Form 8283 (Rev. 11-2019)
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Name(s) shown on your income tax return Identifying number
Section B. Donated Property Over $5,000 (Except Publicly Traded Securities, Vehicles, Intellectual Property or Inventory Reportable
in Section A)—Complete this section for one item (or a group of similar items) for which you claimed a deduction of more than
$5,000 per item or group (except contributions reportable in Section A). Provide a separate form for each item donated unless it
is part of a group of similar items. A qualified appraisal is generally required for items reportable in Section B. See instructions.
Part I Information on Donated Property
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Check the box that describes the type of property donated.
a
Art* (contribution of $20,000 or more)
b
Qualified Conservation Contribution
c
Equipment
d
Art* (contribution of less than $20,000)
e
Other Real Estate
f
Securities
g
Collectibles**
h
Intellectual Property
i
Vehicles
j
Other
*Art includes paintings, sculptures, watercolors, prints, drawings, ceramics, antiques, decorative arts, textiles, carpets, silver, rare manuscripts, historical memorabilia, and
other similar objects.
**Collectibles include coins, stamps, books, gems, jewelry, sports memorabilia, dolls, etc., but not art as defined above.
Note: In certain cases, you must attach a qualified appraisal of the property. See instructions.
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(a) Description of donated property (if you need
more space, attach a separate statement)
(b) If any tangible personal property or real property was donated, give a brief
summary of the overall physical condition of the property at the time of the gift
(c) Appraised fair
market value
A
B
C
D
(d) Date acquired
by donor (mo., yr.)
(e) How acquired by donor
(f) Donor’s cost or
adjusted basis
(g) For bargain sales,
enter amount received
See instructions
(h) Amount claimed as a
deduction
(i) Date of contribution
A
B
C
D
Part II Taxpayer (Donor) Statement—List each item included in Part I above that the appraisal identifies as having
a value of $500 or less. See instructions.
I declare that the following item(s) included in Part I above has to the best of my knowledge and belief an appraised value of not more than $500
(per item). Enter identifying letter from Part I and describe the specific item. See instructions.
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Signature of taxpayer (donor)
▶
Date
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Part III Declaration of Appraiser
I declare that I am not the donor, the donee, a party to the transaction in which the donor acquired the property, employed by, or related to any of the foregoing persons, or married to any person
who is related to any of the foregoing persons. And, if regularly used by the donor, donee, or party to the transaction, I performed the majority of my appraisals during my tax year for other persons.
Also, I declare that I perform appraisals on a regular basis; and that because of my qualifications as described in the appraisal, I am qualified to make appraisals of the type of property being valued. I certify that the
appraisal fees were not based on a percentage of the appraised property value. Furthermore, I understand that a false or fraudulent overstatement of the property value as described in the qualified appraisal or this
Form 8283 may subject me to the penalty under section 6701(a) (aiding and abetting the understatement of tax liability). I understand that my appraisal will be used in connection with a return or claim for refund. I also
understand that, if there is a substantial or gross valuation misstatement of the value of the property claimed on the return or claim for refund that is based on my appraisal, I may be subject to a penalty under section
6695A of the Internal Revenue Code, as well as other applicable penalties. I affirm that I have not been at any time in the three-year period ending on the date of the appraisal barred from presenting evidence or
testimony before the Department of the Treasury or the Internal Revenue Service pursuant to 31 U.S.C. 330(c).
Sign
Here
Signature
▶
Title
▶
Date
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Business address (including room or suite no.) Identifying number
City or town, state, and ZIP code
Part IV Donee Acknowledgment—To be completed by the charitable organization.
This charitable organization acknowledges that it is a qualified organization under section 170(c) and that it received the donated property as described
in Section B, Part I, above on the following date
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Furthermore, this organization affirms that in the event it sells, exchanges, or otherwise disposes of the property described in Section B, Part I (or any
portion thereof) within 3 years after the date of receipt, it will file Form 8282, Donee Information Return, with the IRS and give the donor a copy of that
form. This acknowledgment does not represent agreement with the claimed fair market value.
Does the organization intend to use the property for an unrelated use? . . . . . . . . . . . . . . .
▶
Yes No
Name of charitable organization (donee) Employer identification number
Address (number, street, and room or suite no.) City or town, state, and ZIP code
Authorized signature
Title
Date
Form 8283 (Rev. 11-2019)
