Requests

I am pleased to advise Payne Theological Seminary of my intent to make an estate gift through provisions in my will, revocable trust or other transfer upon my death. This bequest is established between

Name*

and Payne Theological Seminary. In recognition of my strong belief and confidence in the mission of the Seminary, I am committed to making a gift to express my gratitude and to serve as an example to other potential donors.

Bequest

I have provided for a bequest to Payne Theological Seminary

Request Amount*

Included in Estate Plans to Payne Theol

I have included provisions in my estate plans to Payne Theological Seminary

Percentage of Estate Directed to Payne Theological Seminary*

The approximate current value of this bequest provision*

Other Provisions

I have made other provisions for Payne Theological Seminary in my estate plans

Other Provisions*

The estimated value of other provisions*

Funds Designations

In keeping with my wishes, I ask Payne Theological Seminary to direct the funds from my bequest to the following designation or purpose:

Designation

The members of the Payne Theological Seminary family deeply appreciate bequests and other legacy gifts to the university. All estate commitments will be gratefully received and recognized at the time of notification. In addition to donor recognition, an estate commitment will be included in the university's annual fundraising total.

Acknowledgement

Payne Theological Seminary would also like to acknowledge your gift in publications, social media or other forms of media produced by the Seminary. Yet, we respect your decision if you choose to be anonymous. Thus, we ask for you to select the accordingly below:

In publications and donor listings, I wish my name to appear as follows:

Publication and Donor Listing Display

Name listed above
I would like my name to be different than listed
I prefer to be anonymous regarding my bequest gift.

Preferred Donor Name*

Authorization

Donor's Signature*

Additional Donor's Signature

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Date Signed*

Email*

Please include your email address to receive a copy of this submission.

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