Sample Form of Letter of Intent

THE SOURCE FOR INDEPENDENT LIVING
Letter of Intent
I (We) want to help ensure the continuity of Selfhelp Community Services, Inc. and encourage the
development of new programs of care.
Therefore:
I (We) have made a provision
I (We) will make a provision to support Selfhelp Community Services, Inc.
By:
making a bequest or endowment provision in my (our) will
naming Selfhelp Community Services, Inc. as a beneficiary of
a life insurance policy
creating a charitable trust naming Selfhelp Community Services, Inc.
as beneficiary
naming Selfhelp Community Services, Inc. as a beneficiary of an IRA or
pension plan account
establishing a Charitable Gift Annuity
directing the Trustees or Directors of my (our) foundation to continue beyond
my (our) lifetime an annual gift to Selfhelp Community Services, Inc.
This letter of intent represents my (our) commitment to the work of Selfhelp Community Services, Inc.
It does not constitute a legal obligation and may be altered by me (us) at any time.
Name:
Address:
Signature:
Date:
Name:
Address:
Signature:
Date:
You may mention and/or print my (our) name where it may serve as an encouragement to others to make
a similar commitment. If yes, please initial here
Page 1/2
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