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Personal Illustration Request Form

It takes time and effort to create an effective plan for the future. We'd like to help you by creating a personal profile of the gift type that might best suit your needs and goals. In the meantime, feel free to contact us with any questions.

I'm not sure which gift plan works best for me. Please contact me.

I want to explore gifts that provide income to me and/or my beneficiaries. Specifically, I am interested in the following gift plans:

Charitable Gift Annuity
Deferred Gift Annuity
Pooled Income Fund

Charitable Remainder Unitrust
Charitable Remainder Annuity Trust

I want to explore:

How to make a Bequest.
Ways to give Real Estate.
Making a gift of Retirement Plan Assets.
Passing assets to my heirs while minimizing my tax exposure (Charitable Lead Trusts)
Making a gift with Life Insurance.
Gifts of Partnership Interests or Closely-Held Stock.

Amount to illustrate ($)

or please specify $

Type of asset:

Estimated original cost of asset

Dates of birth of income beneficiaries (if applicable):

Beneficiary #1's date of birth

(4 digit year please; e.g. 1977)

Beneficiary #2's date of birth

(4 digit year please; e.g. 1977)


First Name *

Last Name *

Address *
Apt or Suite
City *
State *
Zip *
Daytime Phone Number *
(with Area Code)


E-mail Address *

* Indicates a required fields



Nyack College
1 South Blvd.
Nyack,NY 10960
(845) 675-4428 | Fax: (845) 727-4127

2008 Nyack College and Alliance Theological Seminary. Click here for technical assistance.
1 South Boulevard Nyack, NY 10960 | 845.358.1710
335 Broadway/93 Worth St. 10th Floor New York, NY 10013 | 212.625.0500