Planned Gift Intention Form
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1Greenville College Office of Advancement
Planned Gift Intention Form
Please complete the following so that we can properly recognize and acknowledge your
planned gift to Greenville College.
PERSONAL INFORMATION
Name: ________________________________________________________________________________
Date of Birth: ____________________
Last
First
Middle Initial
Month / Day / Year
Spouse’s Name:
________________________________________________________________ Date of Birth: ____________________
(if applicable)
Last
First
Middle Initial
Month / Day / Year
Address: _______________________________________________________________________________ Telephone: _______________________
Street
City
State
Zip
TYPE
Will
Living/Revocable Trust
Irrevocable Trust
Life Insurance
Designated Beneficiary of Investment Account
Other: __________________________________________________________________________________________________________________
DESCRIPTION
Please describe your planned gift to Greenville College (for example—GC will receive a certain dollar amount or percent of named property).
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
The approximate current value of the planned gift is $_______________.
This is a “contingent” gift (GC is a secondary beneficiary).
Please describe the contingency, ______________________________________________________________________________________________
PURPOSE
This is an unrestricted gift.
This gift is to be restricted for use by: _________________________________________________________.
I/We understand the Planned Gift Intention Form is not legal or binding. If our planned gift should change, we will notify the College. Greenville College
acknowledges that the future value of the gift may be significantly different than the current value.
____________________________________________________________
_________________________________________________________
Signature
Date
Signature
Date
PLEASE RETURN TO:
Advancement Office
Greenville College
315 East College Avenue
Greenville, IL 62246
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Parent category: Letters