A practical way to make a planned gift to Arroyo Grande Community Hospital Foundation is to include AGCHF in your will or revocable trust, or as a beneficiary of your retirement plan or life insurance. If you have already made a provision to include AGCHF in your financial planning, please notify us by completing and returning this document. By documenting your bequest intention, AGCHF will have an opportunity to recognize your generous support in your lifetime.
Information provided to signify your bequest intention to AGCHF will remain completely confidential unless you authorize AGCHF to publicize your gift. AGCHF understands that all bequest provisions are revocable, and any intentions stated here are not binding on you or your estate.
Bequest Approximate value: $_______________
Life Insurance Policy Approximate value: $_______________
IRA or other retirement plan Approximate value: $_______________
Other asset Approximate value: $_______________
Area of gift designation _____________________________________________
I/we accept membership into the Gunsaulus Society (recognition society for donors who have included Illinois Institute of Technology in their estate plan). Please publish my/our name(s) among your lists of Gunsaulus Society members.
Please clearly print the text as it should appear: _____________________________________________
Please do not list my/our name(s) publicly.
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Signature
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Date
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Name (please print)
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Date of Birth
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Signature
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Date
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Name (please print)
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Date of Birth
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Name
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Telephone
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Role
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Email
I have attached documentation from my will, retirement plan, life insurance policy, or trust.
If your gift is for a percentage of your estate, rather than a fixed amount, AGCHF will be happy to use your good faith estimate of the current value based on this percentage. While not required, you may wish to include a copy of the relevant portion of related documents.