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Sheridan Community Land Trust

Legacy Circle Enrollment Form

I/We have remembered the Sheridan Community Land Trust in my/our estate plans as described below and wish to join SCLT's Legacy Circle.

Name(s) *

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone *

How have you included SCLT in your estate plans? *

I/We have named Sheridan Community Land Trust as a beneficiary of a will or trust.

I/We have named Sheridan Community Land Trust as a beneficiary in one or more of the following:

Please select one or more:

IRA, pension or other retirement account (e.g. 401(k) or 403(b) plans)

Charitable Remainder Trust

Life Insurance Policy

Other (please specify)

Please specify here

Approximate value of gift (optional, helps with our planning)

Recognition options for your SCLT Legacy Circle membership:

Please list my/our name(s) as show below with the Legacy Circle member list published:

Please do NOT list my/our name(s) as I/we wish to remain anonymous.

Please recognize as:

I/We have notified the following professional advisor(s) of this gift (Please include Name, Profession, Address, Phone, Email if possible):

Name of person completing this Legacy Circle form *

First Name

Last Name

For additional information, please contact Brad Bauer at (307) 673-4702 or email Director@SheridanCLT.org. We recommend you keep a copy of this form for your own records.