Donor Form - Non Cash Assets

Donor Contact Information

First Name

Last Name

Street Address

City

State

Zip Code

E-Mail

A confirmation email with further instructions will be sent to this email address. If the broker would like to receive this information please use the brokers email address here. Thanks!

Phone Number

Donation Information

Approximate Amount of Gift

Please provide the following information about your donation:

Apply this donation to the General Scholarship Fund to support eligible students enrolled at ANY participating school.Apply this donation to the SGO Fund for the school indicated below:

School Name

Letting us know the type and number of shares being donated makes it much easier for us to track the gift and be sure you receive the tax credit in a timely manner.

Type of Shares being Donated

# of Shares being donated

Type of Shares being Donated

# of Shares being donated

Broker Information

First Name

Last Name

Phone Number

Sagamore Institute has a Single Charity Fund with the National Christian Foundation (NCF) for donations of non-cash assets. NCF immediately liquidates the assets and the state tax credit is based on 50% of the cash value upon liquidation. When this form is completed a confirmation email with instructions will be sent to the donor's email address entered above.

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