Leave a Legacy at Transitions of PA

Including Transitions of PA in your personal legacy contributes to our financial strength and ability to effectively carry out our mission. If you have already made a provision to include Transitions in your estate plans, please consider notifying us by completing and returning this document. It is important to us to ensure that we have accurately recorded your intentions for the use of your gift and to recognize your generous support.

I/we have provided for the future of Transitions through a provision in my/our estate plans in the following way:

Transitions is in my/our will or living trust

Retirement plan beneficiary designation

Charitable gift annuity

Charitable remainder trust

Charitable lead trust

Gift of real estate or personal property

Life insurance beneficiary

While not required, you may wish to include a copy of the relevant portion of related documents with this form.

I/we would be pleased to be part of the .

Recognition name(s) for Listing: _______________________________________________________

I/we prefer to be anonymous.

I/we are not able to consider this type of support at this time but may in the future.

I/we would appreciate more information about: ____________________________________________________________

Name/s (please print): ________________________________________________________________

Address: __________________________________________________________________________

Phone: ______________________________

Email: ______________________________

Contact information—representative of my estate:

Name: ______________________________

Phone: ______________________________

Role: _______________________________

Email: ______________________________

Transitions of PA (EIN #: 23-2089699)
PO Box 170
Lewisburg, PA 17837
Work: 570-523-1134 x 107 Cell: 570-713-7273

The information you provide will remain completely confidential unless you authorize Transitions of PA to publicize your gift. Transitions understands that all bequest provisions are revocable and any intentions stated here are not binding on you or your estate.