Charitable Bequest Interest Form

Charitable Bequest Interest Form

Please use this form to share the details of your bequest intentions for the FICPA Scholarship Foundation.
This form is for informational purposes only. Your estate is not legally bound by submitting this statement. Your intentions remain revocable and can be modified at any time. This information will be held in strict confidence.
Full Name(s)*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Bequest Specifics:

As evidence of our desire to provide a legacy of support for the FICPA Scholarship Foundation, I/we wish to inform you that FICPA Scholarship Foundation has been named in my/our estate plans.
Please indicate the nature of the gift, i.e. percentage or amount of estate, beneficiary of life insurance, or qualified retirement plan such as 401K or 403B, IRA, or gift from a trust. This is not required, but is helpful for FICPA long-term planning.
Donor Name(s)*
Date*

MonthDayYear
Date
Should be Empty: