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IN-KIND DONATION RECEIPT
Charity Name: _________________________
Street Address: _________________________
City, State, Zip: _________________________
Tax ID (Find on the IRS Website): _________________________
Date: _________________________
Donated By: _________________________
Donor Address: _________________________
City, State, Zip: _________________________
Total Value of Donated Item(s): ___________________ Dollars
($______________________)
Authorized Signature _________________________
Print Name _________________________
Description of Donated Item(s)
Quantity
Value ($)
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