<p> Legacy Society Membership - Declaration of Gift Intentions</p><p>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 $______.</p><p>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) ______</p><p>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.</p><p>□ Lake Ridge Academy may not recognize me/us by name in the Legacy Society. Please consider this an anonymous gift.</p><p>□ Lake Ridge Academy may not disclose the amount of our gift. </p><p>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. </p><p>______Name and birth date (indicated as XX-XX-XXXX) Date of Signature</p><p>______Name and birth date (indicated as XX-XX-XXXX) Date of Signature</p><p>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)</p>