In-Kind Contribution

Thank you for making an in-kind contribution to support the mission of Gift of Life Howie’s House. In-kind contributions are tax-deductible as determined by the IRS. (Please visit www.IRS.gov and consult your tax advisor or IRS publications for details) Please also see in-kind policy below for further information regarding in-kind gifts contributed to the Howie’s House.

Name of Team, Organization or Foundation

If this donation was from an individual, just leave this space blank.

First Name Last Name

Name to publish, if different

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

In-kind Item(s) Information

Gift of Life Howie’s House is a 501(c)(3) tax-exempt not-for-profit organization, tax I.D. number 26-0585694. According to IRS guidelines, it is the contributor’s responsibility to determine the present fair market value (FMV) of the items contributed. See back page for definition of FMV as described by the IRS. Additionally, per IRS regulation, any item you value over $500 requires IRS Form 8283; any items you value over $5,000 requires Form 8283 and a written appraisal. Please include your estimates below. All questions may be directed to the Howie’s House Development Team at 267-546-9800.

Please list item(s) or services contributed:*

Description of contributed item(s) or services:	Estimated FMV ($0.00):

Estimated Total FMV ($0.00)*

Contributor’s Digitial Signature*

I verify that the above estimated FMV information is correct.

In-Kind Form

In-kind Item(s) Information