Charitable Gift Annuity Inquiry Form | International Planned Parenthood Federation, Western Hemisphere Region

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The information you provide does not obligate you in any way to contribute to create a gift annuity. It will simply allow IPPF/WHR to prepare a customized annuity illustration for you. The illustration will show the amount of annuity payments you would recieve and the tax benefits available to you.

* required information

Charitable Gift Annuity Inquiry Form
First Annuitant
IPPF/WHR does not provide financial, tax or legal advice. Always consult your own advisor(s)when considering a planned gift.
I am Interested in an illustration for:*	One Life Two Lives (Payments made to you and another person OR two other persons)
The illustration should be in the amount of:*	$10,000 $20,000 $50,000
The property contributed for the annuity would be:*	Cash Bonds Stocks Mutual Funds
Cost basis (Indicate the approximate cost basis if property other than cash is to be contributed):
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Birth Date:*	(mm/dd/yyyy)

Minimum age is 50.

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