Certificate Of Donation

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Arizona Railway Museum
CERTIFICATE
PO Box 842
OF
Chandler, AZ 85244
DONATION
(480) 821-1108
Donor’s Name:
Address:
Phone:(
)
-
City:
State:
Zip:
Email:
I/We convey to the Arizona Railway Museum the following item(s):
Description: (use reverse side as necessary)
1.
2.
3.
4.
5.
6.
as an unrestricted gift, and transfer legal title for the item(s) to the Museum. I/We further agree that
these items may be cleaned, conserved, exhibited and used in research as the Museum sees fit. I/We
understand that all donations are subject to review by the Museum’s accession committee. I/We
understand and agree that the materials conveyed shall be displayed at the discretion of the Museum
staff and will not necessarily be on public view at all times. I/We understand that although my/our name
will remain in the Museum’s permanent records as donor of these materials it will not necessarily be
with these items when they are exhibited. I/We agree that any materials in this gift that are NOT
accessioned into the Museum’s collections may be used by the Museum as it sees fit.
PLEASE NOTE: According to IRS regulations, establishing a dollar value on donated items is the
exclusive responsibility of the donor. Donor did not receive any goods or services in return for this
donation.
The Arizona Railway Museum has tax exempt status under IRS 501C(3) regulations and is classified as
“Not a private foundation” as defined in section 509(a) of the Internal Revenue Code.
THIS IS YOUR TAX RECEIPT
Donor Signature(s):___________________________________________ Date:__________
Museum Representative:_______________________________________ Date:__________

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