EWU Gift-in-Kind Form

Gift-in-Kind Form

Record multi-payment gift commitments for scholarships, annual giving, athletics, capital projects, and other EWU priorities.
Donor Information
Donor/Gift Type:
Donor Name/Organization Name (if applicable):
If a joint gift, please provide both names. If a corporation or entity gift, list the name of the company. For a corporation or entity gift, please include who should receive the acknowledgment and be invited to recognition events.
Spouse/Partner Name:
Please enter N/A if not applicable
Class Year/Alum:
Phone Number:
Please enter a valid phone numberFormat: (000) 000-0000.
Email:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gift Information
Date received by EWU:

MonthDayYear
Valued at $ (USD):
Enter the value amount of gift.
Note: If the value of the gift is $5,000 or more, the IRS requires an appraisal by an independent appraiser for the value of the gift to be eligible as a deduction. The donor should consult their own tax advisor. If the donor obtains an appraisal, check here: Otherwise, the donor's gift will be credited by the University only.
Donor's Conditions:
Describe Conditions (Identify any constraints):
Duration of Conditions:
Term End Date:
Description of Gift-in-Kind:
School, Division, Department or Unit Receiving Gift:
EWU Contact Receiving Gift:
Installment Amount:
Donor Name:

First NameLast Name
Title/Relationship (if contact person):

First NameLast Name
Donor Signature:
Fair Market Value Certification

Under the University's acknowledgment policy, the IRS allows donors to deduct only when the gift exceeds the fair market value of goods or services received. The University uses this rule when issuing gift acknowledgments.
Good or services were provided to the donor in exchange for this gift, other than name and logo recognition. Please select one:
If yes, description of the goods/services:
Fair Market Value Total $ (USD):
Please attach detailed information regarding the FMV total)
File Upload:

Cancelof
This donation represents a significant discount on the purchase of goods or services. Please select one:
If not applicable, please type N/A
If yes, please provide-Total Value of the goods or services:
If not applicable, please type N/A
If yes, please provide-Amount paid for the goods or services:
If not applicable, please type N/A
If yes, please provide-The difference-the charitable value of the gift:
If not applicable, please type N/A
University Acceptance

The following signatures confirm the University's official acceptance of the Gift-in-Kind described above. The development officer must ensure the form is complete with all required signatures before submitting to the Office of Institutional Advancement.
Signature and Date:

Vice President Institutional Advancement, Development, Communications and MarketingDate
Signature and Date:

Vice President /CFO Finance, Adminstration, and Business InnovationDate
Additional Considerations
- If any holding or carrying costs are associated with the gift, the signatures above authorize those expenditures to be charged to the appropriate departmental account.
- Gifts are not eligible to be insured until this form is completed and submitted to the Office of Institutional Advancement. To request temporary insurance, please contact the Office of Institutional Advancement in advance of receiving the gift.
Final Acceptance of In-Kind Gift
Please check if applicable:

Other
Return and Remit Instructions
If you would like to mail in your documentation, please return completed form to: Edward Waters University, Office of Institutional Advancement, 1665 Pearce Street, Jacksonville, FL 32209.

Official gift receipts will be issued after processing when applicable.
Office Use Only
Date Received:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Entered By:
Should be Empty:

Gift-in-Kind Form

Donor Information

Gift Information

Fair Market Value Certification

University Acceptance

Additional Considerations

Final Acceptance of In-Kind Gift

Return and Remit Instructions

Office Use Only