Fill and Sign the Restricted Endowment to Educational Religious or Charitable Institution Form

Restricted Endowment to Educational, Religious, or Charitable Institution Whereas, the undersigned ________________________ of ________________________________________________ (street address, city, state, zip code) desires and intends to make a gift of a certain part of my property to ________________________________________________ (name of educational, religious, or charitable institution), (if appropriate, add: a nonprofit corporation organized under the laws of the state of ____________), hereinafter sometimes referred to as Entity;Now, therefore, I hereby now give, transfer, and deliver to ________________________ (name of educational, religious, or charitable institution) the sum of $________________________, together with property described as follows: _____________________________________________________________________________ _____________________________________________________________________________ (description of any additional property given).Said money and property is to be invested, sold, or reinvested, alone or in combination with other funds of ________________________________________________ (name of educational, religious, or charitable institution) by the said Entity as it sees fit. Income from this sum is to be used exclusively for ________________________________________________ (specify restricted purpose, such as: scholarships for needy students). In the event that the income from this fund shall be insufficient to ________________________________________________ (e.g., provide at least 5 scholarships to 5 students in the amount of $1,000.00 each), said Entity may expend such portions of the principal of the fund as it deems appropriate or combine the income with other funds held by it for the same purpose.The undersigned Donor s personal check made out to the order of ________________________ (name of educational, religious, or charitable institution), in the sum of $________________________, is enclosed in payment of the cash portion of this gift. The balance of the gift, consisting of the above-mentioned property, will be delivered ________________________ (specify manner of delivery) on ____________________ (date).Witness my signature as of this the Day of , 20 .________________________________Donor