A Gift to UT Health San Antonio
With pleasure, I document my revocable legacy gift as described below, acknowledging my desire to contribute to the advancement of UT Health San Antonio.
Please contact me to discuss the specific purpose of my future contribution and membership in the Laureate Society.
Note: UT Health San Antonio recognizes your thoughtful future support and pledges to maintain complete confidentiality. UT Health San Antonio acknowledges that all estate provisions are revocable and any intentions stated here are not binding on you or your estate.
I have made revocable gift commitments for UT Health San Antonio as follows:
Will Provision approximate value: $_____________________
Life Insurance Policy approximate value: $_____________________
IRA or other retirement plan approximate value: $_____________________
Other asset approximate value: $_____________________
Revocable trust approximate value: $_____________________
I have attached documentation from my will, retirement plan, life insurance policy, or trust.
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Signature
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Date
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Name (please print)
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Signature
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Date
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Name (please print)
Contact information – representative of my estate:
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Name
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Telephone or Email
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Role
I have attached documentation from my will, retirement plan, life insurance policy, or trust.
If your gift is for a percentage of your estate, rather than a fixed amount, UT Health San Antonio will be happy to use your good faith estimate of the current value based on this percentage. While not required, you may wish to include a copy of the relevant portion of related documents with this form.