Donation In-Kind Form Document Template

A form to document non-cash donations like goods or services provided to a nonprofit.

Donation In-Kind Form

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.

Donor Information

Name: {donorName}

Organization (if applicable): {donorOrganization}

Phone: {donorPhone}

Email: {donorEmail}

Mailing Address: {donorAddress}

Donation Information

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}

Donation Items List

{#donationItems}

{itemName}: {itemDescription} - Quantity: {itemQuantity}, Estimated Value: {itemValue}

{/donationItems}

Donor Declaration

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}

For Nonprofit Use Only

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}

Signatures

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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