NON CASH CHARITABLE CONTRIBUTIONS / DONATIONS WORKSHEET. Insert Tax Year ===>

TAXPAYERS NAME(S):

Insert Date Given ===>

ENTITY TO WHOM DONATED:

Note: This worksheet is provided as a convenience and aide in calculating most common non cash charitable donations. The source information used is from a Salvation Army "Valuation Guide" published several years ago and updated for assumed inflation. Although the values are believed to be reasonable, there are no guarantees or warranties as to their accuracy. The user assumes all consequences and responsibilities in the event the valuations used here are challenged by the Internal Revenue Service. Retain this worksheet with your receipts in your tax file. Your receipts should include a reasonably accurate description of items donated. IMPORTANT! One should prepare a list for EACH separate entity and date donations are made. For example: If one made a donation on July 1st to ARC, and another donation to ARC on Sept. 20th,, two separate valuation reports should be made for each date. Likewise, if one made donations to four separate entities, a separate valuation report should be made for each entity. CLICK HERE For information on the history, background or why this work sheet came to be. LADIES' CLOTHING blouse bathrobes boots bras & underwear bathing suits coats dresses evening dresses fur hats fur coats handbags hats jackets nightgowns pant suits socks / stockings suits shoes skirts sweaters slips slacks sweat shirts / pants

Quantity 0

GOOD $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

2.65 2.65 2.15 1.05 4.25 1.55 4.25 10.55 7.35 26.25 2.10 1.05 4.20 4.20 6.90 0.45 6.30 2.10 3.15 3.15 1.05 3.70 1.00

Quantity

Better than Good

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

7.63 7.63 3.70 2.10 8.43 21.78 12.10 36.78 11.55 223.13 11.55 4.73 8.40 8.40 16.58 0.90 16.28 14.18 5.78 9.45 3.68 8.15 5.50

Quantity EXCELLENT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

12.60 12.60 5.25 3.15 12.60 42.00 19.95 63.00 15.75 420.00 21.00 8.40 12.60 12.60 26.25 1.35 26.25 26.25 8.40 15.75 6.30 12.60 10.00

TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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MEN'S CLOTHING

Quantity

casual wear jackets: fabric casual wear jackets: leather over coats pajamas pants - shorts raincoats suits dress slacks shirts sweaters shoes swim trunks sport coats tuxedo under shirts / under shorts sweat shirts / pants belts - ties CHILDREN'S CLOTHING blouses boots coats dresses jackets jeans pants snowsuits shoes skirts sweaters slacks shirts socks underwear

GOOD $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

7.90 15.75 15.75 2.10 3.70 5.25 15.75 5.25 2.65 2.65 3.70 2.65 8.40 10.50 1.05 1.00 3.15 GOOD

Quantity $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Quantity

2.10 3.15 4.75 3.70 3.15 3.70 2.65 4.20 2.65 1.60 2.65 2.10 2.10 0.55 1.05

Better than Good

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Quantity

17.08 47.25 39.38 5.25 7.10 13.13 39.38 8.93 7.63 7.63 14.98 5.53 30.45 36.75 2.10 5.50 5.78

Better than Good

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $

5.25 12.08 12.88 8.15 14.70 8.15 7.63 12.08 5.93 3.95 5.53 5.25 4.20 1.08 2.38

Quantity EXCELLENT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

26.25 78.75 63.00 8.40 10.50 21.00 63.00 12.60 12.60 12.60 26.25 8.40 52.50 63.00 3.15 10.00 8.40

TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Quantity EXCELLENT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

8.40 21.00 21.00 12.60 26.25 12.60 12.60 19.95 9.20 6.30 8.40 8.40 6.30 1.60 3.70

TOTAL

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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DRY GOODS

Quantity

blankets bedspreads chair covers curtains drapes pillows sheets throw rugs towels HOUSEWARES & SMALL APPLIANCES broiler ovens mixer / blender toaster coffee maker microwave dinner plates - each saucers - each cups - each glasses - each flatware - place setting of 4 pieces soup bowls serving dishes misc. cooking utensils misc. serving utensils misc. cutting utensils SPORTING GOODS bicycles fishing rods with reels ice / roller / inline skates skis ski boots/bindings sleds tennis/racquetball rackets toboggans

GOOD $ $ $ $ $ $ $ $ $

2.65 3.15 15.75 1.60 6.90 2.10 2.10 1.60 0.55 GOOD

Quantity $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

$ $ $ $ $ $ $ $

15.75 5.25 10.50 15.75 21.00 5.25 5.25 15.75

Better than Good

$ $ $ $ $ $ $ $ $ Quantity

15.75 5.25 6.30 7.90 31.50 0.55 0.35 0.40 0.20 5.25 0.35 1.05 1.05 1.05 1.05 GOOD

Quantity

Quantity

Better than Good

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Quantity

5.53 14.18 26.25 7.10 24.45 5.25 5.25 7.10 2.38

21.00 13.13 11.03 17.08 55.13 0.80 0.58 0.63 0.25 13.13 0.58 2.10 2.10 2.10 2.10

Better than Good

$ $ $ $ $ $ $ $

42.00 15.75 26.25 60.38 89.25 13.13 23.63 55.13

Quantity EXCELLENT $ $ $ $ $ $ $ $ $

8.40 25.20 36.75 12.60 42.00 8.40 8.40 12.60 4.20

TOTAL $ $ $ $ $ $ $ $ $

Quantity EXCELLENT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

26.25 21.00 15.75 26.25 78.75 1.05 0.80 0.85 0.30 21.00 0.80 3.15 3.15 3.15 3.15

TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Quantity EXCELLENT $ $ $ $ $ $ $ $

