Gift Deposit Form - University Of Iowa Foundation

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Gift Deposit Form
The University of Iowa Foundation
500 LCUA
335-3305
*Please refer to the Search for External Support of UI Foundation and Policies on Depositing Gift Funds*
Department:
Phone number:
Date:
Sent by:
Total amount:
Type of Deposit: Cash _______ or Check_______ or Credit Card_______
*One deposit type per form*
Account name:
Account number:
Please note the following:
Please send gift(s) to the UI Foundation as soon as possible to ensure deposit/acknowledgment in a timely manner.
Attach copies of all pertinent information from the donor.
If more than two gifts, please attach a list.
$
Amount of Gift
Name of Donor
Address Line 1
Address Line 2
City, State, Zip
Memorial
Honorary
If a memorial, please provide:
If gift is in honor, please provide:
Name of deceased
Name of honoree
Next of kin name and relationship
Honoree address
Next of kin address
Honoree city, state, zip
Next of kin city, state, zip
Has the next of kin been notified of gift?
Notify honoree?
Yes/No
Yes/No
Print Form
W:\Finance\Gift Deposit Form/vh/7/9/01

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