Fillable LETTER OF INTENT TO DONATE

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LETTER OF INTENT TO DONATE

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The LETTER OF INTENT TO DONATE form is 2 pages long and contains:

  • 3 signatures
  • 15 check-boxes
  • 33 other fields

Country of origin: OTHERS
File type: PDF

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Page 1 of 2
LETTER OF INTENT TO DONATE
______________________
______________________
______________________
Effective Date: ______________________
______________________
______________________
______________________
RE: Donation to Qualified Organization
This donation letter of intent (the “Letter of Intent”) represents the basic terms for an agreement
that shall be considered ☐ binding ☐ non-binding. After this Letter of Intent has been made, a
formal agreement may be constructed to the benefit of the Parties involved.
I. The Donor: ______________________ (the “Donor”).
II. The Donee: ______________________ (the “Donee”).
III. The Donation: Choose One (1)
☐ One-time Monetary Donation: The Donor wishes to make a one-time monetary donation to
the Donee in the amount of $____________.
☐ Monthly Pledge: The Donor wishes to make a monthly donation of $____________ to the
Donee beginning ______________________ and ☐ ending ______________________ for a
total donation of $____________ OR ☐ ongoing until further notice.
☐ Annual Pledge: The Donor wishes to make an annual donation of $____________ to the
Donee each year for ___ years, beginning ______________________ for a total donation of
$____________.
☐ Other: The Donor wishes to donate the following to the Donee: _______________________
____________________________________________________________________________
____________________________________________________________________________.
IV. Donation Designation: The above-described donation should be used for the following
purpose(s): __________________________________________________________________
____________________________________________________________________________.
V. Alterations to Donation Designation: The Donee may need to alter the donation
designation to ensure that current priorities are met. Should this be required, the Donee will
respect the initial intent of this letter as closely as possible.
Page 2 of 2
VI. Donation Recognition: Choose One (1)
☐ The Donor agrees to be recognized for the donation under the following name(s):
____________________________________________________________________________.
☐ The Donor wishes to remain anonymous.
VII. Method of Payment: (Monetary Donations Only)
☐ Cash or Check (If paying by check, make check payable to ______________________.)
☐ Credit Card – Card Information: ________________________________________________.
☐ Automatic Withdrawal (attach void check)
The Donor authorizes the Donee to withdrawal funds from his/her financial institution account.
Donor’s Signature ______________________ Date______________________
VIII. Organization Type: The Donee is an organization that is: Choose One (1)
☐ Classified as a 501(c)(3) non-profit organization by the standards of the Internal Revenue
Service (IRS). Therefore, the donation may be tax-deductible to the extent allowed by law.
☐ Not classified as a 501(c)(3) non-profit organization by the standards of the Internal Revenue
Service (IRS).
IX. Currency: All mentions of currency or the usage of the “$” icon shall be known as referring
to the US Dollar.
X. Governing Law: This Letter of Intent shall be governed under the laws of the State of
___________________.
XI. Acceptance: If you are agreeable to the aforementioned terms, please sign and return a
duplicate copy of this Letter of Intent by no later than _________________________________.
DONOR
Donor’s Signature ______________________ Date ______________________
Print Name ______________________
DONEE
Authorized Signature ______________________ Date ______________________
Print Name ______________________
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LETTER OF INTENT TO DONATE

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Completed 12 August 2021

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