EFTA01222592.pdf

❑VOID ❑CORRECTED DONEE'S name. street address. city or town. state or province. county. ZIP 1 Date of contribution OMB No. 1545-1959 or foreign postal code. and telephone no. Contributions of 2a Odometer mileage 2018 Motor Vehicles, Boats, and Form 1098-C Airplanes 2b Year 2c Make 2d Model DONEE'S TIN DONOR'S TIN 3 Vehicle or other identification number DONOR'S name 4a ❑ Donee certifies that vehicle was sold in arm's length transaction to unrelated party Street address (including apt. no.) 4b Date of sale City or town. state or province. country. and ZIP or foreign postal code 4c Gross proceeds from sale (see instnictions) Copy A $ For Se ❑ Donee certifies that vehicle wv not be transferred for money. other properly. or services before completion of materiEd improvements or significant intervening use Internal Revenue Service Center Sb ❑ Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of File with Form 1096. donee's charitable purpose For Privacy Act Sc Dales certifies the folowing detailed description of material improvements or significant intervening use and duration of use and Paperwork Reduction Act Notice, see the 2018 General Instructions for Certain 6a Dd you provide goods or services in exchange for the vehicle? ► Yes ❑ No ❑ Information Returns. 66 Value of goods and services provided in exchange for the vehicle 6c Describe the goods and services. if any. that were provided. If this box is checked. donee certifies that the goods and senoces consisted solely of intangible religious benefits ► ❑ 7 Under the law. the donor may not clam a deduction of more than S500 for this vehicle if tits box is checked ► Form 1098-C www.ira.gov/Fcem1098C Department of the Treasury - Internal Revenue Service EFTA01222592