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Y <br />or.wge uwnty. <br />rescue <br />mission <br />Gift In -Kind Donation Receipt <br />Federal Tax I.D. 95-2479552 <br />Orange County Rescue Mission, Inc 1 .3 0 9 9 <br />One Hope Drive, Tustin, California 92782 (714) 247-4300 <br />Value $ <br />Value $ <br />Value $ <br />2 6 oker, <br />"? 6 oyes <br />The Orange Co my Rescue Mission not place a value on your gift. That is the privilege and responsibility of the donor. <br />,..r incamefax Purposes tothe extent ofthelaw. <br /><e <br />IYeeeivect by: Total (sift Value $'� �� . 66 <br />Thank you for helping the poor and homeless of Orange County. <br />Gifts of $5.000 or more: If your non-cash gifts have a total claimed value at one time of $5,000 or more, you as a donor are obligated to <br />prepare an itemized list, obtain IRS form 8283, complete section A&B and file the form with the IRS. <br />The. Orange County Rescue Mission does need to see and sign this form. <br />A current qualified appraisal (within 60 days) of the goods donated should be in the donor's possession. <br />White copy to Doctor Yellow copy to Accounting <br />