Gift-in-Kind Request Form 2020

Gift-In-Kind Request Form
Legal Representative Approval Status*
Legal Representative Comments
Date

MonthDayYear
Legal Representative Name
Legal Representative Signature
For Use by UFTI CFO Only
UTFI CFO Name
Upload signed IRS Form 8283

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Sender Name
Sender Email
example@example.com
NOTE: Documentation of value must accompany this form. If the value exceeds $5,000, the IRS requires a qualified appraisal and 8283 form supporting the donor's charitable deduction claim.

You will be expected to attach all relevant documents for this gift. If you have questions before filling out this form, please contact UTFI Constituent Management at cmr@utfi.org.
Today's Date*

MonthDayYear
College/Department Name*
Associated Proposal ID Number for Gift
What is your role in this Gift in Kind?*

Development OfficerFilling out form on behalf of Development Officer
Your Name*

First NameLast Name
Your Email*
jdoe@utfi.org
Your Phone

Area CodePhone Number
Development Officer's Name

First NameLast Name
Development Officer's Email
jdoe@utfi.org
Development Officer's Phone

Area CodePhone Number

Donor Information
Donor Name*
Individual or Company Contact Person
Company Name
Donor ANDI ID*
If an ANDI record needs to be created for the donor, enter "Create Entity"
Donor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is this donor an active UT Employee?*

YESNO
GIK made by active employees will be reviewed on a case-by-case basis.

Gift Information
Dollar Value*
Value cannot equal $0. If donor is making multiple GIKs, separate forms must be submitted.
What type of credit is the donor expecting to receive?*

Legal Credit (Receipt will be issued)Recognition Credit Only (Receipt will not be issued, no 8283 form required, will be counted in fundraising totals)Stewardship Recognition Only (No receipt will be issued, no legal credit is given, will not be counted in fundraising totals, this is for stewardship recognition only)
Specific Description of Gift*

Supporting Documentation
Documentation of value must accompany this form. If value exceeds $5,000, the IRS requires a qualified appraisal and 8283 form supporting the charitable deduction claimed.

Attach all relevant documents for this gift. If including an IRS Form 8283, please attach it first. If you have more than three documents to attach, send remaining files to ADR@utfi.org.
Are you attaching an IRS Form 8283 to this form?*

YesNo
Attach Supporting Documentation*

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Attach Supporting Documentation (2)

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Attach Supporting Documentation (3)

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Attached Documents Include (Select All that Apply):*

AppraisalGift AgreementIRS Form 8283Other
If "Other" Please Provide a Brief Description of Attachment
Designation of Gift*
Include College and Department
Date Gift Received by College/Department*

MonthDayYear
Should be Empty:

Gift-In-Kind Request Form