St. Anthony Hospital Foundation Bequest Intention Form Logo

  • Bequest Intention Form

    Thank you for your generous support of St. Anthony Hospital Foundation! If you would like help completing this form or have questions, please contact Ben Taylor, Interim Sr. Philanthropy Officer, by phone at 720-321-4318 or via email at BenjaminTaylor@Centura.Org.

  • I (We)   *   wish to advise Catholic Health Initiatives Colorado Foundation, dba St. Anthony Hospital Foundation, of the intent to make an estate gift through a provision in an estate plan, trust, or other transfer upon death.

  • EXPLANATION OF BEQUEST:

    Please fill out one of the two options below.

  • 1) I (We) have provided for a bequest of  $ or      to St. Anthony Hospital Foundation.

  • 2) I (We) have provided for a bequest based on a percentage value of my estate. The percentage value is   %, and the estate is currently valued at approximately $ *.

    *If the bequest is a percentage of your estate, please estimate the amount using current values (e.g., if the estimated current value of your estate is $1,000,000 and 10% is the designated portion to St. Anthony Hospital Foundation, then the estimated bequest is $100,000). Estimates are sufficient for record-keeping. 

  • NOTE: We encourage you to seek the advice of professional counsel when considering an estate gift. The EIN for Catholic Health Initiatives Colorado Foundation is 84-0902211. All gifts should be made out to St. Anthony Hospital Foundation.

  • TYPE OF BEQUEST:

  • GIFT DESIGNATION

    Choose one of the two options below:

  • COMMENTS

  • RECOGNITION PREFERENCES

  • CONTACT PREFERENCES

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  • TO COMPLETE THE FORM, PLEASE SIGN BELOW:

    St. Anthony Hospital Foundation understands that your intended bequest is non-binding and revocable unless otherwise stated by you.
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