| # | Id | Type | Description |
| 1 | dateOfContribution | DateString | |
| 2 | odometerMileage | integer | Box 2a, Odometer mileage |
| 3 | carYear | integer | Box 2b, Year |
| 4 | make | string | Box 2c, Make |
| 5 | model | string | Box 2d, Model |
| 6 | vin | string | Box 3, Vehicle or other identification number |
| 7 | armsLengthTransaction | boolean | Box 4a, Donee certifies that vehicle was sold in arm's length transaction to unrelated party |
| 8 | dateOfSale | DateString | |
| 9 | grossProceeds | number | Box 4c, Gross proceeds from sale (see instructions) |
| 10 | notTransferredBefore | boolean | Box 5a, Donee certifies that vehicle will not be transferred for money, other property, or services before completion of material improvements or significant intervening use |
| 11 | needyIndividual | boolean | Box 5b, Donee certifies that vehicle is to be transferred to a needy individual for significantly below fair market value in furtherance of donee's charitable purpose |
| 12 | descriptionOfImprovements | string | Box 5c, Donee certifies the following detailed description of material improvements or significant intervening use and duration of use |
| 13 | goodsInExchange | boolean | Box 6a, Did you provide goods or services in exchange for the vehicle? Yes |
| 14 | valueOfExchange | number | Box 6b, Value of goods and services provided in exchange for the vehicle |
| 15 | intangibleReligious | boolean | Box 6c, If this box is checked, donee certifies that the goods and services consisted solely of intangible religious benefits |
| 16 | descriptionOfGoods | string | Box 6c, Describe the goods and services, if any, that were provided |
| 17 | maxDeductionApplies | boolean | Box 7, Under the law, the donor may not claim a deduction of more than $500 for this vehicle if this box is checked |