ASF Tax Credit Request Form

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Your information

Education Tax Credit Form - Pass Through Entity

Complete this form to allow ASF to submit your application to the GA Dept. of Revenue for a tax credit.

Choose your Filing Status *

Taxpayer Information

First Name *

Middle Name *

Last Name *

SSN *

Street *

Street2

City *

State *

Zip *

Email *

Verify Email *

Cell Phone *

Contribution Information

Estimated Net Income from Pass-Through Ownership *

You may contribute up to 5.75% of your net income from ownership of all pass-through entities combined. To utilize the full tax credit amount of $25,000, net income from pass-through ownership must total at least $434,783.

Contribution Amount *

I would like my contribution to be... *

Designated to a particular school or schools.

Undesignated (The ASF Board of Directors will select deserving school(s) or student(s).

Designated School(s)

I authorize ASF to submit our application through the GA Dept. of Revenue for an Education Tax Credit. We pledge to donate the amount indicated above and agree to fully fund our contribution within sixty (60) days of approval from the GA Dept. of Revenue.

Confirm Authorization *

Yes

Please type your full name in as a digital signature *

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