Fillable Printable Sample Form of Letter of Intent
Fillable Printable Sample Form of Letter of Intent
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
THE SOURCE FOR INDEPENDENT LIVING
Letter of Intent
Page 2
Please send your letter of intent to:
Selfhelp Community Services, Inc.
Development Department
520 Eighth Avenue, 5
th
Floor
New York, NY 10018
Ph: 212.971.7621
Fax: 212.971.7602
Thank you for your support.
