Walter Clinton Jackson Library

Donor Form for Gifts in Kind

Donor Name: ___________________________________________________________

Address:________________________________________________________________

City: _______________________________ State : ______ Zip: _______________

Phone number and email:___________________________________________________

Do you wish to receive an acknowledgement letter? Yes ___ / No ____

Number and description of items donated:

(Please list the number of hard-bound books, paperback books, journal issues, and other types of materials separately. For large numbers, an estimate is sufficient. This information will be used in the acknowledgment letter.)

Please note: Donations of gifts in kind are accepted with the understanding that the materials become the property of Walter Clinton Jackson Library, and that valuation* is the responsibility of the donor. In turn Walter Clinton Jackson Library may use, keep, or dispose of items at its discretion. Donated materials are considered for any location within Jackson Library. Further, materials not selected for the collection may be used to support other programs affiliated with The University of North Carolina at Greensboro .

(* IRS regulations prohibit the University from appraising donated material. Be advised that special IRS rules apply to gifts in kind with a value of over $5000.)

Donor signature:_________________________________________________________

(date)

THANK YOU FOR YOUR GIFT.

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Internal Use Only

Name and e-mail of person completing this form:______________________________

Should an acknowledgement letter be sent? Yes ___ / No ___

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Gifts Policy

Acquisitions Department

This page was last updated on August 25, 2005