CAR DONATION RECEIPT Note: Please review IRS guidelines and consult with your tax advisor to learn how the changes may affect your deduction. DATE: NAME: ADDRESS: CITY, State, ZIP: PHONE: FAX: E-MAIL: VEHICLE DESCRIPTION (YEAR/MAKE/MODEL): LICENSE #: VIN #: ODOMETER #: REGISTERED: ڤYES ڤNO TITLE: ڤYES ڤNO DRIVABLE: ڤYES ڤNO MECHANICAL INFORMATION: I understand that the Conservatory will advise me of the amount of the sale price of the vehicle at auction and that this sale price is the amount I can state for a deduction on my tax returns. I have submitted the release of liability form to DMV. ___________________________________________________________________________ Contributor’s Signature Date __________________________________________________________________________ Auction City Agent Signature Date THANK YOU FOR YOUR DONATION Fax completed form to Cariwyl Hebert at 415-503-6288. Questions may be directed to Cariwyl Hebert at 415-503-6204 or email@example.com.
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