Gift and Exchange Program Donor Information Form | University of Pittsburgh Library System

Donor name (first and last) *

Street Address *

Phone *

Email *

Subject Specialist I spoke with *

Donations must be approved by a Subject Specialist: see Books and Journals Donation Policy

Description of the Donation

Books

Number of Books Donated

Description of Material/Subject Matter

Serials (magazines, journals, newspapers, etc.)

Number of Serials Donated

Description of Material/Subject Matter

Other (video tapes, cassettes, compact discs, etc.)

Number Donated

Description of Material/Subject Matter

Total Number of Items Donated

Tax Information

Are you planning to claim a deduction of $5,000.00 or more for this donation? *

Yes

Have you had a qualified appraisal conducted of the material to be donated?

Yes

The University of Pittsburgh, upon receipt of the gift material, becomes the owner
We reserve the right to determine retention, location, cataloging treatment and disposal of the material
Material we don't add to the ULS collections may be used for exchange, sold to raise money for book purchases, donated to other institutions, or otherwise discarded
Due to IRS regulations we cannot provide appraisals of donated material
You must notify the University, prior to the donation, if the gift material has a significant value of $5,000.00 or more
Donations of significant value must have a qualified appraisal, and we will require a copy of the appraisal summary
Please be aware that large gifts may take up to 5 years to be processed

By checking this box, I agree to the policies listed above *

I agree