[Organization Name]

[Address]

[City, State, ZIP]

[Phone Number]

[Email Address]

Date: [MM/DD/YYYY]

Receipt Number: [####]

1. Donor Information

• Donor Name: [Full Name / Company Name]
• Templates.donation-receipt.preview.address: [Address]
• Contact Information: [Phone, Email]

2. Donation Details

• Donation Type: ☐ Cash
• Amount/Estimated Value: $[Amount or Value of Property Donated]
• Date of Donation: [MM/DD/YYYY]

3. Organization Statement

[Organization Name] acknowledges receipt of the above donation. No goods or services were provided in exchange for this donation, unless otherwise noted below.

4. Tax Information

This receipt may be used for income tax purposes in accordance with applicable laws. Please retain this document for your records.

[Organization Name] is a 501(c)(3) nonprofit organization.. Tax ID Number: [EIN or equivalent].

5. Authorized Signature

Authorized Representative: ___________________________

Name/Title: [Full Name, Title]

Date: [MM/DD/YYYY]