Confirmation of Share Donation Transfer Form

Prior to transferring securities to our account, please submit this form online, or download this MS Word Doc to fill in and send.

N.B. Please call Christine Foisy-Monk, Associate Director, Development, (416) 204-7062, to discuss valuation of a stock that is not easily liquidated or considered highly volatile. Covenant House Toronto reserves the right to decline a donation of securities.

IMPORTANT – IN ORDER FOR YOU TO RECEIVE A TAX RECEIPT, THIS FORM MUST BE COMPLETED.

I confirm that I have assigned ownership to Covenant House Toronto. I understand that upon receipt, the donated shares will be valued at their closing price as of the date of the donation and a tax receipt will be issued for this amount, in accordance with Canada Revenue Agency’s tax receipting guidelines.


Donor Name:
* required field

Address:

Telephone:
* required field
(Answer must be a validly formed phone number e.g. (999) 555-1234 x12)

Email Address:
(Answer must be a validly formed email address)

Donated Security:

# of Shares:

Date:
(Answer must be a valid date (MM/DD/YYYY))