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228 West Lexington Street Baltimore MD 21201-3443 crs. org / crsespanol.org 800. 235. 2772 APPLICATION FOR CRS Charitable Gift Annuity I WE hereby apply for a CRS Charitable Gift Annuity and give irrevocably the amount of or the securities listed on the reverse side for that purpose. Complete this section for a One-Life gift annuity agreement Name Address City State ZIP Date of Birth Social Security No. Proof of age required Phone Email I would like to receive annuity payments Annually...
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