Declaration of Intent

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Complete this online form below or print a PDF version to mail to Jewish Federation of Greater Pittsburgh, ATTN: Julia Och, 2000 Technology Drive, Pittsburgh, PA 15219. You do not need to complete both.

The Promise

It is with deep satisfaction and an abiding commitment to my/our community that I/we sign this declaration in order to provide for future generations and assure continuity of services and programs in our Jewish community.

Name(s)(Required)

Birthdate(s)

Email(Required)

Phone

I/We prefer to be contacted by:(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Commitment

Commitment(Required)

I/We have already committed to a legacy gift and it is legally documented.

Today I/we make a commitment and will legally formalize it within the next 12 months.

I would like to formalize my/our gift by the following date:

MM slash DD slash YYYY

My/Our gift to the Jewish community will be completed through:

Will or Trust

Retirement Plan Assets (IRA, 401K, Pension, etc.)

Life Insurance Policy

Cash

Gift that provides lifetime income

Gift that provides income to heirs

Other

Please specify:

The approximate value of my/our promise will be:

Please enter a dollar amount or percentage.

Dollar Amount

Percentage

Please enter a number from 0 to 100.

The following community partner organizations have been/will be included in my/our legacy plan:

Include these organizations in our legacy plans:(Required)

Beth El Congregation of the South Hills

Community Day School

Congregation Beth Shalom

Friendship Circle of Pittsburgh

Hillel Academy of Pittsburgh

Holocaust Center of Pittsburgh

Jewish Association on Aging

Jewish Cemetery & Burial Asso. of Gtr PGH

Jewish Community Center of Greater PGH

Jewish Family and Community Services

Jewish Federation of Greater Pittsburgh

Jewish Women's League of Pittsburgh (Mikvah)

Kollel Jewish Learning Center

National Council of Jewish Women

Rodef Shalom Congregation

Temple Emanuel of South Hills

Temple Ohav Shalom

Temple Sinai

The Branch

Yeshiva Schools of Pittsburgh

Other organizations to include:

Other Organization to Include in Legacy

Permission to List

Permission to List(Required)

I/We give permission to include my/our name(s) among the other LIFE & LEGACY donors to inspire and encourage others.

I/We prefer to remain anonymous at this time.

I/we would like my/our name(s) to be listed as follows:

Other Comments:

Consent(Required)

By checking this box, I agree to the terms and conditions stated above.

This declaration of intent is not a legal obligation and may be changed at donor’s discretion.

Phone

This field is for validation purposes and should be left unchanged.

Thank you to our Diamond Level Corporate Partner

Thank you to our Gold Level Corporate Partner

Registered 501(c)(3)
EIN: 25-1017602

2000 Technology Drive
Pittsburgh, PA 15219
412-681-8000
info@jewishpgh.org

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