570.822.2065 info@luzernefoundation.org
570.822.2065 info@luzfdn.org
DONOR INFORMATION:
LEGACY GIFT INFORMATION (Optional)
I/We have included The Luzerne Foundation in our estate plans through the following (check all that apply):
Will or Living TrustCharitable Remainder TrustCharitable Gift AnnuityBeneficiary of Retirement PlanBeneficiary of Life Insurance PolicyDonor-Advised Fund
ESTIMATED VALUE OF GIFT
PURPOSE OF GIFT
Unrestricted SupportEndowed FundSpecific Program or Area
RECOGNITION PREFERENCE
I/We give permission for The Luzerne Foundation to publicly recognize my/our membership in the Legacy Circle.I/We prefer to remain anonymous.
ADDITIONAL INFORMATION
Executor, Estate Attorney, and/or Financial Advisor Contact (optional):
Additional Person (if applicable)
COMMENTS OR SPECIAL INSTRUCTIONS
DIGITAL SIGNATURE
Check this box to confirm the information provided is correct and is to be submitted to The Luzerne Foundation.
Δ