Form 13981 Grant Agreement

Form

13981

(June 2025)

VITA

Department of the Treasury - Internal Revenue Service

Grant Agreement

OMB Number
1545-2222

General Federal Award Information
Recipient name

Federal Award Identifier Number (FAIN)
Federal award date
Period of performance
October 1,
to September 30,
Amount of federal funds obligated
Total amount of federal funds obligated
Total cost sharing or match required

Recipient address

UEI
Indirect cost rate
Budget approved

Total amount of federal award + Total
cost sharing or match

Minimum federal returns to be
accomplished by your program

Multi-year period

1

2

3

General Program Information
CFDA number and name
Program source
Federal award project
description

Contact Information for IRS Grant Officer
Name
Email address
Email grant acceptance
Email questions

Address

This Grant Agreement is entered into by the Internal Revenue Service, Department of the Treasury, United States of
America, hereinafter referred to as IRS, and the recipient shown above and hereinafter referred to as recipient.
Period of Performance: The Grant Agreement covers the grant period shown above and is conditional on compliance
with terms and conditions in Publication 5247 on IRS.gov. Recipients are cautioned to review the terms and conditions
specific to this agreement in its entirety prior to signing. Expenses incurred before or after this period are not covered by
this grant.
No additional expense reimbursements or other payments shall be made by the IRS unless the total amount of federal
award set forth above is increased in writing.
Your organization is an approved multi-year grant recipient. Your grant will be renewed in year two or year three, provided
your organization meets the multi-year grant criteria as outlined in the application package for your initial multi-year award.
Funding for the subsequent grant cycle may be increased or decreased, depending on the Congressional appropriation
for the VITA Grant Program and your organization’s performance during the grant cycle covered by this award.
Approved by an Authorized Representative of the Recipient

Approved for the Internal Revenue Service by

Name (Print)

Name (Print)

Title (Print)

Title (Print)

Signature
Catalog Number 51540F

Date

Signature
www.irs.gov

Date
Form 13981 (Rev. 6-2025)

Page 2 of 2

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Catalog Number 51540F

www.irs.gov

Form 13981 (Rev. 6-2025)