The HIAS Foundation Planned Giving :: Request a Calculation

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href="https://hiasfoundation.giftplans.org/index.php?cID=1">Welcome to Gift Planning</a> <font class="breadcrumb_carat">></font> Request a Calculation </div> <script> $(document).ready(function(){ document.getElementById("submitButton").disabled = true; }) function enableBtn(){ document.getElementById("submitButton").disabled = false; } </script> <SCRIPT LANGUAGE="JavaScript">     </script> <h1>Request a Calculation </h1> <form name='form' method="post" action="index.php?cID=139"> <input name="sender" value="noreply@hiasfoundation.giftplans.org" type="hidden" /> <input name="recipient" value="jonathan.boiskin@hiasfoundation.org,brieana.taylor@hiasfoundation.org" type="hidden" /> <input name="subject" value="the HIAS Foundation Planned Giving Custom Calculation Request" type="hidden" /> <p><strong>1. Select the type of gift(s) in which you are interested:</strong></p> <table border="0" cellpadding="0" cellspacing="2"> <tbody> <tr> <td valign="top" width="20"><p><input name="outright" type="checkbox" value="Outright - " class="request_buttons" id="outright"/></p></td> <td valign="top"><p><label for="outright"><a href="give-assets-cash-diagram.php">Outright</a></label></p></td> </tr> <tr> <td valign="top"><p><input name="bequest" type="checkbox" value="Bequest - " class="request_buttons" id="bequest" /></p></td> <td valign="top"><p><label for="bequest"><a href="give-will-diagram.php">Bequest (gift by will)</a></label></p></td> </tr> <tr> <td valign="top"><p><input name="cga" type="checkbox" value="Charitable Gift Annuity - " class="request_buttons" id="cga"/></p></td> <td valign="top"><p><label for="cga"><a href="give-income-cga-diagram.php">Charitable gift annuity</a></label><br /> Support <script type="text/javascript">document.write(orgName);</script> and receive a fixed income for life.</p></td> </tr> <tr> <td valign="top"><p><input name="dcga" type="checkbox" value="Deferred Charitable Gift Annuity - " class="request_buttons" id="dcga" /></p></td> <td valign="top"><p><label for="dcga"><a href="give-income-deferred-diagram.php">Deferred charitable gift annuity</a></label><br /> Support <script type="text/javascript">document.write(orgName);</script> and receive a deferred-income stream.</p></td> </tr> <tr> <td valign="top"><p><input name="crut" type="checkbox" value="Charitable Remainder Unitrust - " class="request_buttons" id="cru"/></p></td> <td valign="top"><p><label for="cru"><a href="give-income-unitrust-diagram.php">Charitable remainder unitrust</a></label><br /> Support <script type="text/javascript">document.write(orgName);</script> and receive a variable-income stream.</p></td> </tr> <tr> <td valign="top"><p><input name="crat" type="checkbox" value="Charitable Remainder Annuity Trust - " class="request_buttons" id="crat" /></p></td> <td valign="top"><p><label for="crat"><a href="give-income-annuity-diagram.php">Charitable remainder annuity trust</a></label><br /> Support <script type="text/javascript">document.write(orgName);</script> and receive a fixed-income stream.</p></td> </tr> <tr> <td valign="top"><p><input name="grantor" type="checkbox" value="Grantor Lead Trust - " class="request_buttons" id="grantor"/></p></td> <td valign="top"><p><label for="grantor"><a href="give-clt-grantor-diagram.php">Grantor Lead Trust</a></label></p></td> </tr> <tr> <td valign="top"><p><input name="nongrantor" type="checkbox" value="Nongrantor Lead Trust" class="request_buttons" id="nongrantor"/></p></td> <td valign="top"><p><label for="nongrantor"><a href="give-clt-nongrantor-diagram.php">Nongrantor Lead Trust</a></label></p></td> </tr> </tbody> </table> <p><strong>2. Select the type of asset(s) with which you are considering funding the gift:</strong></p> <table border="0" cellpadding="0" cellspacing="2"> <tbody> <tr> <td valign="top" width="20"><p><input type="checkbox" value="Cash - " name="fund_cash" class="request_buttons" id="cash"/></p></td> <td valign="top"><p><label for="cash">Cash</label></p></td> </tr> <tr> <td valign="top"><p><input type="checkbox" value="Securities (stocks, bonds, mutual fund shares) - " name="fund_securities" class="request_buttons" id="securities" /></p></td> <td valign="top"><p> <label for="securities">Securities (stocks, bonds, mutual fund shares)</label> </p></td> </tr> <tr> <td valign="top"><p><input type="checkbox" value="Real estate - " name="fund_realestate" class="request_buttons" id="realestate" /></p></td> <td valign="top"><p><label for="realestate">Real estate</label></p></td> </tr> <tr> <td valign="top"><p><input