Legacy Circle Confirmation Form

Thank you for including the Walker Art Center in your estate plans!

When you make a planned gift to the Walker, you are entitled to membership in the Legacy Circle, the Walker’s planned giving society. Membership in the Legacy Circle and creates a unique opportunity to enjoy the Walker today while securing the future of the Walker for generations to come.

Please complete this form to the extent that you are comfortable; the information provided here will remain confidential and places you under no obligation.

For recognition purposes, please list me/us as:Enter info here

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

I/We am/are pleased to advise the Walker Art Center of the following gift provision in my/our estate plans:

Will or Revocable Trust:

(the % of my/our estate bequeathed isEnter percentage here)

Comments or Additional Details

As applicable, my spouse’s or life partner’s will contains reciprocal gift language:

I/We estimate the current value of this gift to be: $Enter ammount here*

Please provide contact information for your next of kin, Executor, Trustee, or Plan Administrator:

Name

First NameLast Name

Relationship to you

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

The following information will help us better understand your intentions for your gift.

My/our legacy gift is:

I/We understand that this document does not represent a legal or binding commitment and that the amount listed above is an estimate. I/We will inform the Walker of any changes to my/our estate plan that impact the amount, type, or designation of my/our deferred gift.

Name

First NameLast Name

Signature

Date

Spouse/Partner Name

First NameLast Name

Spouse/Partner Signature

Date of Spouse/Partner Signature

Date

We understand that life circumstances can change and you may need to alter or reconsider your gift in the future. If you have any questions, please contact Michelle Poss, Gift Officer at 612-375-5838 or michelle.poss@walkerart.org. Thank you!