzheimer's Association Michigan Chapters; Gary Pollitz, Board Chair, Alzheimer's Association, Michigan Great Lakes Chapter; Ellen Hoekstra, Capitol Services.

 

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Alzheimer's Association

Our vision is a world without Alzheimer's
Formed in 1980, the Alzheimer's Association is the world's leading voluntary health organization in Alzheimer's care, support and research.