Bequest Commitment Form
In consideration of the commitments and gifts of others, I certify that I have provided the following bequest
to Maryville University:
Choice 1: (Cash Bequest) the sum of Dollars
($ ).
Choice 2: (Percentage of Estate) percent ( %) of the residue of
my estate, which I estimate to have a present fair market value of
Dollars ($ ).
Choice 3: (Specific Assets) (brief description of assets), which I estimate to
have a present fair market value of Dollars ($ ) .
My commitment is made in support of the current efforts of the University to secure gifts and commitments
to allow the University to realize its full potential and achieve its mission of teaching, research, and commu-
nity service in the years ahead.
I understand that I have the option of satisfying this obligation in part or in full by making payments during
my lifetime. I will clearly designate such payments in order to distinguish them from other gifts I may make
during life.
Name
Signature Date
Date of Birth
Street Address
City/State/Zip Code
(Please attach a copy of your will or trust document describing your provision for the University. Suggested bequest
wording is available through the Institutional Advancement Office.)
10/15
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signature
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