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Form 8283 <br />(Rev. December 2006) <br />Department of the Treasury <br />Internal Revenue Service <br />Noncash Charitable Contributions <br />Attach to your tax return if you claimed a total deduction <br />of over $500 for all contributed property. <br />I. See separate instructions. <br />OMB No. 1545 -0908 <br />Attachment <br />Sequence No. 155 <br />Name(s) shown on your income tax return <br />Identifying number <br />Note. Figure the amount of your contribution deduction before completing this form. See your tax return instructions. <br />Section A. Donated Property of $5,000 or Less and Certain Publicly Traded Securities —List in this section only <br />items (or groups of similar items) for which you claimed a deduction of $5,000 or less. Also, list certain <br />publicly traded securities even if the deduction is more than $5,000 (see instructions). <br />Part 1 <br />Information on Donated Property —If you need more space, attach a statement. <br />(a) Name and address of the <br />1 donee organization <br />(b) Description of donated property <br />(For a donated vehicle, enter the year, make, model, condition, and mileage, <br />and attach Form 1098 -C if required.) <br />A <br />(e) How acquired <br />by donor <br />(f) Donor's cost <br />or adjusted basis <br />B <br />(h) Method used to determine <br />the fair market value <br />A <br />C <br />D <br />E <br />B <br />Note If the amount you claimed as a deduction for an item is $500 or less, you do not have to complete columns (d), ( ) <br />e, and (f). <br />Part 11 <br />Partial Interests and Restricted Use Property— Complete lines 2a through 2e if you gave less than an <br />entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a <br />contribution listed in Part I; also attach the required statement (see instructions). <br />2a Enter the letter from Part I that identifies the property for which you gave less than an entire interest • <br />If Part II applies to more than one property, attach a separate statement. <br />b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year • <br />(2) For any prior tax years • <br />c Name and address of each organization to which any such contribution was made in a prior year (complete only if different <br />from the donee organization above): <br />Name of charitable organization (donee) <br />Address (number, street, and room or suite no.) <br />City or town, state, and ZIP code <br />d For tangible property, enter the place where the property is located or kept • <br />e Name of any person, other than the donee organization, having actual possession of the property • <br />3a Is there a restriction, either temporary or permanent, on the donee's right to use or dispose of the donated <br />property? <br />b Did you give to anyone (other than the donee organization or another organization participating with the donee <br />organization in cooperative fundraising) the right to the income from the donated property or to the possession of <br />the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or <br />to designate the person having such income, possession, or right to acquire? <br />c Is there a restriction limiting the donated property for a particular use? <br />Yes <br />No <br />For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 62299J <br />6 <br />Form 8283 (Rev. 12 -2006) <br />(c) Date of the <br />contribution <br />(d) Date acquired <br />by donor (mo., yr.) <br />(e) How acquired <br />by donor <br />(f) Donor's cost <br />or adjusted basis <br />(g) Fair market value <br />(see instructions) <br />(h) Method used to determine <br />the fair market value <br />A <br />B <br />C <br />D <br />E <br />Part 11 <br />Partial Interests and Restricted Use Property— Complete lines 2a through 2e if you gave less than an <br />entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a <br />contribution listed in Part I; also attach the required statement (see instructions). <br />2a Enter the letter from Part I that identifies the property for which you gave less than an entire interest • <br />If Part II applies to more than one property, attach a separate statement. <br />b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year • <br />(2) For any prior tax years • <br />c Name and address of each organization to which any such contribution was made in a prior year (complete only if different <br />from the donee organization above): <br />Name of charitable organization (donee) <br />Address (number, street, and room or suite no.) <br />City or town, state, and ZIP code <br />d For tangible property, enter the place where the property is located or kept • <br />e Name of any person, other than the donee organization, having actual possession of the property • <br />3a Is there a restriction, either temporary or permanent, on the donee's right to use or dispose of the donated <br />property? <br />b Did you give to anyone (other than the donee organization or another organization participating with the donee <br />organization in cooperative fundraising) the right to the income from the donated property or to the possession of <br />the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or <br />to designate the person having such income, possession, or right to acquire? <br />c Is there a restriction limiting the donated property for a particular use? <br />Yes <br />No <br />For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 62299J <br />6 <br />Form 8283 (Rev. 12 -2006) <br />