The name, address, date of birth, and state of residence of each individual upon whom the amount to be transmitted is to be transmitted and his or her representative, if any, who was or is a recipient of the gift or donation; 2. The purpose for which the gift or donation is to be transmitted; 3. A statement setting forth the amount of the gift or donation. The statement shall indicate the amount by which the value of the gift or donation exceeds the net amount received or the value of the gift or donation when all interest has been included. B. The notice shall identify the person from whom the gift or donation was received and the amount of each transaction from which the gift or donation was received. The individual from whom the gift or donation was received shall, if known, be specifically identified upon the form required by subsection C of this section.
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