type="checkbox" value="Other" name="fund_other" class="request_buttons" id="other" /></p></td> <td valign="top"><p><label for="other">Other (please specify)</label></p></td> </tr> <tr> <td></td> <td><p><textarea name="fund_other_text" rows="3" cols="45" title="Other Funds Description" style="width:100%;"></textarea></p></td> </tr> </tbody> </table> <p><strong>3. Gift amount and cost basis:</strong></p> <table border="0" cellpadding="0" cellspacing="2"> <tbody> <tr> <td><p><label for="gift_amount">Enter the dollar amount of the gift you are considering:</label></p></td> </tr> <tr> <td><p><input value="$ 0.00" name="gift_amount" id="gift_amount" type="text"/></p></td> </tr> <tr> <td><p> <label for="cost_basis">Enter the <a href="glossary.php#costbasis"target="popup" onClick="wopen('glossary.php#costbasis','popup',640,480);return false"> cost basis</a> of the asset (if other than cash) you are considering funding the gift with:</label> </p></td> </tr> <tr> <td><p> <input value="$ 0.00" name="cost_basis" id="cost_basis" type="text"/> </p></td> </tr> </tbody> </table> <p><strong>4. Age(s) or birth date(s):</strong></p> <table border="0" cellpadding="0" cellspacing="2"> <tbody> <tr> <td colspan="2"><table border="0" cellpadding="0" cellspacing="2"> <tbody> <tr> <td colspan="2"><p>Enter the age or birth date for each beneficiary</p></td> </tr> <tr> <td colspan="2"><p><label for="bene1">Beneficiary 1:</label></p></td> </tr> <tr> <td colspan="2"><p><input name="bene1" id="bene1" type="text"/></p></td> </tr> <tr> <td valign="top" width="20"><p><input type="checkbox" value="Yes" name="bene1_spouse" id="bene1_spouse" /></p></td> <td valign="top"><p><label for="bene1_spouse">Beneficiary is someone other than me or my spouse.</label> </p></td> </tr> <tr> <td colspan="2"><p><label for="bene2">Beneficiary 2:</label></p></td> </tr> <tr> <td colspan="2"><p><input name="bene2" id="bene2" type="text"/></p></td> </tr> <tr> <td valign="top" width="20"><p><input type="checkbox" value="Yes" name="bene2_spouse" id="bene2_spouse" /></p></td> <td valign="top"><p><label for="bene2_spouse">Beneficiary is someone other than me or my spouse.</label></p></td> </tr> </tbody> </table> </td> </tr> </tbody> </table> <p><strong>5. Your information:</strong></p> <table border="0" cellpadding="0" cellspacing="2" style="width:100%; max-width:500px;" class="contact-form"> <tbody> <tr> <td width="160"><span style="color: #e31c3d;">*</span> <label for="realname">Name:</label></td> <td><input size="24" name="realname" id="realname" type="text" style="width:100%;" /></td> </tr> <tr> <td>   <label for="occupation">Occupation:</label></td> <td><input size="24" name="occupation" id="occupation" type="text" style="width:100%;" /></td> </tr> <tr> <td>   <label for="address">Address:</label></td> <td><input size="24" name="address" id="address" type="text" style="width:100%;" /></td> </tr> <tr> <td>   <label for="city">City:</label></td> <td><input size="24" name="city" id="city" type="text" style="width:100%;" /></td> </tr> <tr> <td>   <label for="state">State/Province:</label></td> <td><input size="24" name="state" id="state" type="text" style="width:100%;" /></td> </tr> <tr> <td>   <label for="zip">Postal Code:</label></td> <td><input size="24" name="zip" id="zip" type="text" style="width:100%;" /></td> </tr> <tr> <td>   <label for="country">Country:</label></td> <td><input size="24" name="country" id="country" type="text" style="width:100%;" /> <tr> <td>   <label for="phone">Phone:</label></td> <td><input size="24" name="phone" id="phone" type="text" style="width:100%;" /></td> </tr> <tr> <td><span style="color: #e31c3d;">*</span> <label for="email">E-mail:</label></td> <td><input size="24" name="email" id="email" type="text" style="width:100%;"/></td> </tr> </td> </tr> </tbody> </table> <table border="0" cellpadding="0" cellspacing="2" style="width:100%; max-width:500px;"> <tbody> <tr> <tr> <td colspan="2"> <p><br /> <label for="comments">Questions or Comments:</label><br /> <textarea name="comments" rows="6" cols="45" id="comments" style="width:100%;"></textarea> </p> <p> <div id="reaptcha" class="g-recaptcha" data-sitekey="6LeYxiEpAAAAANlPLlhLw4oohmjZClLPI1vLAgnq" data-callback="enableBtn"></div><br> <input id="submitButton" type='button' value="Submit" onclick="verify();" title=""> <input type='reset' value="Clear Form"> </p> <p style="color: #e31c3d;">*All fields marked with the asterisk symbol (*) are required.</p></td> </tr> </tbody> </table> <input type="text" name="hp_homepage" id="pentera_hpc" title="Honeypot"/> </FORM> <p class="pentback"><a href="javascript:history.go(-1);">Back</a></p> <p class="pentcopy">© Pentera, Inc. 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