2015 Arizona School Tax Credit Form printable pdf download

2015 Arizona School Tax Credit Form

Child’s Name: _____________________________________________________

Grade:_________________

The Arizona School Tax Credit allows Arizona residents with a taxable income to contribute up to $400 to the

public school of their choice and then reduce that amount from their state income taxes through a tax credit, dollar

for dollar. All funds contributed to HCLC through the Arizona School Tax Credit are used to support extra-

curricular activities for all students in grades K - 12.

Purpose: Please specify the amount and area you would like to direct your tax credit.

$_________ General/Scholarships

$ _________ Catalina Island

$_________ MS Travel Club - Boston

$_________ 7-12 Athletic Fee

$_________ MS Travel Club - Florida

$_________ Athletic Team_______________

$_________ HS Travel Club -

Disney (Symphonic Band &Cantabile only)

$_________ 5-6 Athletic Fee

$_________ HS Travel Club – Puerto Rico

$_________ Ext. Day Kindergarten

$_________ HS Travel Club - London

$_________ Choir

$_________ Club (name*) ________________

$_________ Band

* (Excludes Club Horizon Child Care, Lego, and Chess Club)

$_________ Secondary Drama Production

Directions:

1. Complete the information requested below.

•

Please make sure you mark your donation “Purpose”. If not marked, the donation will go to the general

fund for extracurricular activities and student scholarships.

2. Complete a personal check for the tax credit amount you wish to contribute.

•

Single filers may contribute up to $200; joint filers may contribute $400.

•

Make your check payable to “Horizon Community Learning Center”.

3. Checks must be dated and postmarked by December 31, 2015.

4. Submit this form and your check to HCLC. You may drop it off at one of the front offices, or mail it to:

Horizon Community Learning Center

Attn: Finance Office

16233 South 48th Street

Phoenix, AZ 85048

5. You may also pay on-line by going to:

and follow the links.

6. You will receive a receipt for your tax purposes by January 31, 2016.

Tax Payer(s) Name(s): __________________________________________________________________________

Address: _____________________________________________________________________________________

City, State and Zip:____________________________________Telephone: ________________________________

If you have any questions, call the Finance Office at (480) 659-3000.

Thank you for supporting HCLC, your school of CHOICE!

HCLC is not a tax advisor. Please contact a qualified tax advisor for advice on your personal tax situation.

The information submitted will not be published or sold. All information received will only be used internally by HCLC.

2015 Arizona School Tax Credit Form

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