Missing Information: Non-Cash Charitable Contributions Worksheet (pg 5)
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1 Name: Tax Year: Home Telephone: Work Telephone: Fax: The following is a guideline for valuation of non-cash charitable contributions. When valuing items take into consideration the condition of the items. If the value of the donated items is $250 or more to one charity in one day you are required to obtain a written receipt from the charity (must contain name and address of charity date location of contribution a description of the items donated and whether any goods or services were provided to you in return for the donation). The receipt must be signed by the charity and must be in your hands no later than the filing date of your return. With the exception of publicly traded securities most donations over $5000 require a written appraisal. Charity name/address: Date of donation: Children's Clothing Blouses $ Boots Coats Dresses Jackets Jeans Pants Shirts Shoes Skirts Slacks Snowsuits Socks Sweaters Underwear Women's Clothing Bathing suits $ Bathrobes Boots Bras undergarments Coats Dresses Evening dresses Fur coats Fur hats Handbags Hats Jackets Nightgowns Pant suits
2 Women's Clothing continued Shoes $ Skirts Slacks Slips Socks Suits Sweaters Men's Clothing Belts - ties $ Jackets Overcoats Pajamas Pants - shorts Raincoats Shirts Shoes Slacks Suits Sweaters Swim trunks Tuxedo Undershirts Undershorts Furniture/Etc. Air conditioner $ Bar Bar stools Bed (full twin) Bed (king queen) Carriage Chair (upholstered) Chest China cabinet Clothes closet Coffee table Convertable sofa Crib Desk Dresser w/ mirror Dryer Electric stove End tables Figurines Fireplace set Floor lamps Folding beds Gas stoves
3 Furniture/Etc. continued Heaters $ High chair Kitchen table Kitchen cabinet Kitchen chair Mattress (full twin) Mattress (king queen) Organ console Piano Pictures and paintings Ping pong table Play pens Pool tables Record player (stereo) Record player parts Rugs Refrigerator (working) Radio Rocker/glider Sofa TV b/w (working) TV color (working) Trunk Wardrobe Washer Waterbed (complete) Waterbed (frame) Waterbed (headboard) Sporting Goods Bicycles $ Fishing rods Ice/roller skates Skis Sleds Tennis rackets Toboggans
4 Dry Goods Bedspreads $ Blankets Chair covers Curtains Drapes Pillows Sheets Throw rugs Towels Miscellaneous Adding machines $ Answering machine Christmas trees Copier Broiler ovens Home computer Mimeograph machine Mixer Mower (riding) Mower (auto) Power edger Rototiller Sewing machine Snow blower Typewriter Vacuum cleaner Wigs Grand Total Your Cost # Items Value Today Deduction
5 Miscellaneous Your Cost # Items Value Today Deduction
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