68.25 26.25 42.00 105.00 157.50 21.00 42.00 94.50

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TOTAL

$ $ $ $ $ $ $ $

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MISCELLANEOUS

Quantity

adding machines Christmas trees copier home computer ink jet printer laser printer fax machine mower (riding) mower (auto) power edger rototiller sewing machine snow blower telephone answering machine typewriter vacuum cleaner (working) carpet cleaner (working) FURNITURE air conditioner bar bar stools bed (double) complete bed (single) complete chest clothes closet china cabinet convertible sofa (w/ mattress) crib (w/ mattress) baby carriage / stroller chair (upholstered) coffee table dresser w/ mirror desk dryer kitchen stove / range (working) end tables (2) figurines (lg.) fireplace set floor lamps

GOOD $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Quantity

21.00 15.75 105.00 157.55 26.25 52.50 26.25 105.00 10.50 5.25 26.25 15.75 52.50 26.25 7.90 21.00 26.25 GOOD

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Quantity

21.00 31.50 10.50 52.50 36.75 26.25 15.75 89.25 89.25 26.25 5.25 26.25 15.75 21.00 26.25 47.25 78.75 10.50 52.50 31.50 7.90

Better than Good

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Quantity

49.88 34.13 157.50 341.28 65.63 131.25 52.50 183.75 57.75 15.75 60.38 47.25 105.00 52.50 22.33 42.00 52.50

Better than Good

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

57.75 55.13 15.75 115.50 70.88 62.50 34.13 202.13 202.13 65.63 55.13 52.50 42.00 63.00 86.63 70.88 118.13 31.50 78.75 63.00 24.95

Quantity EXCELLENT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

78.75 52.50 210.00 525.00 105.00 210.00 78.75 262.50 105.00 26.25 94.50 78.75 157.50 78.75 36.75 63.00 78.75

TOTAL $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

Quantity EXCELLENT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

94.50 78.75 21.00 178.50 105.00 98.75 52.50 315.00 315.00 105.00 105.00 78.75 68.25 105.00 147.00 94.50 157.50 52.50 105.00 94.50 42.00

TOTAL

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

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folding beds gas stoves heaters high chair hi riser kitchen table kitchen cabinets kitchen chair mattress (double) mattress (single) organ console piano pictures and paintings ping pong tables play-pens pool tables CD / DVD / record player (stereo) record player (components) rugs refrigerator (working) radio / stereo / tuner secretary sofa TV b/w (working) TV color (working) trunk / suitcase wardrobe washer (working) waterbed (frame) waterbed headboard waterbed (complete)

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

21.00 52.50 7.90 10.50 36.75 26.25 26.25 2.65 36.75 15.75 78.75 78.75 5.25 15.75 15.75 21.00 31.50 10.50 21.00 78.75 7.90 52.50 36.75 26.25 78.75 5.25 21.00 52.50 15.75 31.50 157.50

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

42.00 91.88 15.50 31.50 57.75 44.63 52.50 6.58 57.75 26.25 144.38 144.38 107.63 28.88 23.63 49.88 120.75 44.63 57.75 170.63 30.20 99.75 123.38 44.63 157.50 39.38 63.00 105.00 28.88 63.00 249.38

ENTER ITEMS NOT PROVIDED FOR IN THE ABOVE CATEGORIES. SET YOUR OWN VALUE.

$ 63.00 $ 131.25 $ 23.10 $ 52.50 $ 78.75 $ 63.00 $ 78.75 $ 10.50 $ 78.75 $ 36.75 $ 210.00 $ 210.00 $ 210.00 $ 42.00 $ 31.50 $ 78.75 $ 210.00 $ 78.75 $ 94.50 $ 262.50 $ 52.50 $ 147.00 $ 210.00 $ 63.00 $ 236.25 $ 73.50 $ 105.00 $ 157.50 $ 42.00 $ 94.50 $ 341.25 MY / OUR Quantity BEST GUESS OF $ -

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TOTAL

TOTAL OF ALL DONATED ITEMS

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WHAT IS YOUR ORIGINAL COST BASED ON RECIEPTS, OR YOUR BEST ESTIMATE, OF THE ITEMS DONATE $

For more information about non cash donations see: http://www.salvationarmyusa.org Revised March 22, 2007

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