Receipt for Donations
This form provides a template for a receipt, which can be used by
any group that receives a gift of cash, goods, or in-kind donation.
This document also provides advice regarding who should
provide a dollar value on any donation, and gives suggestions
about how to describe donated items.
ALL INFORMATION AND FORMS ARE PROVIDED “AS IS” WITHOUT ANY WARRANTY,
EXPRESS, IMPLIED, OR OTHERWISE, INCLUDING AS TO THEIR LEGAL EFFECT AND
COMPLETENESS. They are for guidance and should be modified to meet your needs and the
laws of your state. Use at your own risk. Docstoc and anyone who participated in providing or
modifying any form is not creating or entering into an Attorney-Client relationship. Docstoc
© Copyright 2012 Docstoc Inc. does not provide legal advice. The information and forms are not a 1substitute for the advice of
your own attorney.
[Note 1: The following template does Not include a space where the charity or group places a dollar
value on the donation (other than gifts of cash, of course). It is strongly recommended that, instead,
you merely provide a description (see Note 2, below) of the item or items. Doing this method
allows/requires to donor to provide their own valuation to the state, local, or federal tax
authorities.]
[Note 2: Be as specific as possible when describing the items. "Used computer" is not very helpful.
"Used Mac computer, model XXX, (serial number xxx-xx-xxxxx-xx) with 500 GB hard drive and
DVD drive" is much much better. "Old coins with face value of 35 cents" is not helpful. "Proof
1937 quarter and mint 1945 dime" is much better.]
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[Your information here. Name and address, logo, etc.]
RECEIPT OF CHARITABLE DONATION
____________________________ [Provide name of group, organization, charity, etc] acknowledges
receipt of the following gift/donation/contribution:
[ ] Cash donation, in the amount of $ ____________
[ ] Gift of goods, as follows: _____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
[ ] In-kind contribution, as follows: _______________________________________________
______________________________________________________
The above donation(s) was/were received from ______________________________ [Provide name of
person making the donation.]
Date of Donation: __________________, 201____
This organization, ______________________ [Provide name again],
[ ] Is a recognized 501(c)(3) not-for-profit organization. Federal ID number ________________
[ ] Is NOT a 501(c)(3) organization.
This donation was received, on __________________, 201_____ by:
_________________________ __________________________
Print Name Signature
[Provide name and signature of group's authorized representative]
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