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CLINE LIBRARY
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| Collection Name__________________ _______________________________ NAU Acc. No.____________________ NAU Ms. No._____________________ |
Deed of Gift Agreement |
I, ____________________________________________________________________
residing at (street, city, state, zip, phone number)
__________________________________________________________________________________________________
own and desire to give, or am empowered as legal agent for
__________________________________________________________________________________________________
to give the Arizona Board of Regents for Northern Arizona University (hereinafter
Cline Library)
the following described property: (attach extra sheet if needed)
I assign and convey irrevocably the legal title and all literary rights or copyright which I may have to the described property to the Arizona Board of Regents for Northern Arizona University. I agree that Cline Library may use the material as it deems most beneficial. I understand that Cline Library may digitize this material for access via the World Wide Web or for other forms of electronic distribution. Furthermore, I agree that researchers who meet the requirements set by Cline Library may have full access to this collection with the exception of the restriction(s) or conditions stated below:
None_____________________ Specify______________________________________________________________________________________________________________________________________________________________________
Any item not retained by Cline Library Special Collections and Archives shall be: (donor to check choice)
Discarded______ Returned to donor______ Other___________________________________________________________
According to the Tax Reform Act of 1984, Section 155, deduction claims for a charitable contribution of property or properties to one or more charitable organizations, the total claimed value which exceeds $5,000, must include a written appraisal of the donated property from a qualified appraiser and be attached to IRS form 8283, signed by the donee, and enclosed with a tax return. The responsibility for appraising donations remains with the donor. Cline Library is unable to provide appraisals for tax or insurance purposes.
In full accord with the provisions of this deed of gift, I hereunto set my hand.
Donor's signature________________________________________________________________ Date_________________
Receipt of the above material is gratefully acknowledged on behalf of Cline Library Special Collections and Archives.
Dean and University Librarian______________________________________________________ Date_________________
Head of Special Collections and Archives________________________________________ Date_________________
This page last modified June 13, 2005