515 E. Las Olas Blvd. Suite #120
Fort Lauderdale, FL 33301
954-839-6561
IRS 501(c) 3 Tax Exempt Number 46-5565827
GIFT IN-KIND DONATION FORM
Event: _____________________________ Date of Event: __________________________________
City: _______________________________ County: _______________________________________
Description of Donation: ______________________________________________________________
Gift
or Service
List Quantities: _________
Estimated Fair Market Value: Donation: $__________________ Auction: $___________________
(as determined by donor)
Fair market value of any goods or services given to donor in return: $_________________________
Check One of the Following:
Donor Statement of Value
Appraisal Attached
Receipt Attached
Estimated Fair Market Value: Donation: $__________________Auction: $__________________
Fair market value of any goods or services given to donor in return: $________________________
Individual donor or company name: ___________________________________________________
Name of person to be thanked: _______________________________________________________
Organization _____________________________________________________________________
Address: ____________________________________________________________________________
City: ________________________________State: ________________________ Zip: ______________
Phone: __________________Email: _________________________________ Fax:_________________
*Notes to donor(s):
Kindah Foundation gratefully acknowledges your in-kind contribution. The following information pertaining to your in-kind contribution is being provided for your
convenience and does not constitute legal advice on behalf of Kindah Foundation, the Board of Directors or their staff.