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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
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Michigan
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Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
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Phone
Tax Credit Information
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Tax Credit Year
2018
2019
Have you donated to an STO this year?
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Total amount of $:
Donation Information
Lutheran School (Optional)
Student Recommendation (Optional)
Amount $
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make payable to ALSO #:
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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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