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Vehicle Donation Intake

Thank you for donating a vehicle. The Rehab & Welfare Committee reviews every donation and matches usable cars with families in need. Not every car can be accepted.

Your name (as it should appear on the tax receipt)

Spouse's name (only if you want it on the tax receipt)

Mailing address

Email

Cell phone

Vehicle year

Make and model

VIN

The 17-character number on the dashboard by the windshield, the driver's door jamb, or your registration card.

Odometer (miles)

Transmission

A
B

How does the vehicle run and drive? Tell us about any problems.

Has the vehicle passed an emissions test?

A
B

Is the check engine light on?

A
B

Major repairs done in the past year

Does the vehicle need major repairs now?

Does it need preventive repairs or maintenance?

Photos of the vehicle

Please upload clear photos in daylight: front, back, driver's side, passenger's side, the interior (front seats, back seats, dashboard with the odometer showing), and the engine bay. Then add close-up photos of any known defects: dents, rust, scratches, cracked glass, torn seats, warning lights on the dashboard, leaks or anything that does not work. You can select several photos at once from your phone.

Describe each known defect shown in your photos

For example: "dent on rear passenger door", "AC does not blow cold". Write 'None' if there are no known defects.

City where the vehicle is located

How should MCC take possession of the vehicle once it is approved?

A
B
C

Do you have the title?

A
B

Until what month and year is the registration valid?

Do you currently have insurance on the vehicle?

A
B

Estimated fair market value ($)

Optional. Used for your tax receipt. MCC does not set this value. Please check with a tax professional about deductions.

Do you have a preference for the kind of family who receives your vehicle?

We will try to honor it, but priority goes to the families most in need on the waiting list.

Any other comments or instructions

Type your name as a signature

By typing your name, you confirm the information above is accurate.