Real Estate Contribution Form

Please complete and submit the following form to initiate a gift of real estate to the Foundation.

Name

This field is for validation purposes and should be left unchanged.

Will you give

the real estate interest itself, or

an entity that contains the real estate as its only asset.

If the latter, please click here to provide the additional information we need for a business entity gift.

First name

Last name (or entity legal name if donor is an entity)

Entity name if donor is an entity

Donor email address

Donor Street Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of controlling person (if donor is an entity)

Address of controlling person (if donor is an entity)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PCAF fund to be credited (or proposed name of fund yet to be created)

Address of real estate

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Description of real estate

Please provide the following information about any non-written agreement or declaration that in any way governs or restricts the real estate or purports to impose financial or other obligations on owners of the real estate:

Subject Matter

Parties or Issuer

Date

Add up to 3 repeated fields.

Please identify here any debt that currently encumbers the real estate:

Debt Amount

Debtor

Lender/Holder

Add up to 3 repeated fields.

Comments/special instructions

Need additional assistance?

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