Hallie Hill Legacy Society Bequest Intention Form This form is non-binding and does not constitute a legal promise of any future donation to Hallie Hill Animal Sanctuary. We understand that bequests are revocable, and your estate plans may change at any time. In order to support the mission of Hallie Hill Animal Sanctuary, I have included Hallie Hill as a beneficiary of my estate plan. Please check all that apply: Will or Living TrustRetirement Account(s)Life Insurance Policy(ies)Financial or Investment Account(s)Charitable TrustI have named Hallie Hill Animal Sanctuary as a secondary (or contingent) beneficiary to receive a gift in the event of the prior death of a partner, family member or friend.Other, please describe: My Gift is stated as: A specific dollar amount: $ A percentage gift: % A specific bequest (i.e. coins, a home, etc.) I would like for Hallie Hill Animal Sanctuary to list me as a member of the HHAS Legacy Society: AgreeDisagree I would like for Hallie Hill Animal Sanctuary to recognize my gift publicly after my death: AgreeDisagree Name: Address: City: State: Zip: Email: Phone: By checking this box and typing my name below, I am electronically signing the form. Signature: Date: If appropriate, please email or mail a copy of the relevant provision of the will, trust or beneficiary designation form. If you make changes, please notify Hallie Hill Animal Sanctuary of such change. If you have any questions, please call or email us at info [at] halliehill.com 81246