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  Home >> MRMC >> McLeod Foundation >> Planned Giving  
  McLeod Foundation Planned Giving

 
  Information Request Form  
 
  • There is no obligation on your part in requesting information or a personal analysis of your financial circumstances. Any information provided by you will be maintained in the strictest of confidences and any response by us is for your informational purposes only.

    If you would prefer to mail or fax this information to us, please use our printable form.

    Your Name:
    Your Title:
    E-Mail Address:

         (We must have this to respond to you by e-mail)
    Phone Number:
    Work Phone:
    Mailing Address: img
    Information Request

    Please send me information regarding:

    Cash Gift
    Appreciated Securities
    Bequests
    Real Estate
    Gifts of Life Insurance
    Gifts of Retirement Assets
    Charitable Remainder Trusts
    Charitable Gift Annuities
    Bargain Sales
    Retained Life Estate (definition)
    Charitable Lead Trusts

    Are you considering a gift currently?


    Yes
    No
    Uncertain

    Would you like to inform us of a bequest or other gift?


    Yes, I have made a bequest or other planned gift and would be pleased to have my name included as a donor.
    Yes, I have made a bequest or other planned gift but right now I would prefer to remain anonymous.

    Additional Comments or Requests
    Add to
    Mailing List
    Yes - please mail to above postal address.
    Yes - please e-mail me as above.
    No thank you.

     

    Calculation Request.

    TOP OF FORM

    With the following information, we will provide you with a calculation of your benefits using a Charitable Gift Annuity. There are other gift options that might be better suited for your individual financial circumstances which we will be glad to discuss with you. This is entirely confidential and the information you provide will be held in the strictest confidence.

    Age:

    If this annuity is to last for the lifetime of another person in addition to yourself, please enter that other person's age:

    The dollar amount of the annuity you wish to establish:

    If you wish to fund the annuity with appreciated assets, such as stocks, please indicate the original cost or basis of the assets (please disregard if the funding is to be with cash):

    Our calculation will make assumptions as to the payout rate and the actual date of the gift. These assumptions are simply to give you a general idea of the income and tax benefits such a gift will provide you. There are other variables that may affect the actual benefits. This calculation is just a general idea of the benefits based on the current information and market conditions available at this time.

    If you wish, you may set up the annuity now but defer the income to a future date. If so, please indicate the age (both ages if for two persons) at which you would like to start receiving annuity payments.
    Your age at payment start:
    Second person's start age:

    TOP OF FORM

 

Please note that we use pop-up windows for some of our links. If you have pop-ups blocked, holding down the CTRL key (or sometimes the SHIFT key) while clicking on these links will often allow the pages to open without having to disable pop-up blocking on your computer.

Please note, individual financial circumstances will vary. The information on this site does not constitute legal or tax advice. Donor stories and photographs are for purposes of illustration only. As with all tax and estate planning, please consult your attorney or estate specialist. You may also contact a member of the Professional Advisory Council. All material is copyrighted and is for viewing purposes only. Use of this site signifies your agreement with the terms of use. The content in this Planned Giving section has been developed for McLeod Health Foundation by Future Focus. Please report any problems to webmaster. Revised: January 31, 2008 9:44.

The information on this site is intended to increase your awareness and understanding of specific health issues and services at McLeod Health.
It should not be used for diagnosis or as a substitute for health care by your physician. To report technical issues, please contact us.
©2007-2008 McLeod Health. HIPAA Notice of Privacy Practices | Patient Bill of Rights