C-Corp, Trust, or Pass-Through Entity Donor TMH Tax Credit Application

"*" indicates required fields

Thank you so much for supporting The Methodist Home (TMH). With your participation, we will change lives for young people aging out of Georgia’s foster care system. Please complete the form below and TMH will apply for the tax credit on your behalf.

If TMH previously applied for the credit on your behalf or you selected the incorrect tax filing status, please go back and select the appropriate application form. Click Here!

I am filing my taxes this year as:*

Application limit is up to 10% of Georgia income tax liability through June 30th, then unlimited if credit fund has not reached $20 million cap.

C-Corporation Return

Trust Return

Pass-through Entity Return

Entity Name*

Federal Employer Identification Number*

Please include "-" in your entry

Contact Person Name*

First Name Middle Initial Last Name

Contact Person Title*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

10% of Estimated GA Income Tax Liability*

Contribution Amount*

For Tax Year*

Current tax year end date*

Authorization*

I authorize The Methodist Home to submit this application to the Georgia Department of Revenue (DOR) for pre-approval. Once DOR approval is received, I commit to fund my full approved contribution amount to The Methodist Home within 60 days of the approval or by 12/31 of the same tax year, whichever comes first.

Phone

This field is for validation purposes and should be left unchanged.