Tax Receipt (NEEDS FORMATTING FIXED)

Thank you for your kind donation of one or more bikes. Fill out and print this form as a receipt for your tax purposes.

Name*
First Last
Email*
Enter Email Confirm Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Donation Date*
MM slash DD slash YYYY
Number of Bikes*
Number of Helments or other items*
Total Donation Value*

All items donated to Free Bikes 4 Kidz are deductible for income tax purposes at their present fair market value. Internal Revenue Code places the responsibility for establishing for estimating the fair market value upon the donor rather than the agency receiving the gift. (Local office of the Internal Revenue advises that “Fair Market Value” is interpreted as that which a buyer is willing to pay and a seller is willing to accept).
Description of Items Donated*
Please be as specific as possible.
e.g.
3 year old Schwinn 12 speed road bike
New children's bike helmet
Phone
This field is for validation purposes and should be left unchanged.