Bequest Intention Form

Bequest Intention Form
Thank you for your generosity in including the BC Schizophrenia Society in your estate plans. Your legacy gift will help us support families affected by schizophrenia and other serious mental illnesses in British Columbia through education, advocacy, and research.

Once you finalize your legacy intention, please let us know by completing this form. The information you provide is not legally binding, and we understand that you may wish to change your gift in the future. Any information that you share with us will remain strictly confidential.
Personal Information
Name(s)

First NameLast Name
Second applicant (if applicable)

First NameLast Name
Year of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
About Your Gift
If you wish to let us know more about the details of your bequest, please fill in one or all of the options below as applicable.
Percentage amount - Percentage of the residue of my estate (after other specific bequests, debts and administrative expenses have been paid):
A specific dollar amount:
A specific asset (life insurance policy, stock etc):
Beneficiary of my RRIF/RRSP in the percentage of:
Other
Anything else we should know?
Recognition
I would like my/our name recognized in the BCSS Annual Report

YesNoYes, as 'anonymous'
If yes, please list me/us as:
Should be Empty:

Personal Information