Confidential Planned Gift Intention Plan

Founders' Planned Giving Society

Please select if you would like to be recognized as a member of the Founders' Society Required Field

Please enter the desired name(s) below as you would like it to appear in the Founders' Society roster or check the box if you wish to remain anonymous.

First Name

Last Name

Undergraduate Last:
(if different)

Birthdate

Degree Year:

If this is a joint gift with your spouse/partner:

Full name and if University alum, degree year:

Date of birth (MM/DD/YYYY):

I would like my planned gift to remain anonymous

Yes

In lieu of my signature, by checking this box below, I agree that the information provided is accurate as of this date, and since this is not a legally binding agreement, I will notify the University of Hartford's Planned Giving team if any of the information provided on this form changes in the future.

I agree

The Founders' Planned Giving Society honors all whose gifts support the University of Hartford through an estate provision. The University acknowledges that such a provision is revocable, and that you, the donor, retain the right to change the purpose of the gift and/or the amount at any time. You agree to notify the University if plans are amended in the future.

This information helps ensure your wishes are carried out, and assists the University with its long-term planning. Any estimated value you give will be held in strict confidence and in now way publicized, and though optional, an estimated dollar value will help the University to plan for the future

Planned Gift Information

The University will receive Required Field

If Other selected above, please describe:

My gift will be Required Field

An outright gift amount to the University.

A percentage of which the University has been named a residual beneficiary

Current value of gift amount:

If the University is a residual beneficiary, percentage of residual amount:

Please check yes, if Contingent Beneficiary only:

Yes

Would you like your gift to be unrestricted or be designated to a specific school, program, or fund? Required Field

Unrestricted

Support a specific school, program, or fund. (Please enter designation below)

School, program, or fund designation:

Please include additional information, including why you have made your future gift. Your response will be archived, honored, and shared in perpetuity.

Contact Information

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number: