Az Tax Credit Form - Arizona Collegiate High School

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2012 Arizona School Tax Credit Donation Form
Yes! I’d like to receive an Arizona State Tax Credit of up to $200 ($400 if filing jointly)
and donate to:
(Please enter the dollar amount you wish to donate to each school)
$________
Pima Partnership High School
$________
Pima Partnership Academy
$________
Arizona Collegiate High School
Name: _________________________________________________________________
Address:________________________________________________________________
_______________________________________________________________________
(city, state, zip)
Phone: ____________________________ Social Security No. (Req’d)______________
Date of Donation ___________________
I’d like my Donation to benefit all students participating in or in the purchase of:
_______ At School’s Discretion
_______ Field trips
_______ Enrichment Activities (Arts, Music)
_______ Intramural Activities/Athletics/Physical Education
_______ Technology
_______ Other
_________________________________________
(please specify)
Make your check or money order payable to the School in which you are donating to.
(Example: Pima Partnership High School, Pima Partnership Academy, Phoenix Collegiate High School)
You can mail or drop your donation and this form to:
Pima Prevention Partnership
Attn: School Donation
3130 E. Broadway Suite 180
Tucson, AZ 85716
Please check with your tax advisor for answers to specific tax-related questions.
Thank You for your support!!

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