Date:
Print Form
Request for Gift-In-Kind Receipt
Please note: This form must be COMPLETED to assure that gift-in-kind contributions to the Eastern Michigan University Foundation are properly acknowledged with an official receipt as a record for tax purposes. The I.R.S. requires a contemporaneous acknowledgement. Please process this request promptly. Date gift received: Donor Name(s): EMU Affiliation: Address: City, State Zip: Department Receiving Gift: Department Contact: Department Head: Phone:
Above signature is required and represents an acknowledgement that items have been received by Department. The donor will receive a gift acknowledgement that describes the gift. In order to properly record such a gift, the value to EMU or the EMU Foundation is needed and must be determined by each individual/corporation making this gift. Item: If necessary, attach additional sheets to describe item(s) fully. Fair Market Value (FMV): Required By whom was/were the item(s) valued? Attach copies of valuations/appraisals if available. Donor's claimed value (if different than FMV): If none stated, a default value to the EMU Foundation will be ascribed pursuant to internal procedures. Questions about valuation of gifts should be addressed to: Vice President of Advancement and Executive Director of the EMU Foundation, 734.484.1322. Item(s) will be retained by EMU or the EMU Foundation for: Department Head must check one of the above options. NOTICE: Donor may be required to file I.R.S. Form 8283 with his/her personal tax return. Donors are urged to consult with their personal tax advisor. RETURN COMPLETED FORM TO: Eastern Michigan University Foundation Advancement Services, Development Office 1349 S. Huron Street Ypsilanti, MI 48197 Revised 06.07 more than 24 months less than 24 months
Page 1 of 1 EMUF Request for GIK Receipt