Charitable Donation

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Charitable Donation
Receipt No.____________
Received From: _____________________________________________
Description of Property Received:
__________________________________________________________
__________________________________________________________
__________________________________________________________
Dollar Value $_________________
(Valuation of Property Is the Responsibility of the Donor)
No Goods or Services Were Provided In Exchange for This Gift.
This Document Is Necessary To Qualify You For Any Available Federal
Income Tax Deduction On Your Contribution. Please Retain It For Your
Records.
Receipt Issued On: ____/____/______
Receipt Issued By:
Name: ____________________________________________________
Charity: ___________________________________________________
Address: __________________________________________________
City: ___________________________ State: _____ Zip: ____________
__________________________________________________________
Signature of Charity Treasurer
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