Part 2 – Family and Other Relevant Persons; Property Disposition
A. Children and Grandchildren (living and deceased). If a child is adopted, indicate this and include the date and court of the adoption order (please bring a copy). Give the date of death for any deceased person, and identify the deceased parent of any orphaned grandchild.
Special Needs
Do any of your children or grandchildren have “special needs”? Please explain (health and other matters, including a beneficiary's financial situation, and any public benefits received).
B. Extended Family and Other Beneficiaries
Consider to whom and how you want your property distributed on your death: family, friends and charities. We'll discuss this at our first conference.
If your first-choice beneficiaries do not survive you (or the trust ends before they survive), to whom should property go? Consider remote relatives, in-laws and charity.
Do you wish any gift to be left in trust? If yes, describe (e.g. should the beneficiary receive all income each year, or should the trustee have discretion?).
Parents, siblings, nieces, nephews, grandparents or others to whom you will leave assets (indicate if you financially support them)
Part 4 – Assets and Liabilities
A. Income (Monthly Summary)
B. Budget (Monthly Expenses)
C. Cash, CDs and Bank Balances (approximate, as of today)
D. Securities (bonds, marketable securities, etc.)
E. IRA, Keogh, 401(k) and/or Other Retirement Plans
Please bring plan documents and beneficiary designations if possible.
F. Other Employee Benefits (vested profit sharing / pension, stock options)
Client #1 employer name & address
Client #2 employer name & address
G. Life and Accident Insurance & Annuities
H. Real Estate
Please bring a copy of the deed(s) and most recent property tax bill.
Gross rental income ($)
Real estate taxes ($)
Average annual maintenance ($)
Lease costs ($)
Annual net income ($)
I. Money Owed to You
J. Personal Property of Particular Value
K. Business Interests
List each business, other owners and their relationship to you, entity type, your percentage and estimated value, and any buy-sell agreement. Please bring the last five years' financial statements.
L. Rights or Interests in Trusts, Estates, or Prospective Inheritance
Name of the source, nature and value of the interest, including powers of appointment.
Client #1
Client #2
M. Miscellaneous
Other property rights (oil/mineral rights, licenses/franchises, copyrights/royalties/patents, frequent flyer miles, memberships, contracts)
N. Liabilities
Debts, contractual and leasehold obligations, pending lawsuits and claims.
O. Safe Deposit Box
Box number and location, if applicable