(Rev. May 2010)
Department of the Treasury - Internal Revenue Service
In support of the goals of the Internal Revenue Service (IRS) Stakeholder Partnerships, Education and
Communication (SPEC) organization, the
piece(s) of equipment shown at the end of this
agreement is loaned to:
Name of Recipient (Organization/lndividual)
Telephone Number
Street Address
City, State, Zip Code
e-mail address
The recipient certifies that the equipment will be used for volunteer electronic tax return
preparation and filing. It may also be used for related activities associated with supporting the
volunteer program, such as:
Training and educating volunteers and taxpayers about individuals’ rights and responsibilities
under the Internal Revenue Code;
Reaching out to taxpayers to inform them of the services of the volunteer organization;
Promoting activities to assist the volunteer organization in increasing its ability to deliver
related tax matters or services without the direct involvement of SPEC; and
Administering the activities of the volunteer operation as they relate to volunteer electronic
tax return preparation and filing.
The equipment remains the property of the IRS. The equipment may not be used for
commercial purposes. It may not be sold or otherwise disposed of. The IRS may terminate
this Agreement and require the return of the equipment.
The recipient agrees to safeguard the equipment by providing appropriate physical security to
prevent theft. Appropriate physical security is defined as being in the control of a volunteer at
all times while in use and being in a controlled, limited access (preferably) locked location
when not in use. The recipient also agrees to utilize system access security (password
protection of information) while return data is present on the equipment. The recipient agrees
to take reasonable care of the equipment and protect it from unnecessary abuse by
themselves or others. Reasonable care includes protection of equipment from hazards such
as liquids, food, smoke and unsafe handling of equipment when moving.
In addition, recipient agrees to notify SPEC within 48 hours if the equipment is damaged,
broken, lost or stolen. In the event of theft, the recipient is required to notify local law
enforcement immediately and file the appropriate reports.
IRS will provide the operating system and tax preparation software along with any related
support products. The recipient may load licensed software on the equipment required to
support the volunteer electronic federal tax return preparation and filing program. The recipient
also confirms they have a valid license for the software. Software required for operating
peripheral devices like CD-ROMs, modems, and printers are acceptable and will be provided
by the peripheral device owner. All software and software documentation may only be used in
accordance with the terms and conditions of the Software License Agreements. Copyright laws
of all software and software documentation will be respected. The related software loaded must
not conflict with the primary purpose of federal electronic tax return preparation and must be
removed if space limitations or operation efficiency dictate.
Catalog Number 38953M
Form 13632 Page 1 (Rev. 5-2010)
An Internet Service Provider’s software may be installed on the equipment to facilitate program communications if accompanied by an anti-virus
software product. Frequent update of the anti-virus software is required and is the responsibility of the recipient. All costs associated with the use
software. No additional hardware may be installed without the written consent of IRS.
Complete the Alternate Recipient Contact Information and Alternate Recipient Signature blocks if the equipment is assigned to someone
other than the recipient shown above.
of an ISP or anti-virus product will be the responsibility of the recipient. Prior to return of the equipment to IRS, the recipient will remove all non-IRS
Barcode Equipment Type Serial Number
Alternate Recipient Contact Information
(Include Name, Address, Phone and E-mail)
Alternate Recipient Signature
Date Returned IRS/Receiving
Employee Signature
Ensure barcodes on equipment in your possession match barcodes on this Property Loan Agreement. Report discrepancies to your
local SPEC Relationship Manager.
Recipient’s Signature
SPEC Official’s Signature Date
SPEC Contact Address
Complete only those blocks that apply to your office.
Name of Contact Telephone Number
Street Address City, State, ZIP Code
SPEC Office Symbols Mail Stop Area Territory
Post of Duty Email Address
Privacy Act Notice: The Privacy Act of 1974 requires that when we ask for information we tell you our legal right to ask for the information, why we are asking for it, and how it will be used. We must also tell you what could
happen if we do not receive it, and whether your response is voluntary, required to obtain a benefit, or mandatory.
Our legal right to ask for information is 5 U.S.C. 301.
We are asking for this information to assist us in contacting you relative to your interest and/or participation in the IRS volunteer income tax preparation and outreach programs. The information you provide may be furnished to
others who coordinate activities and staffing at volunteer return preparation sites or outreach activities. The information may also be used to establish effective controls, send correspondence and recognize volunteers. Your
response is voluntary. However, if you do not provide the requested information, the IRS may not be able to use your assistance in these programs.
Form 13632 Page 2 (Rev. 5-2010)
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
dd mmm yyyy
click to sign
click to edit
click to sign
click to edit
click to sign
click to edit
dd mmm yyyy
dd mmm yyyy