Please print this letter and give it to your own bank or broker to be sent to The Lewes Historical Society. Please note that donation value is the average price of the securities the day the donation was made. The average price is figured by taking the day's high and low value and dividing by two. This value will be acknowledged in a receipt letter for your tax purposes.

The Lewes Historical Society
110 Shipcarpenter Street
Lewes, Delaware 19958
Attn: George Gibson, Treasurer

Re: _________ Shares of _____________________________________________
Effective Date of Gift: _____________________________

Dear Mr. Gibson,

Acting on the instructions of ____________________________________, we have delivered the above captioned stock to The Lewes Historical Society.

The secutities represent a $________________ gift from _______________________________for which no goods or services were received. Please acknowledge receipt of gift by signing the enclosed copy of this letter and forward directly to _____________________________ at ________________________________________________________________________ (donor's name, address and phone number).

Sincerely,


_______________________________________
_______________________________________
_______________________________________
_______________________________________

Received by: _______________________________________
George Gibson, Treasurer
The Lewes Historical Society
Date: _____________________________

The Lewes Historical Society is a federally recognized 501 (c) 3 organization and operates under the laws of the State of Delaware.