Form 1098-C - Contributions Of Motor Vehicles, Boats, And Airplanes

Form 1098-C - Contributions Of Motor Vehicles, Boats, And Airplanes - 2016 Page 6

VOID

CORRECTED

1 Date of contribution

OMB No. 1545-1959

DONEE’S name, street address, city or town, state or province, country, ZIP

Contributions of

or foreign postal code, and telephone no.

2016

Motor Vehicles,

Boats, and

2a Odometer mileage

Airplanes

1098-C

Form

2b Year

2c Make

2d Model

DONEE’S federal identification

DONOR’S identification

3 Vehicle or other identification number

number

DONOR’S name

Donee certifies that vehicle was sold in arm’s

length transaction to unrelated party

Street address (including apt. no.)

4b Date of sale

Copy D

4c Gross proceeds from sale (see instructions)

City or town, state or province, country, and ZIP or foreign postal code

For Donee

Donee certifies that vehicle will not be transferred for money, other property, or services before completion of material

improvements or significant intervening use

For Privacy Act

Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of

and Paperwork

donee’s charitable purpose

Reduction Act

Notice, see the

5c Donee certifies the following detailed description of material improvements or significant intervening use and duration of use

2016 General

Instructions for

Certain

Information

Returns.

Yes

6a Did you provide goods or services in exchange for the vehicle? .

▶

6b Value of goods and services provided in exchange for the vehicle

6c Describe the goods and services, if any, that were provided. If this box is checked, donee certifies that the goods and services

consisted solely of intangible religious benefits .

▶

7 Under the law, the donor may not claim a deduction of more than $500 for this vehicle if this box is checked .

▶

1098-C

Form

Department of the Treasury - Internal Revenue Service

Form 1098-C - Contributions Of Motor Vehicles, Boats, And Airplanes - 2016 Page 6

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