University at Albany
University Development
1400 Washington Avenue, UAB 226
Albany, NY 12222
Tel: (518) 437-5090
Fax: (518) 437-4957
www.ualbany.giftplans.org
LETTER OF INTENT
(NOTIFICATION OF REVOCABLE DEFERRED GIFT)
I am pleased to advise the University at Albany Foundation that I have provided for a gift
through a provision in my will, trust, retirement plan beneficiary designation, or another gift
arrangement, with a present estimated value of $_____________________________________
I direct that my gift be used for the following purpose or designation:
______________________________________________________________________________
I give permission for the University at Albany Foundation to count the value of my gift as a
revocable deferred gift in the fundraising totals for the University at Albany.
The University at Albany Foundation acknowledges that my future gift remains fully revocable
and the specifics of my gift will be treated as confidential. However, the University at Albany
Foundation may include my name with other donors publications or donor listings.
______ Yes, List Name
______ No, Do Not List Name
____________________________________________
Donor Name as you wish to be listed
____________________________________________
Donor Signature
Date
____________________________________________
Print Donor Name
____________________________________________
Birth Date (MM/DD/YYYY)
As with any decision involving your estate plans, we urge you to seek the advice of
professional counsel when considering a gift to the University at Albany Foundation.