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Donation Receipt

Goodwill Industries of West Michigan, Inc., a qualified 501(c) (3) charitable organization, gratefully acknowledges a non-cash donation from:

Donor Name: ________________________________________________
Address: ____________________________________________________
City: ___________________________ State: ____ Zip Code: __________


Federal law provides that donated clothing and household items must be in "good used condition or better" in order to receive a tax deduction.

Description of donation items:


Estimated donation value of above items:            $

Other donated items:
________________________________________   $ _________
________________________________________   $ _________
________________________________________   $ _________


TOTAL estimated value of donation:                      $ _________



The donor received no goods or services in return for this contribution.

GIWM EMPLOYEE SIGNATURE: X _____________________________

Date: ________________________ Site: ___________________________

Thank you!
Attention Donor: PLEASE KEEP THIS RECEIPT FOR YOUR TAX RECORDS.