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APPENDIX C: RECEIPT TEMPLATE <br />Thank you for your generous contribution to Kittitas County Department. This receipt is <br />an attestation that we have gratefully received your donation. Keep this receipt for Vour tax deduction purposes. <br />Date: <br />Name of the organization: <br />Amount of cash contribution: <br />Amount of non -monetary contributions: <br />Will there be ongoing costs related to non -monetary contributions: YES NO <br />i.e., maintenance, insurance. repairs taxes, etc. <br />Description but not value contribution: <br />Tax deduction information: <br />If a donor wishes to claim a tax deduction for a donation that exceeds 5250 (regardless of whether the donation <br />is monetary or non -monetary). the department office must provide a written acknowledgement to the donor, <br />that contains the following <br />A description and good faith estimate of the value of goods or services if any, that the organization provided in <br />return for the contribution <br />and/or <br />A statement that no goods or services were provided by the organization in return for the contribution if that is <br />accurate for the situation <br />Appiovad�-U2t-A1prove twig <br />headLEl�Siat <br />