Sample Language for Change of Life Insurance Beneficiary Designation (For use on your life insurance beneficiary form) I hereby name the Board of Regents of The University of Texas System as the beneficiary of my ____(name of insurance company)____ Policy # _________ with a face value of $________.) I designate that upon my death the proceeds will be distributed to the Board of Regents of The University of Texas System for the benefit of The University of Texas at Austin. This gift shall be for the further benefit of the _____[college, school, unit]______. Funds distributed from this life insurance policy shall be used to provide _____[purpose]________. (If this gift is for the creation of an endowment, then the terms of the endowment should be set forth in a separate letter of instructions, to be referenced by the beneficiary designation form.) Additional information for designation form: Tax Identification Number for The University of Texas System: 74-6000203 Mailing Address: The University of Texas Office of Gift Planning P.O. Box 7458 Austin TX 78713 Phone: 512-475-9671 or 866-4UTEXAS (866-488-3927)
As with any decision involving your assets, we urge you to seek the advice of your professional counsel when considering a gift to The University of Texas at Austin.