Education Tax Credit Form - C-Corps; Trusts; Insurance Companies; "Electing" S-Corps & Partnerships

Complete this form to allow ASF to submit your tax credit request to the GA Dept. of Revenue for pre-approval.

Choose Your Filing Status *

Complete All Fields

Name of Entity *

FEIN *

Tax Year End *

Street *

Street2

City *

State *

Zip *

Primary Contact Information

First Name *

Last Name *

Title *

Email *

Verify Email *

Phone *

Fax

Contribution Information

Estimated GA Tax Liability *

75% of Estimated GA Tax Liability *

Contribution Amount *

Note: Insurance companies limited to a maximum contribution of $1 million.

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 the Alyn Scholarship Fund 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 below as a digital signature *

Verification Process

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Education Tax Credit Form - C-Corps; Trusts; Insurance Companies; "Electing" S-Corps & Partnerships

Complete All Fields

Primary Contact Information

Contribution Information

Donor Info

Parents Info

Info for Schools

Links

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Education Tax Credit Form - C-Corps; Trusts; Insurance Companies; "Electing" S-Corps & Partnerships

Complete All Fields

Primary Contact Information

Contribution Information

Donor Info

Parents Info

Info for Schools

Links