School Application

Northern Arizona Christian School Scholarship Fund

PO Box 3923, Cottonwood AZ 86326  928-649-6030

www.nacssf.org

 

School Year
Student Name			Birth Date (mm/dd/yyyy)
Email Address
Street Address
City		State		Zip
Phone Number
Filing Status	Married Filing Jointly     Single, Married Filing Separately, or Head of Household
I am Donating:
$		To the original tax credit (Up to $517 Single/Head of Household)
$		*To the Switcher tax credit (Up to $514 Single/Head of Household)
(*You can donate here only after you have donated $517 to the Original Credit)
$		To the original tax credit (Up to $1034 Married Filing Jointly)
$		**To the Switcher tax credit (Up to $1028 Married Filing Jointly)
(**You can donate here only after you have donated $1034 to the Original Credit)
———————
$		Total Donation Amount (will be totaled automatically)
Recommended School or Student:
Donation Tax Year:		2013  2014
Have you already donated to another school tuition organization?			Yes     No
Click Continue – you will then be brought to a new page – please click the Donate button and you will be able to pay for your donation. Thank you!

 

Northern Arizona Christian School Scholarship Fund

PO Box 3923, Cottonwood AZ 86326  928-649-6030

www.nacssf.org