Declaration of Intent

In keeping with Jewish tradition, I/we wish to share my/our blessings with others. I/we believe in
the value of Congregation Kol Ami serving s as the cornerstone of Jewish living, learning and
celebrating in Southwest Washington. Therefore, I/we make this Declaration of Intent to help
provide for the Congregation Kol Ami of tomorrow by donating current or deferred gifts to the
Endowment.

DECLARATION OF INTENT

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
I/we intend to create a legacy to support Congregation Kol Ami through a gift to the endowment for the General fund through (please check all that apply):
- Bequest in my/our will
- Beneficiary of IRS or another retirement plan
- Gift of real estate/securities/other property
- Life insurance policy assigned beneficiary
- Charitable Remainder Trust
- Donor advised fund
- Direct donation. Into the Endowment (can be a pledge with extended payments)
- I/We are interested in a Lifetime income Annuity that benefits both ourselves and Kol Ami,
I/we will formalize my/our gift within ____ months of signing this Declaration.
I/we will formalize my/our gift within ____ months of signing this Declaration.
Please enter a number from 1 to 12.
Signed By
Date
MM slash DD slash YYYY