Thank you for your kind donation of one or more bikes. Fill out and print this form as a receipt for your tax purposes.

  • MM slash DD slash YYYY
  • All items donated to Free Bikes 4 Kidz are deductible for income tax purposes at their present fair market value. Internal Revenue Code places the responsibility for establishing for estimating the fair market value upon the donor rather than the agency receiving the gift. (Local office of the Internal Revenue advises that “Fair Market Value” is interpreted as that which a buyer is willing to pay and a seller is willing to accept).
  • Please be as specific as possible.
    3 year old Schwinn 12 speed road bike
    New children's bike helmet
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