Legacy Gift Bequest Form With a simple gift that costs nothing during your lifetime, you can make a lasting impact for the animals. Every gift is important to them and shows that you share our vision. When you remember Yavapai Humane Society in your will, you leave a legacy to your values as you help continue our work far into the future.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Thank you for thinking of and providing for the Animals! *Yes, you may publicize my/our name as members of the YHS Legacy of Love Society with the hope that I/we may inspire others to give.No, I/We prefer to be anonymous Legacy of Love Society member(s).In recognition of your intention, it is our great pleasure to induct you as a member of the Yavapai Humane Society (YHS) Legacy of Love and your name(s) will be listed on our donor wall at the YHS Main Campus (unless you request no listing). This select group is comprised of those dedicated individuals having made a thoughtful and generous planned gift to support YHS's mission to promote and protect the health, safety and welfare of companion animals.If you chose to be listed in YHS's Legacy of Love Donor Wall and/or publications, how would you like your name(s) to be shown? *Statement of Testamentary Provision *YesNoTo properly reference YHS in your planning documents, the legal name of our organization is Yavapai Humane Society. We are a 501(c)3 Arizona nonprofit organization, our federal tax ID number is 86-0327745, our legal address is 1625 Sundog Ranch Road, Prescott, AZ 86301. Please use this form to share specifics of your bequest intention for the benefit of Yavapai Humane Society. It is for informational and planning purposes only. Your estate is not (and will not be) legally bound by submitting this statement but remains revocable and can be modified at any time. I would like more information on this topic:Name *FirstLastAddress *Phone *Email *As evidence of my/our desire to provide a legacy of support for the benefit of Yavapai Humane Society, I/we wish to inform YHS that you have been named in our estate plans. As of this date, the approximate value of my/our gift in dollars is: *If your gift is a percentage of your estate, please indicate the approximate present value of that percentage: *I wish to leave YHS the following type of Bequest. Please check the appropriate box. *Outright Bequest - When you leave a specified dollar amount, personal property, life insurance etc. to YHS.Residual Bequest - A residual bequest enables you to leave what remains in your estate, or a portion of what remains, after all outright bequests, expenses of death, debts and taxes have been paid.I/We designate this gift to be used for *Unrestricted Support (where the need is greatest)The following Department or ProgramIf you selected to designate your gift to a specific Department or Program, please write in your choice(s) belowCharitable Bequest Intention *WillRevocable TrustLife InsuranceOtherAll of the aboveIf you selected Other above, please indicate what that isExecution date of the will/trustAttorney of Record's Name *FirstLastAttorney of Record's Address *Executor of Estate's Name *FirstLastRelationship to youExecutor of Estate's Address *Continuing Care for your Pet(s) *YesNoAs an exclusive benefit of membership in the Legacy of Love Society, please indicate your interest in placing your beloved pet(s) in our Pet Guardianship Program. Pets enrolled in our Pet Guardianship Program are placed with new, loving families carefully selected by our team.A representative from YHS will be getting back with you. What is the best way to contact you? *PhoneEmailRegular MailI would like to come in to see someoneThank you so much for taking the time to fill this Legacy Gift form!Submit
