Legacy Society
Will or Estate Plan Gift Confirmation Form
I am pleased to advise MontanaPBS (Friends of MontanaPBS, Inc.) of the following gift provision in my Will or Estate Plan as indicated below:
Will or Revocable Trust
Name of Executor and Trustee: *
Your answer
I estimate the current value of this deferred gift to be: *
Your answer
Special Instructions (if applicable)
Your answer
Donor Recognition:
I/We would be pleased to be acknowledged as members of the MontanaPBS Legacy Society as follows:
For gift recognition purposes, please list my name as:
Your answer
I understand that this document does not represent a legal or binding commitment and that the amount listed above is an estimate.
Name:
Your answer
Electronic Signature:
Your answer
Date:
MM
/
DD
/
YYYY
Address:
Your answer
City:
Your answer
State/Province:
Your answer
ZIP/Postal Code
Your answer
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