Legacy Gift Agreement

Please fill out this form and click submit. This information will be kept confidential, is not binding on your estate and can be changed as needed. By clicking Submit Form, I am offering an online signature of my intention.

Name

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Email

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This address will receive a confirmation email

Phone

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Address

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Date of Birth

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I have named Bethlehem as a beneficiary with my:

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Please select all that apply.

Will or Living Trust IRA or Other Retirement Plan Charitable Trust or Annuity Life Insurance Policy Cash Stocks or Bonds Property and Real Estate Other (Please designate below)

Other, from above:

My gift is:

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Please select all that apply.

Unrestricted Designated for the endowment fund Designated for other (please list below)

Other, from above:

Estimated Current Value of Planned Gift

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Contact Information for Estate Executor or Attorney: (Name/phone)

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I would like to meet with the pastors to discuss my planned gift.

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Please select all that apply.

Yes No

This information will be kept confidential, is not binding on your estate and can be changed as needed. By clicking Submit Form, I am offering an online signature of my intention.

Description

Please fill out this form and click submit. This information will be kept confidential, is not binding on your estate and can be changed as needed. By clicking Submit Form, I am offering an online signature of my intention.

Please Fix the Following

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