Fillable Printable Car Donation Form - Pinky Swear
Fillable Printable Car Donation Form - Pinky Swear
Car Donation Form - Pinky Swear
! CAR$DONATION$FORM$
!
DONOR$INFORMATION:$ $ $ $ $ $ $ DATE$COMPLETE:$_____/_____/_____$
$
Name$of$donor:!_____________________________________________________________________________________________________!
! ! ! ! First$ $ $ Middle$Initial$ $ $ Last$Name$
!
_______________________________________________________! ! SSN$(required$for$tax$deduction$purposes)$
$ Current$Mailing$Address$ $ $ $ _____$_____$_____G_____$_____G_____$_____$_____$_____$
$
_______________________________________________________$$$
City$ $ $ State$ $ $ Zip$
$
Name$of$second$donor$(if$applicable):$__________________________________________________________________________$
$ $ $ $ $ $ First$ $ $ MI$ $ $ Last$Name$
$
($ )$ $ $ $ ($ )$ $ $ $ ($ )$ $ $ $ $
Home$phone$$ $ $ Cell$Phone$ $ $ $ Work$Phone$
$
$ $ $ $ $ $ $ $
Email$Address$
$
VEHICLE$INFORMATION$
$
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
Year$ $ Make$ $ Model/Style$ $ Color$ $ Mileage$ $ License$Plate/State$
$
VIN$#:_________________________________________________________________________________________________________________$
Location$of$Vehicle:$
☐!Donor’s!Address!(as!listed!above)!
☐!Other:!! ! ! ! ! ! !!!! ! ! ! !!! ! ! ! !
! ! Address/City/State/Zip! ! ! Contact!Name!! ! Phone!Number!
!
SEND$THIS$FORM!and$a$SIGNED$TITLE!(the!TITLE!must!be!signed!on!the!“Seller’s!Signature”!line!on!the!
front!of!the!title!by!all ! ow ners!listed!on!the!title.!Do!not!mark!anything!else!on!the!title).!Send!to:!
Pinky$Swear$Foundation$
7835$Telegraph$Road$
Bloomington,$MN$55438!
!
• Once!we!receive!the!vehicle!donation!form!(typically!w ithin!24O48!hours),!we!will!call!you!to!acknowledge!
receipt!and!ma ke!arrangemen ts!to!tow!the!vehicle.!Towing!typically!takes!place!24O72!hours!within!receipt!
of!the!title!(weather!permitting)!
!
• A!tax!form!and!a!receipt!will!be!sent!to!you!after!receiving!sales!verification!of!your!vehicle,!typical ly !30O45!
days!after!your!donation.!PLEASE!KEEP!A!COPY!OF!THIS!FORM!FOR!YOUR!RECORDS!AND!AS!A!
TEMPORARY!RECEIPT.!
!
Thank$you$for$donating$your$vehicle$to$the$Pinky$Swear$Foundation!$
Your$donation$will$help$kids$with$cancer$and$their$families.$