FALA Donation Form For Arizona Public School Tax Credit Donations Thank you for your interest in contributing to additional educational opportunities our students can experience through extracurricular activities, character education, college and career readiness, and CPR instruction.The Arizona Department of Revenue has provided an informational brochure (PDF) for taxpayers or you can view additional information on their website. All situations are different; to confirm that you are eligible for this credit, please consult your tax advisor.After payment is complete, you will be redirected back to this page with links to view and download a PDF receipt for your donation. Thank you for supporting FALA.Please report any issues with the donation form to *protected email*Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Qualified General Programs*If you wish to pay for a specific student's field trip, please use the Field Trip Payment Form and choose the Tax Credit Option.Tax Filing Status(Required) Individual - $200 maximum Married Filing Jointly - $400 maximum Note: As an individual taxpayer, your maximum tax credit donation is $200. Note: As a married couple filing jointly, your maximum tax credit donation is $400. Donation DesignationHow would you like your tax credit to affect FALA? You may choose more than one designation. Please give a breakdown of funds for each designation chosen. Extracurricular activities - School sponsored activities for enrolled students that supplement the schools education program, like add Service and experiential learning trips and student clubs. Character Education - New Project-Based Learning (PBL) Program Targeting the United Nations 17 Global Sustainability Development Goals, MS Llama/ Leadership Curriculum Development. Standardized Testing and Fees - PSAT, SAT, ACT, Advanced Placement and International Baccalaureate Diploma tests and other similar tests. Clubs, academic competitions or other comparable extracurricular programs. Music, band, choir, fine arts or performing arts. Extracurricular ActivitiesEnter amount for this designation Character EducationEnter amount for this designation Standardized Testing and Fees.Enter amount for this designation Clubs, academic competitions or other comparable extracurricular programs.Enter amount for this designation Music, band, choir, fine arts or performing arts.Enter amount for this designation Additional CommentsAdd a note regarding your donation.Donation Total Please use one of the payment methods below.Payment Method(Required)PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ
