ࡱ> (*'|[  bjbj <jj|lD 4 4` J p$  a aa a   aV@F T ݑ k Ft0xE!eE!F EMBED PBrush   EMBED PBrush  Central Gift Processing Notification of Gift Form Date:  DATE \@ "M/d/yy" \* MERGEFORMAT 2/24/04 Full Name of Person Preparing this Form:  FORMTEXT       Date of Gift:  FORMTEXT       Campus Box #:  FORMTEXT       Phone #:  FORMTEXT       Donor Information Advance ID#:  FORMTEXT       Donor Name:  FORMTEXT       (if donor is an organization, indicate the primary contact person below) Contact Name:  FORMTEXT       Street:  FORMTEXT      Contact Title:  FORMTEXT       City:  FORMTEXT      Phone #:  FORMTEXT       State:  FORMTEXT      Zip Code:  FORMTEXT       Gifts of Cash Description: This section must be completed for all cash gifts deposited to University Trust Account. In order to comply with Federal law, the following information must be provided (copy of the check and deposit slip are required along with any supporting documentation received). Amount:  FORMTEXT       FAS# and Object Code:  FORMTEXT       Date of Gift:  FORMTEXT       Departmental Contact:  FORMTEXT       Date of Deposit:  FORMTEXT       College/Department  FORMTEXT       or Foundation Receiving Gift:  FORMDROPDOWN  Purpose/Use of Gift: Please indicate the purpose or use of the gift:  FORMDROPDOWN  If Other, please specify:  FORMTEXT       Gifts of Property Description: This section must be completed for all non-cash gifts received for NC State or any of its affiliated foundations. In order to comply with federal law, the following information must be provided (copy of the appraisal, if applicable). General description of the property received:  FORMTEXT       Value of Gifts:  FORMTEXT       Value Determined By:  FORMTEXT       College/Department  FORMTEXT       or Foundation Receiving Gift:  FORMDROPDOWN  For auditing purposes, include physical location of property:  FORMTEXT       Receipt Information Description: This section must be completed for all gifts listed above. In order to comply with federal law, the following information must be provided: Did the donor receive anything in exchange for their gift?  FORMCHECKBOX  Yes  FORMCHECKBOX  No (If yes above) Of what fair market value was the benefit received by the donor?  FORMTEXT       Advancement Services will generate an official receipt for the gift. FACULTY AND STAFF: PLEASE COMPLETE THE DONOR INFORMATION AT THE TOP OF THIS FORM, THE INFORMATION IN THE  GIFTS OF PROPERTY BOX, AND FORWARD TO THE CALS DEVELOPMENT AND FOUNDATIONS OFFICE AT BOX 7645, 120 PATTERSON HALL WE WILL COMPLETE ANY REMAINING ITEMS INCLUDING ADVANCE INFORMATION. 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