Please choose one: 

•	I/We have already included a legacy gift for the Jewish 
community in my/our estate plan. 
OR
•	I/We will leave a legacy gift and will formalize my/our gift within _______ months
Donor Name(s): ____________________________________________________________________________________________________________
DOB (s): ______________________________________________
Address: ____________________________________________________________________________________________________________
Email: ________________________________________________
Phone: _______________________________________________
The following community partner organizations have 
been/will be included in my/our legacy plans: 

•	Alfred & Adele Davis Academy
•	Atlanta Jewish Academy
•	Atlanta Jewish Film Festival*
•	Congregation Bet Haverim
•	Congregation B’nai Torah
•	Congregation Or Hadash*
•	Congregation Shearith Israel 
•	Epstein School
•	Jewish Family & Career Services
•	Jewish Federation of Greater Atlanta
•	Jewish Home Life
•	Jewish Interest Free Loan Atlanta*
•	Jewish Women’s Fund of Atlanta
•	Marcus Jewish Community Center of Atlanta*
•	Ramah Darom*
•	Temple Emanu-El
•	The Breman Museum*
•	Torah Day School of Atlanta
•	Other _________________________________
* Auditing Partners

THE PROMISE
It is with deep satisfaction and an abiding commitment to my/our community that I/we sign this declaration to provide for future generations and assure continuity of services and programs in our Jewish Community.

DECLARATION OF INTENT

Please complete and return this form to:

Rachel Rosner
Rrosner@jewishatlanta.org
LIFE & LEGACY Program
Atlanta Jewish Foundation
1440 Spring St. NW
Atlanta, GA., 30309
•	I/We give permission to include my/our name(s) to be listed with other LIFE & LEGACY donors to inspire and encourage others. It should appear as follows: ____________________________________________________________
•	I/We prefer to remain anonymous at this time.
Donor Signature: ____________________________________________________	Date: _____________________

Donor Signature: ____________________________________________________	Date: _____________________
This declaration of intent is not a legal obligation and may be changed at donor's discretion.
My/our gift to the Jewish community will be completed through a: 
•	Bequest/Will 
•	Retirement Plan Assets: (IRA/401k/403(b)/Pension)
•	Gift of Life Insurance 
•	Assets: (Real Estate, Business Interest, Stocks)
•	Donor Advised Fund
•	Other, Cash (please specify) ______________________ 
Optional: The approximate value of my/our promise will $_____%_____