ONLINE ORDER FORM
Arizona Working Poor Tax Charity Contribution Program
To print out a form and mail or fax click here

I would like to contribute:
(Donate as much as you wish, but the maximum AZ state tax credit
is $400 for a couple and $200 for an individual
.)

Single Tax Credit - $200.00
Couples' Tax Credit - $400.00
 Enter any amount you wish
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Sedona Community Center
2615 Melody Lane
PO Box 2894
Sedona, AZ 86339

Open 9:00 AM to 3:00 PM
Monday - Friday
928.282.2834

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