800 College Avenue, Weed, CA 96094 ~ (530) 938-5373 ~ Fax (530) 938-5570 ~ foundation@siskiyous.edu
Gift-in-Kind Donation Form
Date:
Please fill out this form completely and accurately with all available information and details. Please print carefully.
Legibility is essential for our records and for report accuracy. Donor’s name must be printed exactly as you would like it
to appear in publications.
Name
of Donor:
Contact
Person:
Street
Address:
City:
State:
Zip:
Phone:
Email
:
Description
of
the
Donation:
Estimated Retail Value: $
Restrictions, if any:
Pick Up instructions:
Important Information About Your Donation
You must file form 8283 if the amount of your deduction for all non-cash gifts is more than $500. Please see the Foundation Office
for non-cash gifts valued over $5,000.
If the value of any single non-cash gift is over $5,000, you must also obtain a “qualified appraisal” in order to complete Form 8283.
If the College of the Siskiyous Foundation disposes of your non-cash gifts over $5,000 within two years of receipt, the College of the
Siskiyous Foundation must complete IRS Form 8282 and send a copy to the IRS and you.
For COS Foundation Office Use
COS
Department
to
receive
gift:
Cost of Accepting gift: $ Physical Location of Gift:
Accepted by:
COS
Department Chair
Date:
COS
Superintendent/President Date:
COS
Foundation
Date:
Item received by: Date:
