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Corporate Donation Form
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Donor Information
Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
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Email
Phone
Tax Credit Information
Filing Status
Married Filing Jointly
Single Taxpayer
Tax Credit Year
2018
2019
Have you donated to an STO this year?
Yes
No
Total amount of $:
Donation Information
Lutheran School (Optional)
Student Recommendation (Optional)
Amount $
Payment Information
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make payable to ALSO #:
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Date Format: MM slash DD slash YYYY
How did you hear about ALSO?
What church do you attend?
Send completed form to
Arizona Lutheran Scholarship Organization
PO Box 13277, Chandler, AZ 85248
NOTICE:
A school tuition organization cannot award, restrict, or reserve scholarships only on the basis of a donor’s recommendation. A taxpayer may not claim a tax credit if the taxpayer agrees to swap donations with another taxpayer to benefit either taxpayer’s own dependent. A.R.S. 43-1603 (C). Any designation of your own dependent as a potential recipient is prohibited
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