Vision SSO Donor Form

    Contributor Information

    Contributor Tax Filing Status

    Individual or Corporation

    First Name* MI Last Name*

    Tax Payer SSN/ITIN* SSN or ITIN*

    Spouse First Name Spouse Last Name

    Spouse SSN/ITIN SSN or ITIN

    Address* City*

    State* Zip Code*

    Email* Phone

    Donation Information

    Designated School* Other School

    Donation Amount*

    Guidelines for the maximum contribution amount allowed are as follows
    - For Individuals Filing As Single or Head of Household Up to $1,000
    - For Individuals Filing A Married Joint Return Up to $2,500
    - For Individuals Filing Married Separate Return Up to of $1,250
    - Individual Owner of S-Corp, LLC, or Partnership Up to $10,000 ($20,000 if Spouse is also a pass-through owner), or your actual 2016 Georgia Tax Liability (whichever is less).
    Georgia Tax liability is calculated as 6% of your net Georgia income from any pass-through ownership; If your net Georgia Income is estimated to be $100,000 in 2016, then the maximum donation that you can make for 2016 is $6000.
    - C Corporation or Trust or Fiduciary Up to 75% of your GA Tax liability