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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.


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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 or


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.


Take Action Michigan! Advocacy eNews will provide updates about state policies related to Alzheimer’s and dementia and opportunities to take action in your community.

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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.