OAKLAND UNIVERSITY
GIFT-IN-KIND REVIEW FORM
FORM A-1
DEPARTMENT INFORMATION
Department___________________________Contact Person____________________________Phone______________
DONOR INFORMATION
Owner/Donor_______________________________________Contact (if applicable)___________________________
Address_________________________________________________________________Phone___________________
GIFT INFORMATION (FOR REAL ESTATE USE FORM A-2)
Date received_______________________________Gift Account/Org. No.___________________________________
Description: (include date, model, serial number, brand name, etc.)__________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Gift of new equipment? Yes No Gift of new software? Yes No Educational Discount Value____________
Has Oakland University taken possession of this item? Yes No
Will this gift be retained by OU? Yes No If yes, will it appreciate in value? Yes No
Purpose or intended use____________________________________________________________________________
_______________________________________________________________________________________________
Additional costs (installation, insurance, maintenance, etc.)________________________________________________
_______________________________________________________________________________________________
Potential liability for university______________________________________________________________________
_______________________________________________________________________________________________
Percent of ownership being donated______________________________(attach names and addresses of other owners).
Were goods or services provided by Oakland University for the gift? Yes No
If yes describe: __________________________________________________________________________________
_______________________________________________________________________________________________
GIFT DOCUMENTATION
Donor's estimated value_______________________________
Check One:
____ Donor provided (attach copies): Receipt Invoice Appraisal Appraisal date_______________
____Donor provided no receipt, invoice or appraisal
A receipt describing the item(s) donated and listing no monetary value will be issued.
Signature of person completing form: _____________________________________________Date________________
UPON COMPLETION, SEND TO GIFT ACCOUNTING, 102 JOHN DODGE HOUSE
Rev. 5/07