User Account Manager - Learning to Serve

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

Last Name *

Last

Suffix

Taxpayer's SS# *

Spouse's First Name (if married filing jointly)

First

Middle Initial

Last Name

Last

Suffix

Spouse's SS#

For Entities

Name of Entity

EIN (for entities)

Contact Person & Title (for entities)

Email *

Phone

Address *

Address

City

State/Province

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

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