Legacy Society Membership - Declaration of Gift Intentions

In support of Lake Ridge Academy’s bright future, I/we, ______, have made a legal estate provision as a will commitment to Lake Ridge Academy totaling $______.

Designation Preferences It is our preference that our gift be used to support the following area at Lake Ridge Academy: _____ the school’s highest priorities _____ scholarships _____ the endowment so that our gift will support the school in perpetuity _____ other (please specify your preference below so that they may be honored) ______

Recognition Preferences □ Lake Ridge Academy may recognize me/us by name as Legacy Society members along with other donors who have made future estate provisions for the school.

□ Lake Ridge Academy may not recognize me/us by name in the Legacy Society. Please consider this an anonymous gift.

□ Lake Ridge Academy may not disclose the amount of our gift.

This Letter of Intent is an expression of our present plans, is subject to revocation or modification by us, and is not legally binding on our estate or us.

______Name and birth date (indicated as XX-XX-XXXX) Date of Signature

______Name and birth date (indicated as XX-XX-XXXX) Date of Signature

Please offer your signed document to Michelle Robertson, Senior Director of Development at Lake Ridge Academy 37501 Center Ridge Road, North Ridgeville, OH, 44039 440-387-5408 (p) ~ 440-353-0324 (f)