Fair Market Value FFC In-Kind Donations Certification of Goods and Services DeliveredThe 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of the donation(Required) MM slash DD slash YYYY Please itemize the goods donated below(Required)Please identify the market value of the goods at the time of the donation(Required)Consent(Required) The donor represents and warrants that the above donation was delivered as described.Electronic Signature(Required)Electronic Signature(Required) By checking this box, I accept this electronic signature
