Ucsc Letter Of Gift - Gift In Kind printable pdf download

Letter of Gift - Gift in Kind

Thank You for Your Generous Support of UCSC

Property Type:

___Art ___*Software ___Other (

Please use specific forms for gifts of

Vehicles

or for

Vessels or

Trailers)

Name of Donor (s): _________________________________________________________________________

Address: __________________________________________________________________________________

Telephone/Email: __________________________________________________________________________

If gift is from a corporation/organization, indicate name and title of contact person to receive acknowledgement.

Property Description

include relevant details such as age/year/edition, type, creator/manufacturer, size/dimensions, color, model, etc. (Please note if attached

pages):

Purpose of Gift

(describe use or benefit to UC Santa Cruz and include name of Department or Program):

Estimated Market Value: $ _____________________

as set by __Donor __Qualified Appraiser __ Other Qualified Entity

For gifts valued in excess of $5,000, the IRS may require donors to submit an independent appraisal of the gift for tax deduction purposes. Contact the Gift

Administration Office for more information, 831-459-1908.

I (we) hereby irrevocably donate as a gift to the University of California at Santa Cruz, the above item(s) in order to benefit the

Department or Program listed above.

Do you wish to remain anonymous? __ Yes __ No

_____________________________________________________________________________________________________________

Donor (s) Signature

Date

Departmental Office Use

Departmental approval indicates the transfer of property to UC Santa Cruz and responsibility for housing and maintenance

of the property. *Donation of software requires review by Technology Transfer Office, which may be obtained by contacting the office at

Estimated one-time costs (unit funded) such as transportation, storage, handling, insurance, compatibility issues, setup = $ _________________ Estimated

ongoing costs (unit funded) such as storage and insurance to maintain gift = $_________________

______________________________________________________________________________________________________________

Development Officer Signature Date

Assistant Dean Budget or Designee Signature Date

Departmental Equipment Custodian Completes for Gifts Valued $500 and Above

Information regarding equipment management

and a list of equipment custodians may be obtained from the Equipment Administration Office. Building code: ____________ Custody Code:

____________Condition Code : ____________ Gift Administration Gift #: ____________

Unit Equipment Custodian Signature and Date: ____________________________________________________________

Print Name and Title:

Please return completed Gift-in-Kind Form to: Gift Coordinator, University Library, University of California, Santa Cruz, CA 95064.

Policy: and UC Accounting Manual G-327

Ucsc Letter Of Gift - Gift In Kind

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