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Revised 10/12/2018
Gift-In-Kind Form
This document ensures accuracy in accepting a gift to Nova Southeastern University, Inc. (NSU). Formal acknowledgment of a
gift will be provided by a separate document after acceptance of the gift by NSU.
NSU Information:
• NSU is a 501(c)(3) not for profit corporation; tax ID No 59-1083502.
• All gifts-in-kind must be accompanied by a fair market value estimate of the gift as determined by the donor.
• Gifts-in-kind with an apparent value of $5,000 ($10,000 if closely-held stock) or more, require that a qualified appraisal
and completed IRS Form 8283 be submitted with this Gift-in-Kind Form, unless the donor will not be seeking a tax
deduction.
• NSU requires gifts-in-kind of $5,000 or more to have the written approval of the NSU Gift Acceptance Committee.
• It will be the donor’s responsibility to ensure that the proper forms are filed with the United States Internal Revenue
Service. The donor shall incur all costs for appraisals, if required.
• NSU requires that its Deed of Gift Form be duly executed by the donor for In Kind contributions
• Gifts of Services are not deductible as per IRS
Donor Information:
Donor is: ( ) one or more Individuals ( ) a Corporation, Limited Liability Company, Partnership, Foundation, Trust, or other Entity
Donor Name(s):_________________________________________________________NSU ID_________________________
Soft Credit Name(s):_____________________________________________________NSU ID_________________________
Contact Name and Title if a Corporation, Limited Liability Company, Partnership, Foundation, Trust, or other Entity
______________________________________________________________________________________________________
Address: _______________________________________________________________________________________________
City/State/Zip: __________________________________________________________________________________________
Telephone: ___________________ Cellular, if an individual:_______________ E-Mail Address:_______________________
Gift (Property) Information:
Is the Property being donated to be auctioned at a fundraising charity event? Yes________ No________
Estimated Fair Market Value of the Property $ (determined by donor)
Appraised Value of the Property: $ _____ (include a copy of appraisal)
Estimated Value of Services Donated $ ____ ____ (include a copy of the invoice)
Property or Services being donated: _________________________________________________________________________
______________________________________________________________________________________________________