Click here to edit text
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: phshistory@yahoo.com 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 ___________________________________________https://www.phshistory.org/donation form.pdf
