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Gift In -Kind Donation Receipt <br />® Federal Tax I.D. 95-2479552 <br />Orange County Rescue Mission, I nc 143114 <br />One Hope Drive, Tustin, California 92782 (714) 247-4300 <br />(oo —� -5 he �c Pey y Z0, l4„ N 4d <br />4 a LCL c Asa j2j 2-H C -y- t^.o aj IF 14,;L <br />Value $ <br />Plob 0/3 <br />Value $ <br />The Orange County Rescue Mission does not place a value on your gift. That is the privilege and responsibility of the donor. <br />R o ices were provided to the donor in exchun}, for the item] nsied Cua ribmfflus are deductible for liicunie wit purposes to the extent of the law. <br />Received by: Total Gift Value <br />Thank you for helping thepoor 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 Donor Yellow copy to Accounting <br />