Do not use this form for contributions to private school tuition organizations 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Social Security Number as shown on your tax forms. If filing jointly, include your spouse’s information as well.
3. In Part 1, list cash contributions made or fees paid from January 1, 2022, through December 31, 2022. Fill in the date of contribution, public school CTDS code, name of the public school, school district name, and the amount contributed for each entry.
4. If you have more than three contributions, complete the Continuation Sheet provided and include it with your submission.
5. Calculate total contributions made during the year by adding all amounts listed in column (e) and enter this total on line 5.
6. Repeat similar steps for cash contributions made from January 1, 2023, through April 18, 2023. Ensure to follow instructions carefully for accurate reporting.

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