Your story could result in a $50 Meijer Gift Card
Did you know that you can help others by telling your story?

Michigan taxpayers like you benefit from credits such as the Earned Income Tax Credit and Home Heating Credit and free tax-filing services like those offered by MEIC members

We need your help in spreading the word about these benefits. If you are willing to share your story with us, please fill out the form below. Whether or not we use your story, you may be selected received one of fifteen $50 Meijer gift cards.

To be considered, you must complete the story collection application between February 1, 2020 and April 30, 2020.

While we do ask for your personal contact information, only the answers you provide to the questions on the form, your first name and first initial of your last name, city or location of free tax services will be used should we choose to publish your story. The use of other identifiable information will not be used unless you agree to allow us to do so in any follow-up communication.

Only respond to the questions with information you feel comfortable sharing with others about any refund or tax service you received.

Please be aware that while we will not share your personal contact information with others outside of the MEIC and CEDAM, it is necessary to correctly provide us accurate contact information so that we may contact you with any follow-up questions regarding your story, or if you are selected to receive one of the gift cards.

By filling out this form, you consent to have the information you provided to use to be used in connection with your first name, first initial of your last name and city or location of free tax service.

Please contact Ross H. Yednock if you have any questions regarding this form or the MEIC Story Collection process at 517.485.3588 or yednock@cedamichigan.org
Email address *
Please enter your name (First, Middle Initial, Last name): *
Your answer
What city or town do you live in? *
Your answer
Where did you get your taxes prepared? *
Your answer
What is your telephone number (including area code)? *
Your answer
What is your occupation?
Your answer
Are you a veteran of the armed services? *
Is this your first time going to a free tax site? *
If this was your first time using free tax service, how did you prepare your taxes last year?
Your answer
Did you do/receive any of the following this year at tax time? Please check all that apply *
Required
How do you plan to use any state or federal refund that you receive? *
Your answer
What would you say about the difference the free tax service (or your refund) makes in your life to the volunteer who helped you? Does this program have any value to you, your family and the community? Is the tax refund useful? *
Your answer
How would your life change if, every year, you got NO refund, or had to pay higher taxes or pay to have your taxes prepared and filed? *
Your answer
Some lawmakers want to reduce or get rid of tax credits like the EITC and the Home Heating Credit. What would you tell them? *
Your answer
Have you ever taken out a payday loan? *
If you have taken out a payday loan, would you be willing to share your experience with us?
CEDAM is working to protect consumers from expensive loans, like payday loans. If you marked yes to willing to share you experience with payday loans, please tell us about it below. We will contact you before sharing any of what you write below. *
Your answer
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