Contribution Form Contribution Form How to contribute to Learning to Serve using the secure paperless process: 1. Please fill in all the fields in the form and be sure to sign the form electronically with your mouse. Learning to Serve (LTS) will complete the TP1 form for you with this information and will submit it to the Georgia Department of Revenue on your behalf beginning January 1, 2021. 2. Pay via check beginning January 1, 2021, or pay once you receive notification of DOR approval. You must make payment within 60 days of approval. This is is secured by Let's Encrypt SSL using SHA-256, RSA Encryption I understand that this LTS Tax Credit Form is for the 2021 year. * Yes, I understand. Select Tax Filing Status * Individual Filer (Tax Credit Limit: $1,000) Married Filing Jointly (Tax Credit Limit: $2,500) Married Filing Separately (Tax Credit Limit: $1,250) Individual Owner of S-Corp, LLC, or Parternship (Tax Credit Limit: $10,000) C Corporation or Trust (Tax Credit Limit: up to 75% of GA Tax Liability) Donor Information Taxpayer's Name * First Middle Initial * Last Suffix Taxpayer's SS# * Spouse's Name (if married filing jointly) First Middle Initial Last Suffix Spouse's SS# For Entities Name of Entity EIN (for entities) Contact Person & Title (for entities) Tax Year End of Contributor Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Contribution Amount in USD * $ Enter amount of contribution 75% of est. GA income tax liability: (for C-Corps and Trusts only) 6% of estimated GA income from pass through entity or entities: (for S Corps, LLCs & Partnerships only) Designated School Signature Clear reCAPTCHA Submit If you are human, leave this field blank.