Arizona Form 341-S - Credit For Corporate Contributions To School Tuition Organizations For Displaced Students Or Students With Disabilities - Distribution To Individual Shareholders Of An S Corporation - 2015

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Credit for Corporate Contributions to School Tuition Organizations for

Arizona Form

2015

Displaced Students or Students with Disabilities –

341-S

Distribution to Individual Shareholders of an S Corporation

For the calendar year 2015 or fiscal year beginning

M M D D

2 0 1 5 and ending

M M D D

2 0

Y Y

S Corporation Name

Employer Identification Number

S Corporations:

• Complete Form 341-S for each individual shareholder in the S corporation.

• Include a copy of this form with your return.

• Provide a copy of this form to each individual shareholder.

• Keep one copy for your records.

Individual Shareholders:

• Use this form to complete your Form 341-I.

• If you file your tax return on a calendar year basis but the corporation files a return for a fiscal year, claim this credit on your tax return for the year in

which the corporation’s fiscal year ends. For example, if the corporation’s tax year ends in February 2016, claim this credit on your 2016 tax return.

Individual Shareholder’s Name

Social Security Number

Ownership Percentage

(a)

(b)

School Tuition Organization Name

Credit Approval Number

11 Total contributions to school tuition organizations from Form 341, Part 1, line 13 ...................................................

12 Individual shareholder’s ownership percentage .......................................................................................................

13 Individual shareholder’s portion of credit: Multiply line 11 by line 12. Enter the amount here and on Form 341-I,

line 11. This is the amount of credit available to the individual shareholder ...................................................

ADOR 11244 (15)