Acknowledgment of "no goods or services were provided as part of this donation. Learn what to include in your donation tax receipts and how to leverage them for compelling nonprofit storytelling.To donate to one or more of the above agencies, complete the sections of the form below. The total amounts must be equal to the MAIN CHARITY GRAND TOTAL. "Learn about 501(c)(3) donation receipt requirements, verification steps, and sample templates for tax-deductible donations. Learn how to easily create your donation receipts and the best practices to follow in the year-end receipts to your donors. Designation of Gift: Date: State: Zip: (This is not a receipt. .0775 Salt Lake City, Inland Port SLC,. Salt Lake City Walk - Liberty Park. Donation Form NO Donor Information Donation Delivery.