Charitable Car Donation Form
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Receipt No.____________
Received From:
________________________________
Description of Property Received:
________________________________
________________________________
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Dollar Value $_____ (Valuation of Property Is the Responsibility of the Donor)
No Goods or Services Were Provided In Exchange for This Gift.
This Document Is Necessary To Qualify You For Any Available Federal Income Tax Deduction On Your Contribution. Please Retain It For Your Records.
Receipt Issued On:
____/____/______
Receipt Issued By:
Name:
________________________________
Charity:
________________________________
Address: _________________________
City: __________ State: ___ Zip: ____
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Signature of Charity Treasurer
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