Section 4.71 Charitable Beneficiaries

LibraryEstate Admin 2014 Forms

Information List—Charitable Beneficiaries

Estate of ______________________________________________________________________

Please furnish information on items circled (type or print for maximum legibility).

Legal name of institution: ________________________________________________________

Street address: _________________________________________________________________

City, State, Zip code: ____________________________________________________________

(Note: If you move, please notify us of the new...

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