Declaration of Intent

X/Twitter

This field is for validation purposes and should be left unchanged.

Please choose one:(Required)

I/We have already included a legacy gift for Ramah Darom in my/our estate plan.

I/We will leave a legacy gift and will formalize my/our gift within the next 12 months.

I/We hope to leave a legacy gift but do not have plans to formalize my/our gift at this time.

My/our gift to Ramah Darom will be completed through a:(Required)

Bequest/Will

Retirement Plan Assets: (IRA/401k/403(b)/Pension)

Gift of Life Insurance

Assets: (Real Estate, Business Interest, Stocks)

Other, Cash (please specifiy)

Optional: My intent can be summarized as:

The approximate anticipated value of this gift is $ ___________________ or _______%.

Optional: Attach copy of provisions below

Max. file size: 50 MB.

Privacy & Sharing(Required)

I/We give permission to include my/our name(s) to be listed with other donors to inspire and encourage others.

I/We prefer to remain anonymous at this time.

Donor name(s) as you would like them listed:

Name of individual completing this form(Required)

First

Last

Phone(Required)

Email(Required)

Address(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

My Legal Name(Required)

Legacy Gift Declaration of Intent