Donation Form

OWENS FOR OHIO Robert Owens for Ohio Attorney General Give $50 to a liberty-loving candidate – not to state bureaucrats! Ohio's tax law currently allows individuals to give $50 to statewide political campaigns and receive a DOLLAR-FOR-DOLLAR CREDIT off your income tax ($100 per married couple)! Ohio Revised Code: § 5747.29. Credit for contributions to candidates for statewide office or general assembly: owensforohio.com Paid for by Owens for Ohio, 46 N. Sandusky St. Suite 202, Delaware, OH 43015. Sammy L. Stamm, Treasurer COUNT ME IN! AMOUNT: [ ] $25 [ ] $50 [ ] $75 [ ] $100 [ ] Other Amount $_____________ [ ] Weekly through Nov. 5, 2010 [ ] Monthly through Nov. 5, 2010 [ ] One time donation PAYMENT METHOD: Check No.: Card Type: Visa Master Card Discover American Express Card No.: Expiration Date: /20 PERSONAL INFO: Full Name: Address: City: State: Zip: Phone: Email: Employer: Occupation: Authorized Signature: By signing this form I authorize the debit of my credit card to the Owens for Ohio campaign for the amount indicated on the above credit card. I understand that I may adjust this pledge or cancel by contacting the Owens for Ohio Campaign at (740) 368-0008Ohio Revised Code Title 57: § 5747.29. Credit for contributions to candidates for statewide office or general assembly. A nonrefundable credit is allowed against the tax imposed by section 5747.02 of the Revised Code for contributions of money made to the campaign committee of candidates for any of the following public offices: governor, lieutenant governor, secretary of state, auditor of state, treasurer of state, attorney general... The amount of the credit for a taxable year equals the lesser of the combined total contributions made during the taxable year by each taxpayer filing a return required to be filed under section 5747.08 of the Revised Code or the amount of fifty dollars, in the case of an individual return, or one hundred dollars, in the case of a joint return. Owens for Ohio c/o Sammy L. Stamm, Treasurer 46 N Sandusky St, Suite 202 Delaware OH 43015