Unitarian Universalists of Clearwater
Legacy Intention Form

Please note: This declaration of intent is revocable and nonbinding.

UUC depends on the generosity of planned gift givers who help secure its future through a bequest, a charitable gift annuity, a life insurance policy, a trust or other financial instrument.

Donors may choose to remain anonymous, and the amount of your legacy gift need not be revealed.
Name #1
Birthdate:
MM
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DD
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YYYY
Name #2 (if applicable):
Birthdate (if applicable):
MM
/
DD
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YYYY
Street Address:
Telephone Number:
E-Mail Address:
I/We have included the Unitarian Universalists of Clearwater (UUC) in my/our estate plans through my/our (check the appropriate box below):
My/Our legacy gift is (check the appropriate box below):
I wish to remain anonymous (choose one):
I certify that this is my intention (via electronic signature):
Today's Date:
MM
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DD
/
YYYY
Electronic Signature #2 (if this is joint):
Today's Date (if applicable):
MM
/
DD
/
YYYY
Submit
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