MY LEGACY GIFT FOR WASATCH ACADEMY

MY LEGACY GIFT FOR WASATCH ACADEMY
NAME
CLASS YEAR
SPOUSE/PARTNER
CLASS YEAR
ADDRESS
CITY
STATE
ZIP
EMAIL
example@example.com
PHONE
I/We have included Wasatch Academy as a beneficiary in the following way(s)

WillDonor-advised FundIRA, 401k or other retirementTrustLife insurance policyOther (please specify)
Estimated gift amount $
(You don't need to know the exact amount; only your good-faith estimate is requested)
I would like my/our gift directed to

Wherever it is needed most (unrestricted)Other
Will this gift to Wasatch Academy be distributed following the death of any additional persons? If so, whom (e.g. souse, child, or sibling)?
My name will be included in The Liberal Hall Society listings in Wasatch Academy publications. No details of my intention will be made public.

OKI/We prefer to be anonymous in our donor listings.
Signature

Clear
Date

MonthDayYear
Date
Signature

Clear
Date

MonthDayYear
Date
Contact Margaret Schlachter, Director of Development, at 435-462-1481;

margaret.schlachter@wasatchacademy.org

Wasatch Academy recognizes that both the value of estate-related gifts and the provisions themselves may change over time. This form is used for gift recognition purposes only and does not bind your estate or heirs in any way.
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