In-Kind Donation Form

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In-­‐Kind  Dona+on
Donor Information:
Name:
Address:
City:
State:
Zip:
Phone:
Donation Description:
Es#mated  Fair  Market  value  (by  donor):  $________________
This form does not serve as a receipt for this contribution, but is intended for our internal record keeping
purposes only. A receipt describing the items or merchandise donated will be mailed to the address supplied
above. Since the Friends in the Desert Foundation is a registered 501(c)(3) nonprofit organization, the fair
market value of such donations may be tax-deductible. IRS Publication 561 explains how to determine the fair
market value of your donation. As not all in-kind donations may be tax deductible, please consult with your tax
advisor to determine the tax implications of your gift.
Signature:  
 
 
 
 
 
 
 
 
 
Date:
Please  date,  sign  and  mail  completed  form  to  Friends in the Desert Foundation:  
43 W. Pacific Avenue, Henderson, NV 89015

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