Car Donation Receipt
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1CAR DONATION RECEIPT
Note: Please review IRS guidelines and consult with your tax advisor to learn how the
changes may affect your deduction.
:
D
ATE
:
N
AME
A
:
DDRESS
:
C
, State, Z
ITY
IP
F
:
P
:
AX
HONE
E-
:
MAIL
V
D
(Y
/M
/M
):
EHICLE
ESCRIPTION
EAR
AKE
ODEL
L
#:
ICENSE
V
#:
IN
O
#:
DOMETER
: ڤY
ڤN
: ڤY
ڤN
: ڤY
ڤN
R
ES
O
T
ES
O
D
ES
O
EGISTERED
ITLE
RIVABLE
M
I
:
ECHANICAL
NFORMATION
I understand that the Conservatory will advise me of the amount of the sale price of the vehicle at auction and
that this sale price is the amount I can state for a deduction on my tax returns. I have submitted the release of
liability form to DMV.
___________________________________________________________________________
Contributor’s Signature
Date
__________________________________________________________________________
Auction City Agent Signature
Date
THANK YOU FOR YOUR DONATION
Fax completed form to June Hom at 415-503-6288.
Questions may be directed to June Hom at 415-503-6201 or jhom@sfcm.edu.
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