Fergus Falls Area Habitat for Humanity Affiliate, Inc.

Donation Receipt

For your convenience we've added this pre-printed donation receipt.

Date	Type of Donation(Cash, Material, Professional Labor)	Value of Donation
Date Received ________________________________	Material Description	$______________ Cash Value
Date Received _________________________	Material Description	$________ Value
Date Received _________________________	Material Description	$________ Value
Print and Return with Donation	Fergus Falls Area Habitat for Humanity Affiliate thanks you!	Total $___________
Your Name	Your Address	Date
Fergus Falls Area Habitat for Humanity Affiliate, Inc.	1500 South Cascade Street PO Box 84 Fergus Falls, MN  56538	218-736-2905

For donations over $500 special IRS regulations apply.