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Innovative Educational Tax Credit - HB408  
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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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Phone Number Best to Reach you At:
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Dollar Amount of your Donation: 
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Do you have a preference for where your donation is utilized?
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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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