SCHOOL TAX CREDIT FORM

What is a tax credit? A tax credit is NOT a donation! It IS a dollar-for-dollar reduction in the state income tax you pay. If your tax credit contribution is more than the amount of state tax you owe, the credit can be carried forward for up to five years. Receiving this tax credit will allow you to reduce the amount you owe the state or increase your refund. When filing your income tax return for the State of Arizona, the amount you designate to your school will be the amount you may claim as a state tax credit. This payment is eligible for Arizona state income tax credit as allowed by A.R.S. $43-1089.01. Tax credit contributions are non-refundable.

Designate your Tax Dollars to help Students of Liberty Leadership Academy. It's a win-win situation for you and the school! Contributions received from January 1, 2020, thru April 15, 2021, can be claimed on your Arizona State tax return for either 2020 or 2021.

STEP 1 - Contributor's Information: ALL Information Must be Filled Out

Print Name (one name only)*

Date*

Date

Address*

City*

State*

Zip*

Phone*

Email*

example@example.com

Check One

$200 Maximum for Single, Widowed, Head of Household$400 Maximum for Married filing jointlyOther Dollar Amount

STEP 2 - Select your Preference: ONLY items from approved list below can be chosen.

Please indicate where you wish to support

Arts/After SchoolPlayground Equipment/ShadingGeneral Fund

STEP 3 - Payment-Personal checks payable to Liberty Leadership Academy or Credit/Debit Cards Accepted

Donation Amount*

USD

Credit Card