LCBC - Attn: Liz Shaffer
2392 Mount Joy Rd.
Manheim, PA 17545
IMPORTANT: ALL INFORMATION MUST BE FILLED IN BEFORE CAR IS ACCEPTED
Name of Donor:
City, State Zip:
We appreciate your interest in the Cars Ministry of LCBC. It is exciting to see how God uses these gifts to glorify His
name through changed lives!
Once the Cars Ministry agrees to accept and obtain the title to the car, your car may be maintained in the Cars Ministry
up to 120 days before going to sale or being gifted. Within 30 days of your car being sold or given to an individual
through the Benevolence Ministry, we will mail you a confirmation letter with details regarding its gift or sale. In ad-
dition, if your car sells for more than $500 or is gifted to a needy individual, you will receive a Form 1098-C in the
beginning of the new year. Your tax deductible contribution is to be taken in the year of the donation and, if sold, may
not be more than the amount received for your car.
I have read and understand the content of this donation form and agree that the information I have completed is accurate.
PLEASE FILE WITH YOUR TAX PREPARATION DOCUMENTS
FOR OFFICE USE ONLY
Date of initial contact: Date completed form rec’d: Date title rec’d:
White/Accounting Yellow/Donor Pink/CARS Ministry