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REQUEST FOR DONATION RECEIPT- GIFT-IN-KIND
Policy Statement:
An income tax receipt cannot be issued for gifts of services, used clothing and used furniture. An independent
appraisal is required for property with value greater than $1000.
Donor Information:
Name:
Address:
Phone Number:
Email address:
Recipient of Donation:
Faculty/Department Receiving Donation:
Date Delivered to University:
Describe Gift & Intended Use:
Valuation Amount ($CDN):
I, the undersigned, approve that the department listed above can use and has received the aforementioned
goods appraised.
Name & Extension:
Date:
Signature:
Administration Approvals:
AlumniandDonorRecords
Date:
Controller
Date:
(only required if total valuation is $100,000.00 Cdn)
VP, Planning & Administration
Date:
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Valuation Method (select the applicable method(s) :
Independent Appraiser - attached valuation from an expert who is independent of both the donor and the
University of Windsor
Describe the steps taken to determine the independence of the appraiser:
Purchase Receipt – attached sales receipt
On-Campus Appraiser – Name and Department of Appraiser:
Sales Quote – attached copy of quote
Online Sale of Comparable Items
Other – Please describe
Valuation summary:
Foreign exchange conversion: rate: ___________ currency: ________ date:_____________________
source: ___________
An original copy of the valuation must be attached
Please forward completed from to
Financial Accounting & Reporting, Gift & Pledge Processing
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