Gift In Kind Donation Form - Exceptional Persons
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1Gift-in-Kind Donation Form
Thank you for thinking of EPI
Thank You for Your Donation
A gift-in-kind is a non-cash gift of physical property or service. Examples of gifts-in-kind include, but are not limited
to books, supplies, equipment, artwork, and furniture.
In order to be tax deductible, the IRS requires gifts of $5,000 or more to be accompanied by a formal third-party
appraisal and the IRS form 8283 completed by a registered appraiser and signed by the Communications &
Development Director. It is the responsibility of the donor to obtain the appraisal and IRS form.
Please note: Exceptional Persons, Inc. (EPI) and Exceptional Persons Foundation are prohibited by IRS
regulations from establishing monetary values for gifts of real or personal property. Donations may be tax
deductible in keeping with IRS regulations. Please consult your personal tax advisor for details and with questions.
Donor/Contact Name:
Date of Donation:
Organization Name (if applicable):
Address:
City:
State:
Zip:
email:
Phone:
Check this box if you’d like your donation to be anonymous.
DONATION(S):
Item Description
Number
Condition, year,
Donor-Stated
- FOR OFFICE USE
of Items
brand
Fair Market
ONLY-
Value
List Program Benefiting
$
$
$
$
Form MUST be stamped
Total Donor-
$
by EPI to be valid.
Stated Value
*Federal law provides clothing and household goods must be in ‘good used condition or better’ for tax deductions.
Donor Signature:
This is your receipt. Please keep it for tax purposes. Exceptional Persons, Inc. (EPI) did not provide you with any
goods or services in consideration for your gift.
Office Use Only:
Received By:
Date:
760 Ansborough Avenue | PO Box 4090 | Waterloo, IA 50704 | (319) 232-6671 |
Exceptional Bargains | 2026 East Ridgeway Avenue | Waterloo, IA 50702 | (319) 232-6471
Other: _______________________________________________________________________
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Parent category: Business