Tpa Tax Credits For Public Schools Page 2
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1
2Tempe Preparatory Academies
Tax
Credit Donation Form How does it Work?
Arizona Tax Credit, Easy as 1…2…3!
1.
Make your check or credit card contribution to Tempe Preparatory Academy. Up to $400 for married couples filing
jointly and $200 per individual!
2.
Fill out the form below and mail your contribution to: Tempe Preparatory Academy • 1251 E. Southern Avenue
Tempe, AZ 85282 OR For recurring donations
you only need to complete the form for the first donation.
Prepare your taxes using AZ Form 322 - “Credit for contributions made or fees paid to a public school”. Please
3.
consult a tax professional for more information on how to do this. Tempe Prep will issue you a receipt for use in tax
preparation. Count on a refund or real reduction in your state tax bill for your full gift amount!
Contact us at or (480) 839-3402 with any questions. THANK YOU!
Date: __________________________________
Last Name: _______________________________________First Name: ________________________________ MI: _________
Address: ________________________________________________________________Phone: (____) _____-______________
City: _____________ State: ___________ ZIP ________________ E-mail address: ____________________________________
Please notify the following family of our Donation: Name: _________________________________________________
E-mail address (if available): _______________________________________________________________________________
I would like to make my one-time tax credit contribution of:
$400
$200
Other $ _________
I would like to make my monthly recurring tax credit contribution of:
$100
$50
Other $ _________
Check payable to Tempe Preparatory Academy. Donation must be postmarked by December 31.
I have submitted my payment online at
.
Please charge my credit /debit card for me:
now or
after December 16.
Credit/Debit Card #: _________________________________________________ CSC#: ________ Exp Date: ____/________
Card:
[ ] VISA [ ] MasterCard [ ]American Express [ ] Discover
CSC#? MasterCard or Visa - last three digits in the signature area on the back of your card.
For AMX - four digits on the front of the card.
Please apply my contribution to:
Performing Arts Clubs
Non-athletic Extra-curricular Clubs
Where needed (preferred)
Athletics
: ___________________________________________________________________________________
Further Instructions
My employer matches donations:
Company Name: __________________________________ Phone or Website: __________________________________
THANK YOU!
You’ve sent your tax dollars directly to Tempe Preparatory Academies to support funding of:
Sports Teams, Extracurricular Clubs and more!
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