Arizona Extracurricular Tax Credit Contribution

Arizona EXTRACURRICULAR Tax Credit Contribution

ARIZONA PUBLIC SCHOOL TAX CREDIT · A.R.S. 43-1089.01Every dollar stays with our student-athletes and students. Arizona gives you a dollar-for-dollar state tax credit up to $200 single or $400 married filing jointly — you do not need to have a child enrolled here.
Program
Contribution Amount
Enter Your Amount
Claim this contribution on my
Full Name

First NameLast Name
Student Name (if applicable)

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Payment Method
Make your check payable to Premier Prep Online Academy and mail to 459 N. Gilbert Rd., Suite A-198, Gilbert, AZ 85234. Write your program choice on the memo line.
For Arizona Form 322

School CTDS: 078100001

Charter Holder Code: 078100000

Charter holder: Premier Prep Online Academy

EIN: 87-3535360
Signature

USDDescription

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Arizona EXTRACURRICULAR Tax Credit Contribution