Pioneer Historical Society        
             McRae Helena, Georgia
                                  Established in 1976

    Pioneer Historical Society       McRae Helena Georgia        
Established in 1976

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Thank you for your donation.

The Pioneer Historical Society is a 501c(3) qualified non-profit organization. Items donated to the society are tax deductible. This qualification can be confirmed by researching IRS Publication 78. Donations above $500.00 will require the submission of IRS form 1098-C or Form 8283 with the donor’s annual Federal tax return. Vehicle donation deductions will be based on current federal guide lines.

Please complete the following:

NAME ___________________________________________________________

DONATION Cash Amount ________ Car ______ Truck ____ Other ______


VEHICLE OPERATIONAL? Yes ___ No ___ Title Available? Yes ___ No ____

LOCATION ADDRESS: ______________________________________________

CONTACT #: Mobile ___________________ Land Line __________________

EMAIL ADDRESS: __________________________________________________

RETURN FORM: or mail to-

Pioneer Historical Society 9 East Oak St., McRae Helena, GA 31055

---------------------------------Office Only ----------------------------------------------------

Date Received ______________ Item condition ____________________________

Value ____________________ Vehicle: Scrap ____ Fair Market Sale _________

Final Deposition of Vehicle ___________________________________________ form.pdf