Ellis C. Maxcy Legacy Society

University of New Haven

Ellis C. Maxcy Legacy Society

The Ellis C. Maxcy Legacy Society was established to recognize and thank alumni and friends who have included the University of New Haven in their estate plans or made another type of legacy gift to the University.
Member Name Member Name First Middle Last
Birthdate Birthdate / MM / DD YYYY
Spouse’s Name Spouse’s Name First Middle Last
Birthdate Birthdate / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Mobile Phone Mobile Phone - ### - ### ####
Email
I/we have made the following type of legacy gift to the University of New Haven

I/we have made the following type of legacy gift to the University of New Haven A gift in my will or trust for a specified amount A gift in my will or trust for a specified percentage A remainder interest in a charitable trust Designation of the University as beneficiary of an Individual Retirement Account or another type of retirement plan Designation of the University as the beneficiary of a life insurance policy Other (please describe) Other (please describe)
My/our gift is

My/our gift is Unrestricted Intended for the following purpose(s):
If restricted, the purpose of my gift is:
The value of my gift is approximately: $ Dollars . Cents
As of this date: As of this date: / MM / DD YYYY
The University understands that this is an estimate only and that any gift ultimately distributed may be more or less than this amount.

I understand that the University will include my/our name(s) in Ellis C. Maxcy Legacy Society materials. (Neither the type of gift nor the amount will be listed.)
I prefer that my gift intention remain anonymous

I prefer that my gift intention remain anonymous Yes
Member's Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Member Name Member Name First Middle Last
Signature Date Signature Date / MM / DD YYYY
Spouse's Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Spouse’s Name Spouse’s Name First Middle Last
Signature Date Signature Date / MM / DD YYYY
The University of New Haven is a 501(c)(3) not-for-profit corporation, with federal tax ID number 06-0761704.

If you have any questions, please contact Bob Congdon, Director of Gift Planning, at 203.479.4295 or rcongdon@newhaven.edu.

Thank you for your support of the University of New Haven.

Ellis C. Maxcy Legacy Society

University of New Haven

Ellis C. Maxcy Legacy Society