University Library System Gift and Exchange Program Donor Information Form

Thank you for your gift to the University Library System, University of Pittsburgh. By contributing to the library you are assisting us as we continually strive to strengthen our collections.

The University Library System understands all gifts to be unrestricted, and gift items are reviewed in accordance with the current policies for collection development. Gift items that are determined to be duplicate copies or outside the scope of our collections, may be exchanged, sold, or discarded.

Please complete the following information:

Fields marked with * are required.

Date:
*Donor name(first and last):
*Street Address:
*Telephone:
*Email:
*City, State, Zip:

Description of the Donation:

 
Number of Items Donated
Description of Material/Subject Matter
Monographs(Books)
Serials(magazines, journals, newspapers, etc.)
Other(video tapes, cassettes, compact discs, etc.)
Total
  

Tax Information:

*Are you planning to claim a deduction of $5,000.00 or more for this donation?
 Yes
No
If so, have you had a qualified appraisal conducted of the material to be donated? Yes
No

Information for Bookplates:
I do not want bookplates placed in any monographs added to the collection.
I would like a bookplate placed in all monographs added to the collection. The bookplate should read:
This book presented by:
In memory of:
In honor of:

*Please note that bookplates are not added to certain types of materials and/or some special collections

Gift policies:
The University of Pittsburgh, upon receipt of the gift material, becomes the owner and reserves the right to determine retention, location, cataloging treatment and disposal of the material. Material not added to the ULS collections may be used for exchange, sold to raise money for book purchases, donated to other institutions, or otherwise discarded.

The University of Pittsburgh, due to IRS regulations, cannot provide appraisals of donated material.

Donors 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 The University of Pittsburgh 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.

You will receive a copy of this form and an official letter of acknowledgment after this completed form has been returned to the Gift and Exchange Department.

Thank you once again for your donation to the University Library System!