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Innovative Educational Tax Credit - HB408  
Please count me in with my donation toward the Innovative Educational Programs for Fairfield Public Schools. I understand by submitting this form, along with my donation, that I am not guaranteed a dollar-for-dollar tax credit on my taxes as outlined in Montana House Bill 408, but that Fairfield Public Schools will submit my donation for approval in the Montana Department of Revenue (DOR) Education Donations Portal as soon as the portal opens to receive donations and my donation is received by Fairfield Public Schools.

If my donation is accepted by DOR, I will receive a receipt from Fairfield Public Schools to submit with my 2024 taxes. 

*There is a chance the $6 million cap will be met before your donation is recorded. If your donation is not accepted by the DOR because the aggregate limit was reached, you will not be obligated to make the donation. If you choose to donate for the tax credit, we are grateful for your support of Fairfield Public Schools. 
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I am donating as...
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Name and/or Business: 
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Mail Donation or Deliver to: 
Fairfield Public Schools
P.O. Box 399
Fairfield, MT 59436 
ATTN: Innovative Education Tax Donation - Business Office

**In the check memo write: "MT Innovative Educational Tax Credit"
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If you have any questions, please contact Supt. Dustin Gordon at 406-467-2528 or dgordon@fairfield.k12.mt.us
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I am donating as...
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Name and/or Business: 
(First and Last Name as it appears on your tax documents.) 
OR 
(Business Name if donating as a Business.)
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Last 4 digits of your Social Security Number (SSN)
if donating as an Individual:
OR 
Federal Employer Identification Number (FEIN) 
if donating as a Business:
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Physical Address: (Street, City, State, Zip Code)
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Mailing Address:
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Check Number:
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Mail Donation or Deliver to: 
Fairfield Public Schools
P.O. Box 399
Fairfield, MT 59436 
ATTN: Innovative Education Tax Donation - Business Office

**In the check memo write: "MT Innovative Educational Tax Credit"
Questions:
If you have any questions, please contact Supt. Dustin Gordon at 406-467-2528 or dgordon@fairfield.k12.mt.us
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