Declaration of Intent for Legacy Gift

I intend to support Greater Des Moines Habitat for Humanity through the following type of gift:

Gift by WillGift of Property/Real EstateDesignation of Retirement Plan or IRADesignation of Life Insurance Policy Charitable TrustOther

Please explain:

Please tell us about your gift:

This gift is a percentage.This gift is a specific amount.This gift is will be a portion of the remainder.

With the understanding that values are subject to change, please provide your best estimate of the current value of the portion designated to GDM Habitat for Humanity in today's dollars.

.00

With the understanding that values are subject to change, please provide your best estimate of the current value of the portion designated to GDM Habitat for Humanity in today's dollars.

.00

With the understanding that values are subject to change, please provide your best estimate of the current value of the portion designated to GDM Habitat for Humanity in today's dollars.

.00

Is this gift in honor or memory of someone?

Please provide the name or association with this person.

I would like this gift to be designated for the following purpose:

To be used wherever it is needed most. To support work in Dallas County, IowaTo support work in Jasper County, Iowa

Gift recognition

Greater Des Moines Habitat for Humanity may publish your name(s) in our list of Legacy Circle members, including on our website, as a motivation for others to leave a future gift to benefit affordable housing and neighborhood revitalization.

How would you like your name displayed?

Examples: John Smith or John and Jane Smith

Please confirm your contact information

First Name

Last Name

Address

City

State

Zipcode

Email Address

Phone number

Date of Birth

If you would like, please share with us what influenced your decision to leave an estate gift to Greater Des Moines Habitat for Humanity.

Digital Signature

Please type your name.

Today's Date

Contact Information