Contribution Tax Receipt Request

Contribution Tax Receipt Request

Submit this form to request a tax-deductible donation receipt. After board approval and signature, you’ll receive a PDF copy for your tax records.
Manna Blessings Inc is recognized as tax-exempt under Section 501(c)(3) of the Internal Revenue Code

EIN#: 42-3604688

9361 Creosote Ave Oak Hills, CA 92344

Info@MannaBlessings.com

www.MannaBlessings.com
Donor Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Contribution

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Donation Type

For Monetary Contributions
Amount Donated:
How the monetary was donated?

Other
if "other" was chosen, specify
For Non-Monetary Contributions

Detailed description of the item(s) donated and monetary valuation
List the item(s) description with a numeric value. Similar items can be grouped such as "clothing", "books". Try to be as detailed as possible.
Sample Entry: -Clothing Donation (Women's clothing)- $25

Were goods or services provided in exchange for your contribution(s)?
No goods or services were provided by Manna Blessings Inc in exchange for this contribution. Accordingly, the full amount of the contribution may qualify as a charitable contribution for federal income tax purposes, subject to applicable tax laws and limitations.

For noncash contributions, Manna Blessings Inc has not assigned a value to the donated property. The donor is responsible for determining the fair market value of donated property and for satisfying any applicable appraisal, reporting, and substantiation requirements.

This acknowledgment is provided for the donor's tax records. The donor is responsible for determining the amount, if any, that is deductible for federal and state income tax purposes.

Thank you for supporting our mission and the community we serve.
if answered "YES", specify what goods/services rendered:
State monetary amount donated for the goods/services rendered:
For payments over $75, when goods, services, or other benefits are provided in exchange for a donation, the payment is considered a quid pro quo contribution.

Please indicate the total amount donated and describe the goods, services, or other benefit received.

Manna Blessings Inc. will provide a good-faith estimate of the fair market value (FMV) of the benefit provided. The portion of your payment that exceeds the FMV may be eligible for a charitable tax deduction, subject to applicable tax laws.
Is there anything specific about your contribution(s) that we need to know?
I affirm that the details furnished in this document are correct to the best of my knowledge
Signature
Should be Empty:

Contribution Tax Receipt Request

For Monetary Contributions

For Non-Monetary Contributions