“A Community Passionate About Student Success”
“A Community
Student Success”
Arizona
Tax Passionate
Credit About
Contribution
Form
I wish to support the following school site in the Buckeye Elementary School District:
Bales Elementary
25400 W Maricopa Road
P: 623-847-8503
F: 623-327-0744
Buckeye Elementary
211 South 7th Street
P: 623-386-4487
F: 623-386-7901
Inca Elementary
23601 W Durango Street
P: 623-925-3500
F: 623-386-4690
Jasinski Elementary
4280 S 246th Avenue
P: 623-925-3100
F: 623-327-2708
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Bales Elementary School
Buckeye Elementary School
Jasinski Elementary School
Sundance Elementary School
Inca Elementary School
WestPark Elementary School
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I wish to support the following extracurricular activities:
$_______
$_______
$_______
$_______
Greatest Need
$______ Performing & Fine Arts
After School Programs
$______ Gifted & Enrichment Programs
Athletics
$______ Others
Field Trip ~ Field Trip Name _______________________ Grade ___
Optional Student Name ___________________________________
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Tax Credit contributions can be made online at: http://besd33.org
Please print clearly the following information is required for your tax credit receipt:
Donor Name: ____________________________ Phone #:_______________________
Street Address: ___________________________________________________________
City, State and Zip: ________________________________________________________
Sundance Elementary
23800 W Hadley Street
P: 623-847-8531
F: 623-386-6049
Total Check Amount $ __________
Checks are to be made payable to the school site indicated on form. Drop off form and payment
to your local school or…
Mail to:
WestPark Elementary
2700 S 257th Drive
P: 623-435-3282
F: 623-386-3398
Check #________ Tax Year ________
Buckeye Elementary School District Office
Attn: Tax Credit
25555 West Durango Street
Buckeye, Arizona 85326
*Married couples filing separate or joint returns may claim a combined total of up to $400; taxpayers filing ‘single’ or
‘head of household’ may claim up to $200. The tax credit can be claimed on personal income tax returns only.
Contributions from businesses are welcome and are deductible, but cannot be used to claim a tax credit. Contributions
made between January 1st and April 15th may be used as a tax credit on the current year or the previous year Arizona
income tax return. CONSULT YOUR TAX ADVISOR.
BESD Preschool
604 Centre Avenue
P: 623-925-3333
F: 623-386-6219
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Office Use Only
Received by: ________________________ Amount $___________ Date: _____________TC#___________
Revised TL 05/21/2015