GIFT-IN-KIND TRANSMITTAL

 

Submitted by  ____________________________            Date  _______________________

The following item(s) was/were donated to Emerson School on ___________________

                                                                                                            (Date)
Description:

 

 

 

 

 

Value as stated by donor  $____________________

NOTE:  IRS regulations require that the donor state value of all items donated.  If possible, a letter from the donor, stating items and value would be helpful.

 

*    *    *

 

Name of Donor  ________________________________________________

Address  ______________________________________________________

City/State/Zip  _________________________________________________

Remarks:

 

 

 

*       *       *       *       *       *       *

 

Development Office Use Only

 

_____________________________________

Director of Development                                                            Copy:           Head of School
                                                                                                                        Business Office

 

_________  Item(s) Received