Mountain Heirlooms Inc — In Kind Donation Acknowledgment Form

Thank you for supporting our nonprofit mission. Please complete this form to document your physical donation. A copy of your responses will serve as your written acknowledgment for tax purposes.

Organization: Mountain Heirlooms Inc
EIN: 33-2987954
IRS Status: Recognized as a tax exempt organization under Section 501c3
Effective Date of Exemption: March 4, 2025
Address: 3735 Cedar Hammock Trl, St Cloud FL 34772

This form records your donation and confirms that no goods or services were provided in exchange for your contribution. Donors are responsible for determining the fair market value of donated items.

Thank you for your generosity and partnership.

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Email *
Your Name *
Date of Donation *
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DD
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YYYY
Description of Donated Items *
Estimated Fair Market Value *
I acknowledge that no goods or services were provided to you in return for your donation.  *
Required
Please type your Full Name to serve as your signature, confirming all of the information that you have entered is true to the best of your knowledge.   *
A copy of your responses will be emailed to the address you provided.
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