Vehicle Donation Form

VEHICLE DONATION

Humane Society of Mason County
18400 E State Route 3 Allyn, WA 98524 * (360) 275-9310

Tax EIN Number: 91-1378403

Email: info@hsmcwa.org * Website: www.hsmcwa.org
Date *

Month Day Year
Date
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
SSN (All Vehicles Sold over $500 requires HSMC to provide you with a 1098-C tax form)
Phone Number *

Area Code Phone Number
Email *
example@example.com
Make
Model
Year
VIN
Odometer Reading
Color
Please deliver your vehicle to the Stokes Auction House.
Stokes Auction

8398 SE Spring Creek Road, Port Orchard, WA 98367
360-876-0236

Office & Yard Hours

Monday - Friday: 8:00 am- 4:00 pm
Covid Update: Appointments Only
Date Delivered to Stokes Auction House

Month Day Year
Date
Does the car have at least 5 gallons of gas in it?

Yes No
Other Details (i.e., snow tires, chains, after market additions)
Signature

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VEHICLE DONATION