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Corporate Online Form
Corporate Income Tax Credit Application
Corporation Name
Corporate Street Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Contact Name
Phone
Email
Corporate EIN
Check box if donation is from an S corporation pursuant to ARS section 43-1089.04.
Name and EIN of parent S corporation if contributing company is a qualified subchapter S subsidiary
Check box if corporation pays insurance premium tax.
NAIC Number (Insurance Companies Only)
Amount the corporation is requesting to donate
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