Declaration of Bequest Intention

Declaration of Bequest Intention

By completing this form you signify your intention to name Family Renew Community as a beneficiary of your estate and your wish to become a member of Abiding Angels, which honors those who have made legacy gifts to Family Renew Community. Family Renew Community understands that all bequest provisions are revocable and that any intentions stated here are not binding on you or your estate. We are deeply grateful for your vision and generosity.
If you prefer to download and print a copy of this blank form to submit in person or by postal mail, please CLICK HERE.
I have named Family Renew Community as a beneficiary of: (Check as many as apply)

My Last Will and TestamentRetirement AccountRevocable Trust (Living Trust)Life Insurance PolicyOther
My provision(s) names Family Renew Community as:

Primary BeneficiarySecondary BeneficiaryContingent Beneficiary
I estimate that the total value of my gift to Family Renew Community through my estate will be:
Dollar Amount
If/when this gift is received by Family Renew Community, it is my wish that the organization use my gift for the following purpose:

General Purposes/Area of Greatest NeedOther
I understand that my commitment to leave Family Renew Community a legacy gift through my estate entitles me to enrollment in Abiding Angels, and special recognition during events and in publications.

Yes, Family Renew Community may publish my name as a member of Abiding AngelsI am pleased to become a member of Family Renew Community’s Abiding Angels, but I wish to remain anonymous and request that my name not be published in connection with my bequest intention
Name*

First NameLast Name
Date

MonthDayYear
Date
Signature

Clear
Will there be a second signature on this document?

No. This Declaration of Bequest Intent is being made by the above-signed person only.Yes. My spouse or other person is a party to the declared bequest.
Name of Second Signer

First NameLast Name
Date

MonthDayYear
Date
Signature

Clear
Phone Number

Area CodePhone Number
Email*
example@example.com
To facilitate our ability to honor the intentions set forth above, we would greatly appreciate a copy of your Will or Trust (or appropriate sections thereof) for safekeeping in our confidential files. Thank you.
Please verify that you are human*
Family Renew Community
810 Ridgewood Ave.
Holly Hill, FL 32117
(386) 239-0861
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