❑ CORRECTED if checked DONEE'S name. street address. cdy or town. state or province. county. ZIP or foreign postal code. and telephone no. DONEE'S federal identification number DONOR'S identification number DONOR'S name Street address (including apt. no.) City or town. state or province. country. and ZIP or foreign postal code 1 Date of contnbution 2a Odometer mileage 2b Year OMB No. 1545-1959 2016 Form 1098-C 2c Make Attachment Sequence No.1 S5A Contributions of Motor Vehicles, Boats, and Airplanes 2d Model 3 Vehicle or other identification number 4a ❑ Donee certifies that vehicle was sold in arm's length transaction to unrelated Deity 4b Date of sale 4c Gross proceeds from sale (see instructions) $ Sa ❑ Donee certifies that vehicle not be transfend for money. other properly. or services before completion of materiel improvements or significant intervening use Sb ❑ Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of donee's charitable purpose Sc Donee certfies the folowing detailed description of material improvements or significant intervening use and duration of use 6a Did you provide goods or services in exchange for the vehicle? ► Yes ❑ No ❑ 66 Value of goods and services provided in exchange for the vehicle 6c Describe the goods and services. if any. that were provided. If this box is checked. donee certifies that the goods and services consisted solely of intangible religious benefits ► ❑ 7 Under the law. the donor may not clam a deduction of more than $500 for this vehicle if this box is checked ► Copy B For Donor In order to take a deduction of more than $500 for this contribution, you must attach this copy to your federal tax return. Unless box 5a or 5b is checked, your deduction cannot exceed the amount in box 4c. Form 1098-C www.irs.gov/form1098c Department of the Treasury - Internal Revenue Service EFTA01222591