Legacy Gift Form - First Parish In Concord (Page 2 of 2) in pdf

Legacy Gift Form - First Parish In Concord Page 2

I am attaching the relevant pages of my will or a copy of my beneficiary designation form:

____ Yes

____ No

Name and contact information of your Estate Executor/Personal Representative:

__________________________________________________________________________

How do you want your gift to be publically acknowledged?

____ Publish my/our name(s) as member(s) of the First Parish Legacy Circle in any church

publications (e.g. Newsletter or Legacy Giving Brochure). (We recognize Legacy Circle members

by name only. We do not disclose the amount or nature of your gift.)

My/our name(s) should be listed as: ______________________________________________

____ I/we would like this to be an anonymous gift. Please do not publish my/our name(s).

Signatures of Legacy Gift Donor(s):

Donor Signature: ______________________________________

Date: ______________

Donor Signature: ______________________________________

Date: ______________

Please notify First Parish if you make future changes or adjustments to your legacy gift.

Thank you very much for your gift!

The First Parish Legacy Giving Committee

Last Updated 2/7/2017

Legacy Gift Form - First Parish In Concord Page 2