Foundation Gift-In-Kind Form

Foundation Gift-In-Kind Form

Person Submitting Form*

Submitter Email Address*

Donor Name*

Donor Street Address*

Donor City*

Donor State*

Donor Zip*

Donor Phone*

Donor Email*

Gift Date*

Estimated Fair Market Value of Gift*

How was value determined*

Select

Description and Intention of Gift*

Restrictions, if any, on the use of the gift, time*

Serial/ID/VIN Number (REQUIRED FOR ALL VEHICLES)

Make/Brand

Model Number

Odometer Mileage (REQUIRED FOR ALL VEHICLES)

Program or Department Receiving Gift*

Risk Management Notified

Select

Facilities Services Notified

Select

Environmental Health and Safety Notified

Select

Asset Steward Name*

Asset Steward Email*

Leadership Approver Name

Leadership Approver Email

AVP Approver Name

AVP Approver Email

Vice President Approver Name

Vice President Approver Email

Email/Letter from Donor regarding gift attached?*

Select or enter value

File Upload

Drag and drop files here or

Foundation Use Only

Send me a copy of my responses

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