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American Children's Cancer Association
American
Children's
Cancer
Association

Property Donation Form

Donor Information:

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Daytime Phone:

Alternate Phone:

E-Mail:

Property Location

Check Here If Same As Above:

Address:

City:

State:

Zip Code:

Property Information

Type of Property: Commercial Residential Acreage (Undeveloped)
Mixed Acreage (Devloped & Undeveloped Areas)

If Acreage, Type of Land: Suburban Lot Urban Lot
Rural Open Farmland
Rural Woodland

Are There Outstanding Liens?: Yes No

If Yes, Explain:

Condition of Property:

Current Property Tax Assessment:

Please check this box to receive a tax value. Someone will contact you within one business day or less. We thank you in advance for supporting our cause.