A form to document non-cash donations like goods or services provided to a nonprofit.
This form is used to document non-cash contributions such as goods or services provided to a nonprofit organization. It ensures accurate recordkeeping and may be used for donor acknowledgment and tax substantiation purposes.
Name: {donorName}
Organization (if applicable): {donorOrganization}
Phone: {donorPhone}
Email: {donorEmail}
Mailing Address: {donorAddress}
Date of Donation: {donationDate}
Estimated Fair Market Value (if known): {donationValue}
Donation Delivered or Picked Up: {donationDeliveryMethod}
Description of Items/Services Donated:
{donationDescription}
Purpose/Intended Use of Donation:
{donationPurpose}
{#donationItems}
{/donationItems}
I, {donorName}, confirm that the donation listed above was made voluntarily and without exchange of goods or services in return, unless explicitly documented.
{#receivedNoGoods}
No goods or services were provided to the donor in exchange for this donation.{/receivedNoGoods}
{^receivedNoGoods}
Goods or services provided to the donor in exchange for this donation: {goodsProvidedDescription}{/receivedNoGoods}
Received By: {receivedBy}
Title/Role: {receiverTitle}
Date Received: {dateReceived}
Location Received: {locationReceived}
{#isTaxDeductible}
This donation is considered tax-deductible to the fullest extent allowed by law. Please consult your tax advisor.{/isTaxDeductible}
{^isTaxDeductible}
This donation is not tax-deductible.{/isTaxDeductible}
Donor Signature | Date |
---|---|
{donorSignature} | {donorSignatureDate} |
Nonprofit Representative Signature | Date |
{repSignature} | {repSignatureDate} |
Thank you for your generous contribution in support of our mission.
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