Author: Dena Kaufman

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Legacy Gift Confirmation

To benefit future generations, I/we affirm that I/we have made the following legal arrangements for my/our gift.

Donor Information

Name(s): __________________________________________________ Birthdate: _________________
Address: _________________________________ City: _______________ State: ____ Zip: ________
Email: _______________________________________ Phone: ________________________________

Donor Signature: ___________________________________________ Date: ______________________
Donor Signature: ___________________________________________ Date: ______________________

I/We intend for the following organization to benefit from my/our Legacy gift:

_______ Camp Name Here

My/Our commitment is acknowledged within the following document: (please list amount or percentage)

_______ Gift in Will or Trust (can be percentage, residual, or specific amount)
_______ Beneficiary of Retirement Plan, Administered by: _______________________________________________
_______ Beneficiary of Life Insurance Policy, Insurance Company: __________________________________________
_______ Donor Advised Fund
_______ Cash Endowment Gift
_______ Real estate, Personal property, Securities, Specialty asset, Business Interest
_______ Other: ________________________________________

Estate Planning Attorney, Financial Planner/Advisor, Family member, Executor, Trustee for my/our gift is:

Name: _______________________________________ Phone or Email: _________________________
Name:________________________________________ Phone or Email:__________________________
Name: _______________________________________ Phone or Email: _________________________

PLEASE COMPLETE AND RETURN THIS FORM TO:

name, phone, and email of contact person