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Whitley County Historical Museum Online Item Donation Form

I hereby unconditionally give, donate, transfer, assign, bestow, set over and deliver to the Whitley County Historical Society, all of the rights, titles, and interests in and to the property described on this form, including copyrights whether at common law or by statute. I hereby represent that I have unencumbered title to this property, free of any conflicting claims or interests. It is my intent and understanding that the property may be used and/or disposed of by the Whitley County Historical Society at its unrestricted discretion. It is distinctly understood by me that it is my purpose and intention to vest all the incidents of absolute ownership of the property in the Whitley County Historical Society, from this time forward, and I hereby waive all present or future rights in, to, and over said property, its use or disposition, for myself, my distributes, heirs, assigns, personal representatives, and all others who might claim by, under or through me.

Executed and delivered on this day:


The Whitley County Historical Society, a not-for-profit 501c (3) corporation organized under the laws of the State of Indiana, having its principal place of business at 108 West Jefferson Street, Columbia City, Indiana, this day expresses its gratitude and acknowledges receipt of the gift of the above and foregoing property from the named donor, on the date herein after set forth. No goods or services were received in return for this gift. Your gift may be tax deductible, please consult your tax accountant. For other ways to give please contact

By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian.

Thank you!

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