FAIR MARKET VALUE DONATION FORM

The donor identified below has provided the following goods as an in-kind donation to the Foundation for Foster Children on the date specified below.

Donor Name(Required)

First Last

Donor Phone(Required)

Donor Email(Required)

Donor Address(Required)

Street Address Address Line 2 City State ZIP Code

Date of the donation(Required)

Please itemize the goods donated below(Required)

Please identify the market value of the goods at the time of the donation(Required)

Electronic Signature(Required)