Vehicle Donation Request Form

Donate your unwanted vehicle to help the men of Soul’s Harbor

Please provide requested information below:

Vehicle Donations

Please complete this form as detailed as possible. Be as specific as possible as to description of donated items. Thank you!

Soul's Harbor, Incorporated 13134 Nile Drive Dallas, Texas 75253 972-286-1940 www.soulsharbordallas.org Thank You For Your Gift

Name: *

Address: *

Email Address: *

Contact Number: *

Vehicle Location:

Vehicle Year:

Vehicle Make:

Vehicle Model:

License Plate No.:

VIN:

Damage to Body (Describe):

Damage to Interior (Describe):

Is the Vehicle in Drivable Condition (Describe): *

Do you have Certificate of Title (Describe): *

Mileage, Special Instructions and/or Additional Information: *

THIS IS DONOR'S OFFICIAL RECEIPT No goods or services are provided the donor on exchange for contributions. Contributions of goods are tax-deductible for income tax purposes to the extent allowed by law. Soul’s Harbor, Inc. does not affix an evaluation of your gift. That is the privilege and responsibility of the donor. Our drivers and/or helpers may not solicit or accept cash donations for services rendered.

If you are human, leave this field blank.

Within 24 hours after submission of your online donation form our dispatch office will contact you regarding scheduling confirmation. Or, you may contact Soul’s Harbor directly to submit a donation request by contacting our dispatch office at:

Soul’s Harbor, Inc.
13134 Nile Drive
Dallas, Texas 75253
972.286.1940
or Fax a request to:
972.286.5282

Please note:
Contributions of goods are tax deductible for income tax purposes to the extent allowed by the law.
Soul’s Harbor does not assess valuation to your contribution.

For information regarding intake/admission into our recovery facility, please contact: