Lower your Taxes by $400.00 Help the Students in Ehrenberg &

Quartzsite School’s

Have Power over your money Donate Now!

YOU DO NOT NEED TO HAVE A CHILD ENROLLED IN PUBLIC SCHOOL TO CLAIM THE TAX CREDIT

DO NOT SEND YOUR MONEY TO PHOENIX, KEEP IT IN YOUR DISTRICT

A fairly new Arizona tax law (ARS 43-1089.01) allows taxpayers a tax credit of $200.00 for single or $400.00 for married jointly if they contribute to a fee-based extracurricular activity in public school. Extracurricular activities supplement the educational program of school. They are offered before, during and after school. Our school district’s extracurricular activities include:

8^th grade graduation trip Boys/Girls Basketball Football

Volleyball Soccer/Track Art Club

After school programs Gifted Program Baseball

Student Council School Field Trips Craft Club

CIRCLE THE ACTIVITY OR ACTIVITIES YOU WISH YOUR MONEY TO GO TO

You may designate more than one activity to contribute to. Complete the form and write a check for any amount up to $200 for single or $400.00 for married before the end of the year. The school will send you a receipt for your records. Contact the school for further information. (923-7907, 927-5500 or 923-7900) Please fill one form per contributor. PLEASE PRINT and make check payable to:

Quartzsite School District #4 P.O. Box 130, Ehrenberg, AZ 85334

Contributor/Taxpayer___________________________________Date_______

Address_________________________________________________________

City_________________________________State______________Zip_______

Home Phone________________________Work phone___________________

Contributor/Taxpayer Social Security#___________________________

Must be completed

The above payment is eligible for the Arizona State Income Tax Credit as allowed by AZ. Revised Statutes 43-1089.01. You tax credit is limited to $400 per household. A receipt will be mailed to you for tax purposes. Donations are nonrefundable by the school district. Checks must be made on personal checking accounts only