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AO 196A (Rev. 11/10) ACKNOWLEDGMENT OF GRATUITOUS SERVICES AND WAIVER I, hereby declare that my services to be performed from approximately to in the capacity of to in the United States (court or
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How to fill out an acknowledgment of gratuitous services:

01
Begin by stating the title of the document at the top, which should be "Acknowledgment of Gratuitous Services."
02
Include the date on which the acknowledgment is being filled out. This is important for record-keeping purposes and to establish the timeline of the services provided.
03
Provide the name and contact information of the person or organization who is receiving the gratuitous services. This could be an individual, a company, or a non-profit organization.
04
Clearly state the nature of the services being provided. This could include any type of voluntary work, pro bono assistance, or favors done without expecting any compensation in return.
05
Describe the period during which the services were rendered. It is important to note the specific dates or duration of the services to ensure accuracy and proper documentation.
06
Indicate the name and contact information of the person or organization who is providing the gratuitous services. This is essential to recognize and credit the individual or entity offering their time and effort.
07
Include a statement or paragraph that officially acknowledges and expresses gratitude for the services provided. This can be as simple as stating, "We hereby acknowledge and sincerely appreciate the voluntary services rendered by [provide name of individual or organization]."
08
Provide spaces for the signatures of both the recipient and the provider of the services. This signifies that both parties understand and agree to the acknowledgment.

Who needs an acknowledgment of gratuitous services?

01
Individuals who have received voluntary help or services from others and want to formally acknowledge and express their gratitude.
02
Non-profit organizations or charities that rely on the support of volunteers and want to document their contributions for record-keeping purposes.
03
Businesses or corporations that have been the beneficiaries of pro bono services and want to acknowledge and show appreciation to the individuals or firms who provided them.
04
Government agencies or departments that have received voluntary assistance or services from outside entities or individuals and want to provide official recognition.
Remember, an acknowledgment of gratuitous services is a formal way to appreciate and recognize the voluntary help that one has received, and it is important to fill it out accurately and sincerely.
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The acknowledgment of gratuitous services is a form used to recognize services provided without charge.
Any individual or organization that receives free services and wants to acknowledge them must file the acknowledgment form.
The acknowledgment form can be filled out by providing details of the services received, the value of the services, and a statement of acknowledgment.
The purpose of the acknowledgment form is to recognize and document the receipt of free services.
The acknowledgment form must include details of the services received, the value of the services, and a statement of acknowledgment.
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