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Planned Giving

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Specific Monetary Amount:

I hereby give and bequeath _______________________ Dollars ($__________________) to St. Petersburg Free Clinic located at 863 3rd Ave. N., St. Petersburg, Fl 33701, Tax I.D. # 23-7208280 to be used for general purposes.

Percentage of Residue of Estate:

I hereby give and bequeath ________ percent (_____%) of the rest and residue of my estate to St. Petersburg Free Clinic located at 863 3rd Ave. N., St. Petersburg, Fl 33701, Tax I.D. # 23-7208280 to be used for general purposes.

Restricted Gift: Specific Monetary Amount:

I hereby give and bequeath _____________________ Dollars ($__________________) to St. Petersburg Free Clinic located at 863 3rd Ave. N., St. Petersburg, Fl 33701, Tax I.D. # 23-7208280 to be used for [insert donor restriction].

Restricted Gift: Percentage of Residue of Estate:

I hereby give and bequeath ________ percent (_____%) of the rest and residue of my estate to St. Petersburg Free Clinic located at 863 3rd Ave. N., St. Petersburg, Fl 33701, Tax I.D. # 23-7208280 to be used for [insert donor restriction].

Gift from a Trust (Inserted in the Trust Document):

[Insert contingency (e.g., Upon the death of my spouse)], the Trustee shall distribute ________________ Dollars ($__________________) to St. Petersburg Free Clinic located at 863 3rd Ave. N., St. Petersburg, Fl 33701, Tax I.D. # 23-7208280, free and clear of trust, to be used for general purposes.

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