User Account Manager by L2SAdmin | Oct 11, 2020 Contribution Form 2022 Please select the tax year for which you will be donating: * Tax Year 2022 Select Tax Filing Status * Individual Filer Married Filing Jointly Married Filing Separately C Corporation or Trust Entity-level Filer Owner of Pass-Through Entity Filing an Individual Return Owner of Pass-Through Entity Filing a Married Joint Return Owner of Pass-Through Entity Filing a Married Separate Return Note: The Tax Credit Limit for Individual Filers is $1,000 Note: The Tax Credit Limit for Married Filing Jointly tax filers is $2,500 Note: The Tax Credit Limit for Married Filing Separately tax filers is $1,250 Note: The Tax Credit Limit for C Corporations or Trusts is up to 75% of GA Tax Liability Note: The Tax Credit Limit for Entity-level tax filers is up to 75% of GA Tax Liability Note: The Tax Credit Limit for Owners of Pass-Through Entities Filing an Individual, Married Jointly, or Married Separate Return is $10,000 Donor Information Taxpayer's First Name * First Middle Initial Middle Initial Last Name * Last Suffix Suffix Taxpayer's SS# * Spouse's First Name (if married filing jointly) First Middle Initial Middle Initial Last Name Last Suffix Suffix Spouse's SS# For Entities Name of Entity EIN (for entities) Contact Person & Title (for entities) Email * Phone * Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona 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 State/Province Zip/Postal Zip/Postal Tax Year End of Contributor Contribution Amount in USD * $ Enter amount of contribution 75% of est. GA income tax liability: (for C-Corps and Trusts only) $ 6% of estimated GA income from pass through entity or entities: (for S Corps, LLCs & Partnerships only) $ Designated School (type GENERAL if you don't wish to designate a particular school) Signature Clear reCAPTCHA If you are human, leave this field blank. Submit