Official Receipt For Income Tax Purposes Form

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Dear
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Thank you for your generous donation to [Insert your Charity’s Name]. We are very grateful for your
gift.
With kind regards,
[Insert name of signatory]
[Insert title of signatory]
________________________________________________________________________________
Official Receipt for Income Tax Purposes
[Insert your charity’s name]
[Insert your charity’s address (all on one line)]
Charitable BN/Registration #:
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Receipt No:
þÿ
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Issue Date:
Donation Amount
$
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Receipt Amount
$
þÿ
Benefit Received
$
þÿ
Received From
þÿ
Received On
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For information on all registered charities in Canada under the Income Tax Act please visit: Canada Revenue Agency
[Insert image of signature]
Authorized Signature
[Insert name of signatory]
[Insert title of signatory]

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