Arizona Form 322 - Credit For Contributions Made Or Fees Paid To Public Schools - 2015
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1
2Arizona Form
Credit for Contributions Made or
2015
322
Fees Paid to Public Schools
Include with your return.
Do not use this form for contributions to private school tuition organizations.
See Form 323 for contributions to private school tuition organizations.
For the calendar year 2015 or fiscal year beginning
M M D D
2 0 1 5 and ending
M M D D Y Y Y Y
.
Your Name as shown on Form 140, 140NR, 140PY or 140X
Your Social Security Number
Spouse’s Name as shown on Form 140, 140NR, 140PY or 140X (if joint return)
Spouse’s Social Security Number
Part 1
Current Year’s Credit
Donations made during 2015; if you made cash contributions or paid fees to more than three public schools, include a
separate schedule.
(a)
(b)
(c)
(d)
School District Name
Location of Public School
Contribution
Name of Public School
and Number
(City, State)
Made or Fees Paid
to which you made contributions or paid fees:
1
00
00
2
3
00
4 Total cash contributions made or fees paid to public schools in Arizona during 2015: Add the
amounts in column (d) of lines 1, 2, and 3. Also, add any amount included on a separate schedule.
4
00
Donations made from January 1, 2016 through April 18, 2016 for which you are claiming a credit on your 2015 return; if you
made cash contributions or paid fees to more than three public schools, include a separate schedule.
(a)
(b)
(c)
(d)
School District Name
Location of Public School
Contribution
Name of Public School
and Number
(City, State)
Made or Fees Paid
to which you made contributions or paid fees:
00
5
00
6
00
7
8 Total cash contributions made or fees paid to public schools in Arizona from January 1, 2016
through April 18, 2016: Add the amounts in column (d) of lines 5, 6, and 7. Also, add any amount
00
included on a separate schedule ..........................................................................................................
8
00
9 Add lines 4 and 8. Enter the total ........................................................................................................
9
00
10 Single taxpayers or heads of household, enter $200. Married taxpayers, enter $400 ........................ 10
11 Current year’s credit: Enter the smaller of line 9 or line 10. In most cases, if you are married filing a
00
separate return, enter one-half of the smaller of line 9 or line 10. See instructions ............................
11
Continued on page 2
ADOR 10941 (15)
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