Public School Tax Credit Form

Highland Free Charter School

510 South Highland Avenue

Tucson, Arizona 85719

(520) 623-0104

Fax (520) 903-1318

Public School

Tax Credit Form

Name ________________________________________________________

Address ______________________________________________________

City _______________________ State ______________ Zip __________

Phone _____________________________

Social Security Number (optional) _________________________

Donation (check one)

____ $400 (couples)

____ $ 200 individuals _________ Other

Please indicate which activity you would like your tax credit

contribution to support:

_____ Where the need is greatest

_____ General extra curricular activities

_____ Character education program

Please fill out this form and submit it to the main office along with your tax credit contribution.

Highland Free School Fund Incorporated • Established 1984

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Parent category: Financial