The Hometown Foundation, Inc.

In-Kind Donation Form

Please indicate the information in the form below. In-kind refers to donations of goods instead of cash. Please note, according to IRS regulations, establishing a dollar value on donated items is the exclusive responsibility of the donor. Certificate of Exemption # 20-0847683.

Company/Individual

Company Contact/Title

Address

City, State, Zip Code

Phone Number

Email Address

The Hometown Foundation, Inc. gratefully acknowledges the in-kind donation(s) described below. In-kind donors do not receive any goods or services for their contribution. Therefore, your contribution is tax deductible to the extent allowed by law.

Name of Event

Description of item(s) or service donated

Donor's estimate of fair market value

Type your signature

Date signed

In-Kind Donation Form

In-Kind Donation Form

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In-Kind Donation Form

In-Kind Donation Form

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