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Box 493, Amesbury, MA 01913-0010 EIN\\# : 37-1623246  \nDonor Information  \nDonor’s Name:   Donor’s Address:    \nDonation Information  \nThank you for your donation with a value of   Dollars ($  ) , made to the above-mentioned 501(c)(3) Non-Profit Organization.  \nDonation Description:    \nI, the undersigned representative, declare (or certify, verify, or state) under penalty of perjury under the laws of the United States of America that there were no goods or services provided as part of this donation. Furthermore, as of the date of this receipt the above-mentioned organization is a current and valid 501(c)(3) non-profit organization in accordance with the standards and regulations of the Internal Revenue Service ( IRS) .  \nRepresentative’s Signature    \nRepresentative’s Name ___________________________  \nTitle: _________________________ Date: __________________  \nPage 1 of 1","cbCaikUe80gEW2fk","https://ap.wps.com/l/cbCaikUe80gEW2fk","pdf",103548,"English","# Donation Receipt\n## Organization and Mailing Details\n## Donor Information\n## Donation Details\n## Certification and Representative Sign-off","[{\"question\":\"What information does the donation receipt collect from the donor?\",\"answer\":\"It captures the donation date, donor’s name, donor’s address, the donation amount in dollars, and an optional donation description.\"},{\"question\":\"What certification does the receipt include regarding the donation?\",\"answer\":\"It declares under penalty of perjury that no goods or services were provided as part of the donation.\"},{\"question\":\"What fields are provided for the representative signing the receipt?\",\"answer\":\"The receipt includes placeholders for the representative’s signature, representative’s name, title, and date.\"}]","Amesbury Jets Youth Football and Cheer Donation Receipt - 501(c)(3) | PDF",1789145227]