Donate by Mail

Donate by Mail

Make A Donation by Mail

NACSSF

PO Box 3923

Cottonwood, AZ 86326

Please include your check, made out to NACSSF, with the form below and mail to NACSSF.

NOTE: To print the form please use the Print button:

The following information is required by the State of Arizona.  Please print and fill out the form completely.

Full Name________________________________________________________________________

Address__________________________________________________________________________

City______________________________State_________________Zip Code___________________

Phone___________________________________________________________________________

I am donating:

$________to the Original Tax Credit (Up to $1110 for Married Filing Jointly)

$________to the Switcher Tax Credit (Up to $1103 Married Filing Jointly)  (You can donate here only after you have donated $1110 to the Original above.)

$________to the Original Tax Credit (Up to $555 Single/Head of Household)

$________to the Switcher Tax Credit (Up to $552 Single/Head of Household) (You can donate here only after you have donated $555 to the Original credit.)

Recommended School or Student________________________________________________________

Mail this form with your donation & check payable to:  NACSSF, P O Box 3923, Cottonwood, AZ 86326

Check #_______________________________Please no staples or tape.

Visa                    Master Card    ___________________________________________  _____/______

                                                                Card number                                               Expires

Billing Address (if different)_________________________________________________________________________________________

Filing Information

Donation is to be claimed for tax year: ___ 2018               ___2019

Filing status on my income tax return:

___Single, Married Filing Separate, or Head of Household

___ Married Filing Jointly

Have you already donated to another school tuition organization:           ____Yes    ____No     

If yes which STO?__________________________________________________________________________________________________

And how much?____________________________________________________________________________________________________

 

Thank you for your donation!

NOTE: A SCHOOL TUITION ORGANIZATION CANNOT AWARD, RESTRICT, OR RESERVE SCHOLARSHIPS SOLELY ON THE BASIS OF DONOR RECOMMENDATION. A TAXPAYER MAY NOT CLAIM A TAX CREDIT IF THE TAXPAYER AGREES TO SWAP DONATIONS WITH ANOTHER TAXPAYER TO BENEFIT EITHER TAXPAYER’S OWN DEPENDENT.