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Chandler Unified School DistrictExtra Curricular Activity Tax Credit Contribution FormComplete this form and return the completed form with your contribution to: Chandler Unified School DistrictCIO Tax Credits1525 W. aye RoadChandler, AZ 85224First NameLast NameMailingAddressEmail AddressIf you would like to make a tax credit contribution using a credit card, debit card or e-check, please make your contribution on our secure online system.To contribute online navigate to:taxcreditCasha Checka Money OrderPayable to:Chandler Unified School DistrictTotal Contribution Amount: $direct my contribution neededdirect my contribution neededa Please direct my contribution to one or more of the following schools (Contributions should equa* the total contribution noted above):1997835-14384146192-143845613123Andersen ElementaryCTA - Goodman CampusNavarrete ElementaryAndersen Junior HighCTA - Humphrey CampusPatterson ElementaryArizona College Prep — ErieCTA - Independence CampusPayne Jr HighArizona College Prep — OaklandCTA - Liberty CampusPerry HighAuxier ElementaryElite Performance AcademyRice ElementaryBasha ElementaryFrye ElementaryRiggs ElementaryBasha HighFulton ElementaryRyan ElementaryBasha High (AMS)Galveston ElementarySanborn ElementaryBogle Jr HighHaley ElementarySan Marcos ElementaryBologna ElementaryHancock ElementarySantan ElementaryCarlson ElementaryHamilton HighSantan Jr HighCasteel HighHartford Sylvia Encinas ElementaryShumway ElementaryChandler HighHilt AcademyTarwater ElementaryChandler Early CollegeHull ElementaryWeinberg Gifted AcademyConley ElementaryJacobson ElementaryWillis Jr HighCTA - Freedom CampusKnox Gifted Academywish to designate this money for (Optional):General Extracurricular Activities — direct as needed Specific Eligible Activities:Activity or Grade LevelStudent First NameStudent Last NameThis contribution is eligible for the Arizona State income tax credit as allowed by ARS § 43-1089.01. Up to $200 per individual and up to $400 for married couples filing jointly can be claimed on personal income taxes. An official receipt will be mailed to the address provided by January 1. Contributions are non-refundable by the Chandler Unified School District. Please consult your personal tax advisor to determine the application of the credit. ................
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