in-kind gifts donation form

Thank you for making an in-kind donation to the AIDS Council of Northeastern New York. This form will help us to properly record and acknowledge your generous gift. If you have any questions, please contact our Development Department at (518) 434-4686 Ext. 2428 or dvancavage@aidscouncil.org

I would like to donate the following item(s) to the AIDS Council*

Fair Market Value of the Donation(s)*

Date of Donation*

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Donor Name*

Organization Name

Mailing Address*

City*

State*

Zipcode*

Phone Number*

Email Address

Restrictions and/or Special Instructions for In-Kind Gift

Delivery Instructions

Expiration Date for In-Kind Gift

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By checking this box, you are certifying all information and donation of your in-kind gift is accurate and true.*

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The IRS requires, for our records and yours, that an estimation of the dollar amount of a non-cash contribution be given. IRS publication 563, Determining the Value of Donated Property is helpful for individuals, partnerships, and corporations who make non-cash contributions. If a non-cash contribution exceeds $500, the taxpayer must file IRS Form 8283.

This website is designed for educational purposes only. The information provided should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.