In-Kind Donation Form

Instructions

1) A donation form must be completed for every in-kind gift (tangible or intangible). Please complete all required information.
2) Please describe the donated items or service fully.
3) If your in-kind donation is valued over $500, you must complete IRS Form 8283 “Noncash Charitable Contributions” and submit with your tax return in order to claim a deduction; and if your in-kind donation is valued at over $5,000, you need to provide an appraisal. Should you have any questions, please refer to IRS Publication 526 “Charitable Contributions” and IRS Publication 561 “Determining the Value of Donated Property” and/or consult your tax advisor. Please note that contributions of services are not deductible as charitable contributions.

In-Kind Donation Form

Donor is *

Individual Company / Organization

* Indicates required field

Donor Name (as you wish to be recognized) *

Contact Name (if different from above) *

Title *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Gift Information

Description of donated item or service *

Phone Number *

Email *

Please detail any restrictions of use or expiration date *

Estimated Fair market Value *

Signature *

Date *

I verify by completing my name above that all information included on this form is accurate and I am an authorized representative of the organization.

PO Box 1694; Meridian, ID 83680 • 208-401-8653 • jennifer@lighthousemw.org
Capstone is ABN of LMW and is a 501(c)(3) non-profit organization. EIN Number: 47-4748805

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