In Kind Donation Form - The Land Conservancy printable pdf download

In Kind Donation Form - The Land Conservancy

In-Kind Donation Form

Thank you very much for making an in-kind donation to The Land Conservancy of San Luis Obispo

County. This form will help us to properly record your generous gift on our 990 tax form. If you

have any questions, please contact our office at 805-544-9096 or .

Donation and Donor Information (to be filled out by the donor)

I/we wish to donate the following item(s) to The Land Conservancy of San Luis Obispo County as

described below:

Estimated Value of the Donation * : $_______________ Date of Donation: ________________

Donor Name:

Mailing Address:

Phone Number(s):

E-mail Address(es):

Special instructions, if any, including designated program area, if applicable. Attach additional pages

if necessary.

Signature of Donor(s):

Disbursement Information (to be filled out by LCSLO Staff)

Program/Department:

Class Code:

Program Contact:

Development Dept Contact:

* The IRS requires, for our records and yours, that an estimate of the dollar amount of a non-cash

contribution be given. IRS publication 563, Dtermining the Value of Donated Property is helpful for individuals,

partnerships, and corporations who make non-cash contributions, If a non-cash contribution exceeds $500,

the tax payer must file IRS Form 8283.

In Kind Donation Form - The Land Conservancy