Estate Intention Form

This is a confidential record. In order that we may include you in our planned giving society, value your future gift for any campaign purposes and properly thank you and acknowledge your gift, please fill out the following information which applies to your future gift of a bequest through your Will or Trust.

If you would prefer to mail or fax this information to us, please use our printable form.

I look forward to talking with you about this gift intention. I understand that listing this gift may be an incentive for others to give and I am willing to be publicly acknowledged: *

I would like to be acknowledged

I do not want to be acknowledged

I understand you would like to contact me and I would be happy to discuss this with you but I prefer not to be listed or acknowledged publicly: *

Yes you may contact me

I do not want to be contacted

My Will/Trust was signed on:

My Will/Trust provides that the following percentage shall be bequeathed to Newark Public Radio, Inc through my estate:

As of today's date, I estimate that the value of this provision in my estate plan would be approximately:

My Will/Trust provides that the following amount shall be bequeathed to Newark Public Radio, Inc through my estate:

My Will/Trust provides that certain items of real or personal property shall be bequeathed to Newark Public Radio, Inc through my estate. The items are as follows:

As of today's date, I estimate these items to be worth approximately:

My Will/Trust indicates that the bequest through my estate is unrestricted

My Will/Trust directs WBGO to use my bequest through my estate for a specific purpose

The specific purpose is as follows:

I understand that I am not making a legal, or binding, commitment upon my estate by submitting this Estate Intention Form. Further, WBGO should understand that the size of my future gift might be significantly different from the amount estimated above. If for any reason in the future Newark Public Radio, Inc is no longer included in my estate plan, I will notify you so that you can update your records and remove me from the planned giving society.

Your name:

Phone:

Date:

Email: *

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