Charitable Gift Receipt (Quid Pro Quo)

The Charitable Gift Receipt (Quid Pro Quo) is available free below to download, customize and print for your church administrative office, Human Resources Dept., etc.



What is a Quid Pro Quo contribution?

A Quid Pro Quo contribution is a payment made to an organization and/or charity by a donor partly as a contribution to the organization and partly for goods or services provided to the donor by the organization and/or charity.



The charitable organization that accepts the Quid Pro Quo donation will have to provide a written statement or receipt to the donors if the contribution was in excess of $75. Here is an example of a Quid Pro Quo contribution:

  • A donor gives an organization and/or charity $100 and receives a Gospel Singing Concert ticket valued at $30, the donor has made a Quid Pro Quo contribution.

In this example the charitable contribution part of the payment is $70.

All printable receipts for contributions should be numbered for accounting and control purposes.

The Quid Pro Quo receipt below includes:

  • Receipt Number
  • Name of receipt
  • Receipt Statement Example - Dear [Donor’s Name], Thank you for your cash contribution of $75 received on [Date] at our Valentine’s Celebration Fundraiser. In return for your gift, we provided you with a dinner with a good faith estimate value of $25. You may have also received intangible benefits, but these benefits do not need to be valued for tax purposes. The deductible portion of your contribution for federal income tax purposes is limited to the excess of your contribution over the value of goods and services we provided to you. The $25.00 value of benefits you received must be subtracted from your $75.00 contribution, so your actual charitable contribution is $50.00. This document is necessary for any income tax deduction for your contribution. Please retain it for your records.
  • Receipt Issued on [Date]
  • Receipt Issued by [Name], Treasurer
  • Church Name and Address

From a public's point of view, you do not want your donors attempting to deduct a contribution only to have the IRS deny their deduction. I would recommend that you indicate in some way on all your tickets and/or special event invitations how much of the ticket price is tax deductible, even on the tickets that are priced under $75.

Click on the link to download the contribution receipt below:

Charitable Gift Receipt (Quid Pro Quo)


If you need to modify this form, try the site: Free PDF Services. You can convert this Adobe file into a Word document free of charge and make the necessary changes.

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If you want to open the file in your browser window, just click on one of the links above. However, if you want to download the file to view later, then right-click on the link and choose "Save Target As" or "Save File As". Then select where you want to save the file on your hard drive.


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Note: These sample forms are meant to serve as example forms and should not be construed as legal documents.  Please contact a legal professional for legal language for your specific organization.


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