In-Kind Donation Tax Receipt

Nonprofit Organization Information

Organization Name:
EIN (Tax ID):
Address:

Donor Information

Donor Name:
Donor Address:

Donation Details

Date of Donation:
Description of Items Donated:
Estimated Fair Market Value:
Goods or Services Provided in Return:
This receipt acknowledges the above in-kind donation to the stated organization. No goods or services were provided in exchange for this contribution unless otherwise noted.
Please retain this receipt for your tax records.
Authorized Signature:
Date: