Bequest Intention Form

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Bequest Intention Form

Thank you for considering the LWC in your bequest. If you choose to complete this form, please do so and return to the Luckiamute Watershed Council, 165 D St., Independence, OR 97351, or email a scanned copy to [email protected].

As a strong supporter of the Luckiamute Watershed Council, I am/we are pleased to pledge and document this planned gift.

* Indicates required field

Name(s) of Individual(s) or Estate making this bequest: *

The current estimated value of this bequest (optional): *

Please check all that apply: *

The gift is a fixed dollar amount specified in my will or estate plan. The gift is a percentage of the rest, residue, or remainder of my estate. The gift is some or a portion of my remaining retirement assets at the time my estate is settled.

This gift is: *

Unrestricted to the LWC. Restricted to (please fill in the space below).

*Note that the project, program or activity listed below must be consistent with our mission and priorities. *

Acknowledgement Instructions: *

Please recognize me annually as ______ (include acknowledgement preference in space below).

Acknowledgement name: *

Tribute Instructions: *

Please show this gift as made in honor/memory of _________ (include name in space below).

Tribute Name: *

Anonymous? *

Please consider this gift anonymous.

Please sign by filling in your name and date below, and thank you for remembering the LWC in your planned giving!

Name *

First

Last

Date *

Submit

​Bequest Intention Form

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Bequest Intention Form