Exhibit D Form 1098-C
Publication 1179 — General Rules and Specifications For Substitute Forms 1096, 1098, 1099, 5498, and Certain Other Information Returns · 2026-10-03 edition · updated 2026-10-04 · United States
| 7878 VOID CORREC | CTED | ||||||
|---|---|---|---|---|---|---|---|
| DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
1Date of contribution | 1Date of contribution | Form1098-C (Rev. April 2025) OMB No. 1545-1959 |
Form1098-C (Rev. April 2025) OMB No. 1545-1959 |
Form1098-C (Rev. April 2025) OMB No. 1545-1959 |
| DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
2aOdometer mileage | 2aOdometer mileage | 2aOdometer mileage | 2aOdometer mileage | 2aOdometer mileage |
| DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
2aOdometer mileage | 2aOdometer mileage | For calendar year | For calendar year | For calendar year |
| DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
DONEE’S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no. |
2bYear | 2cMake | 2cMake | 2dModel | 2dModel |
| DONEE’S TIN | DONOR’S TIN | 3Vehicle or other identification number ** 2.44 in** ** 2.80 in** |
3Vehicle or other identification number ** 2.44 in** ** 2.80 in** |
3Vehicle or other identification number ** 2.44 in** ** 2.80 in** |
3Vehicle or other identification number ** 2.44 in** ** 2.80 in** |
3Vehicle or other identification number ** 2.44 in** ** 2.80 in** |
|
| DONOR’S name | ** 3.40 in** | ** 3.40 in** | 4a Donee certifies that vehicle was sold in arm’s length transaction to unrelated party |
4a Donee certifies that vehicle was sold in arm’s length transaction to unrelated party |
4a Donee certifies that vehicle was sold in arm’s length transaction to unrelated party |
4a Donee certifies that vehicle was sold in arm’s length transaction to unrelated party |
4a Donee certifies that vehicle was sold in arm’s length transaction to unrelated party |
| Street address (inclu | ding apt. no.) | ding apt. no.) | 4bDate of sale | 4bDate of sale | 4bDate of sale | 4bDate of sale | 4bDate of sale |
| City or town, state o | r province, country, and ZIP or foreign postal code ** 6.83 in** |
r province, country, and ZIP or foreign postal code ** 6.83 in** |
4cGross proceeds from sale (see instructions) **$ ** |
4cGross proceeds from sale (see instructions) **$ ** |
4cGross proceeds from sale (see instructions) **$ ** |
4cGross proceeds from sale (see instructions) **$ ** |
4cGross proceeds from sale (see instructions) **$ ** |
| 5a Donee certifi improvemen |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
es that vehicle will not be transferred for money, other property, or services before completion of material ts or significant intervening use |
| 5b Donee certifi donee’s cha |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
es that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of ritable purpose |
| 5cDonee certifies t | he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
he following detailed description of material improvements or significant intervening use and duration of use ** 0.54 in** |
| 6aDid you provide g | oods or services in exchange for the vehicle? . . . . . . . . . . . . . . Yes No |
oods or services in exchange for the vehicle? . . . . . . . . . . . . . . Yes No |
oods or services in exchange for the vehicle? . . . . . . . . . . . . . . Yes No |
oods or services in exchange for the vehicle? . . . . . . . . . . . . . . Yes No |
oods or services in exchange for the vehicle? . . . . . . . . . . . . . . Yes No |
oods or services in exchange for the vehicle? . . . . . . . . . . . . . . Yes No |
|
| 6bValue of goods a $ |
nd services provided in exchange for the vehicle | nd services provided in exchange for the vehicle | nd services provided in exchange for the vehicle | nd services provided in exchange for the vehicle | nd services provided in exchange for the vehicle | nd services provided in exchange for the vehicle | nd services provided in exchange for the vehicle |
| 6cDescribe 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 . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
ds and services, if any, that were provided. If this box is checked, donee certifies that the goods and services of intangible religious benefits . . . . . . . . . . . . . . . . . . . . . . . ** 7.30 in** |
| **7 **Under the law, the donor may not claim a deduction of more than $500 for this vehicle if this box is checked . . . . . . . |
Form 1098-C (Rev. 4-2025) Cat. No. 39732R www.irs.gov/Form1098C
39
Department of the Treasury - Internal Revenue Service
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