Gift Intention Form

Brent's Place: Gift Intention Form

Name (Required)

Additional Name (Optional)

Email (Required)

Phone Number (Optional)

I/we have made a provision to leave a legacy to Brent's Place through my/our:

Will

Trust

Life Insurance

Retirement Plan Assets

Charitable Gift Annuity

Other

If you selected "Other" or would like to share the value of your gift, please contact Annie Tutt at 720-343-2828 or atutt@brentsplace.org.

Please use my gift for the following purpose(s):

Brent's Place's greatest need (unrestricted)

Brent's Place's general endowment

Specific purpose or fund (Contact Annie Tutt at 720-343-2828 or atutt@brentsplace.org for details.)

Recognition (please check one):

Please include my (and, if applicable, my spouse's) name in The Brent's Place Legacy Society listings. Neither amount nor designation, if provided, will be included on the listing.

Please list me/us as follows:

Please list me / us as follows:

I am honored to be included in The Brent's Place Legacy Society; however, I prefer to remain anonymous. Please do not include my/our name in The Brent's Place Legacy Society listings.

By signing this member profile, I reaffirm my commitment to Brent's Place. However, this letter shall not be binding upon my estate, and the information contained herein shall be used for Brent's Place purposes only.

Digital Signature

Digital Signature (Required)

Date Signed (Required)

Leave this field blank.

11980 E 16th Ave.
Aurora, CO 80010

info@brentsplace.org
P: 720-343-2800

Office Hours:
Monday - Friday: 9:00 a.m. to 5:00 p.m.
Brent's Place is closed on weekends and major holidays.

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Disclaimers

Information contained herein was accurate at the time of posting. The information on this website is not intended as legal or tax advice. For such advice, please consult an attorney or tax advisor. Figures cited in any examples are for illustrative purposes only. References to tax rates include federal taxes only and are subject to change. State law may further impact your individual results. California residents: Annuities are subject to regulation by the State of California. Payments under such agreements, however, are not protected or otherwise guaranteed by any government agency or the California Life and Health Insurance Guarantee Association. Oklahoma residents: A charitable gift annuity is not regulated by the Oklahoma Insurance Department and is not protected by a guaranty association affiliated with the Oklahoma Insurance Department. South Dakota residents: Charitable gift annuities are not regulated by and are not under the jurisdiction of the South Dakota Division of Insurance.

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Brent's Place is a 501(c)3 nonprofit organization. If you give cumulatively more than $250 per year, you may be eligible for a state income tax credit through the Colorado Child Care Contribution Credit. EIN #: 84-1387528

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