Contribution Letter Request for the 2023 Tax Year

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Contribution letters may be requested to be mailed, emailed, or made available for pick up once a week on Wednesdays between 11:00 AM – 12:00 PM in the secretary’s office. If you would like someone to pick up your contribution letter, you must send your request in writing to the Financial Secretary.

For record-keeping purposes, only one name per request. Requests received with more than one name will be discarded. *

This request if for one person only.

I understand that my request will be discarded if more than one name is listed on my request.

Required

Name (Last, First, Middle Initial) *

Contact Number *

Email Address *

For mail requests, please be sure to provide your complete mailing address (city, state, zip code ). Incomplete information will result in your request being discarded. *

How would you like to receive your Tax Year 2023 Contribution letter? *

Acknowledgment #1 *

Requests will be processed and available for pickup starting February 01, 2023.

Required

Acknowledgment #2 *

In-person pickup requests will be available on Wednesdays between 1:00 PM - 4:00 pm.

Required

Acknowledgment #3 *

Requests received on Sunday after 12:00 PM EST will be processed the following week.

Required

I understand that it is my responsibility to keep all financial information requested from the Financial Secretary confidential. If the requested information is collected or disbursed by anyone, I assume full responsibility for any information shared without my consent. *

Yes,I acknowledge the above statement.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms