R CITY Donation Form

Thank you for your donation to River City Community Development Center!

In order for R CITY to issue your receipt for items donated, please complete the short form below.

Contact Information

First Name

Last Name

This donation is from:

Business or OrganizationPrivate Individual

Business/Org Name

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Business/Org Website

Donation Description

For R CITY records, you will be asked to state the value of donated goods, and per IRS requirements, this will not be listed on the tax receipt. R CITY can not issue or authenticate the value of donated items.

Type of donation:

VehicleItem(s) or Product(s)

Vehicle Donation

Vehicle Status

Vehicle Make

Vehicle Model

Vehicle Year

Describe vehicle condition

Value of Vehicle as estimated by donor:

Enter as 0000.00 with no dollar sign or commas.

Method of Valuation

Item or Product Donation

Repeat this section as many times as needed for separate items you would like to describe.

Item/Product donated:

Use the wording you would like the items/services listed on your donation letter.

Additional description or notes:

Use the wording you would like the items/services listed on your donation letter.

Quantity donated:

Approximate dollar value per item as estimated by donor:

Enter as 0000.00 with no dollar sign or commas. Example: 10.50 or 1250.00

Method of Valuation:

Sub total in dollars

Authorization:

I verify this information is accurate to the best of my knowledge.

Contact Information