Legacy Gift Intention

I/We have included Nativity Lutheran Church in my/our will or estate plan.

This document is not legally binding, and I/we reserve the right to alter this intention at any time.

Name *

First

Last

Name (if second name is applicable)

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

This phone is a _____ number. *

Home
Cell
Work

Second Phone (if applicable)

This second phone is a _____ number.

Home
Cell
Work

Email

Second Email (if applicable)

I/we have planned to leave a gift for Nativity Lutheran Church. It is my/our intent to leave a legacy gift through this/these means. (Please circle all that apply): *

If you selected "Other" to the previous question about the source of your legacy gift, please explain here.

For the next three questions, please fill in whichever are most applicable to your bequest.

My/Our bequest is in the specific amount of:

My/Our bequest is a percentage of my/our estate. That percentage is:

Currently, this bequest may result in a gift roughly in the amount of:

My/our bequest depends on a contingency, such as the prior death of a spouse, partner, or child. We are willing to provide the relevant pages of my/our will, trust, or beneficiary designated forms.

Please use this space to share more details about this gift if you wish.

Signature *

Date *

Signature (if second signature is applicable)

Date (if second signature date is applicable)

Thank you for your legacy gift. We are pleased to include you as a member of the Legacy Circle.

Would you like to be included as a member of Nativity's Legacy Circle?

Yes, please include me in updates and invitations for the Legacy Circle.
No, I prefer to remain anonymous.

If you have questions about your plan to give, please reach out to Beth Schuman at 612-781-2766, ext. 1006.

Legacy Gift Intention Form