Estate Planning Questionaire For THE REVOCABLE FAMILY TRUST
Full Name: Date of Birth: Soc. Sec. #: Spouse's Full Name: Date of Birth: Soc. Sec. #: Home Address: City: County: State: Zip: Husband: Home Phone: Work Phone: Country of Citizenship: Wife: Home Phone: Work Phone: Country of Citizenship:
Children (if any):
1)Date of Birth: Living? YesNoMarried? YesNo # of Children: 2)Date of Birth: Living? YesNoMarried? YesNo # of Children: 3)Date of Birth: Living? YesNoMarried? YesNo # of Children: 4)Date of Birth: Living? YesNoMarried? YesNo # of Children: 5)Date of Birth: Living? YesNoMarried? YesNo # of Children: 6)Date of Birth: Living? YesNoMarried? YesNo # of Children:
ASSETS
A. Income Primary source of income/Husband: Primary source of income/Wife: Average, per year, of last three years annual income/Husband (For example: stocks, bonds, other investments, accounts, alimony, child support, etc.): Average, per year, of last three years annual income/Wife (For example: stocks, bonds, other investments, accounts, alimony, child support, etc.):
Source of Annual Income
B. Real Property
1. Address: street city state zip code
Estimated Fair Amount of Outstanding: How Is PropertyMarket Value Indebtedness Held? Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
2. Address:
Estimated Fair Amount of Outstanding: How Is Property Market Value Indebtedness Held? Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
3. Address:
4. Address:
5. Address
6. Address
The first copy will be prepared for your review. There will be no charge for corrections; however, you are responsible for signing and having notarized the appropriate documents--that is why the cost of preparation is so reasonable. Be sure that you mail in photo copies of all deeds to real property and their related tax bills so that new deeds can be prepared. [No Originals Please]. Until the Trust is "funded," that is, all propety is in the name of the trust, all bank accounts are in the name of the trust, etc. [see instructions page], the trust will not protect your estate from probate.
Write in here any explanation needed as to the nature of the property or ownership rights such as whether or not property is subject to Pre or Post Nuptial Agrreement, if any. If so, please supply a copy of the agreement:
List all other real estate properties you have an interest in, and describe the nature of the interest:
C. Other Property
Please show the approximate value of each of the following investments, and indicate the percentage of the value held as:
1)Total in Savings Accounts: % Held in: Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
2)Total in Bonds: % Held in: Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
3)Total in Stock Value: % Held in: Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
4)Total in Safety Deposit Box: % Held in: Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
5)Total Value of Jewelry: % Held in: Joint Tenancy Tenancy by Entirerty Tenancy in Common Husband Sole Owner Wife Sole Owner Community Property
D. Insurance Policies
Term
1)Company Death Benefit Whole: Applicant Owner Insured: 1st Beneficiary: 2nd Beneficiary: 2)Company Death Benefit Whole: Applicant Owner Insured: 1st Beneficiary: 2nd Beneficiary: 3)Company Death Benefit Whole: Applicant Owner Insured: 1st Beneficiary: 2nd Beneficiary: 4)Company Death Benefit Whole: Applicant Owner Insured: 1st Beneficiary: 2nd Beneficiary: 5)Company Death Benefit Whole: Applicant Owner Insured: 1st Beneficiary: 2nd Beneficiary:
E. General/Limited Partnership Interests
Describe any interest owned in General or Limited Partnerships, describe how the interest is held. Please indicate whether you are a General or Limited Parrtner:
F. Other Assets
Please list any other significant assets, such as collectaibles, businesses, vehicles (including recreational vehicles), art, etc.:
ESTATE PLANNING QUESTIONNAIRE CHECKLIST
A. Trustees.
1. Original: 2. Co-Trustee [if applicable]: 3. Successor Trustee:
B. Guardians of Minor Children.
1. Original: 2. Alternates:
C. Distributions to be Made at the Death of the First Spouse to Die:
D. Division of Estate at the Death of the Second Spouse to Die:
1. Immediate, if any:
2. Time of Division, i.e., immediate or at what specific ages?:
3. Terms of Division: a. To whom?:
b. Amount (dollar or percent?):
c. When?:
E. Contingent Beneficiaries (Termination with no issue surviving)
1. To whom (i.e., life estate to parents, or split in two halves with one half for each of the original Trustors' family, etc.):
2. Time of distribution:
F. Special Instructions:
G. Burial Instructions:
H. Person(s) to Act as Agent Under Durable Power of Attorney for Health Care:
I. Competency Committee (if any):
J. Investment Committee (if any):
ESTATE PLANNING INFORMATION NEEDED TO COMPLETE THE FAMILY TRUST
A. Order of Trustees
1. Original (Can be one Trustee or two or more Co-Trustees) Name(s): Address(es): 2. First Alternate (Can be one Trustee or two or more Co-Trustees) Name(s): Address(es):
3. Second Alternate (Can be one Trustee or two or more Co-Trustees) Name(s): Address(es):
B. Guardians (Complete this section only if you have minor children or a special needs family member)
1. Original (Can be one Guardian or two Joint Guardians) Name(s): Address(es):
2. First Alternate (Can be one Guardian or two Joint Guardians) Name(s): Address(es):
3. Second Alternate (Can be one Guardian or two Joint Guardians) Name(s): Address(es):
C. Distributions to be Made at the Death of the First Spouse to Die (Designate who, what and how much, i.e., all to surviving spouse, etc.)
D. Division of Estate at the Death of the Second Spouse to Die (Designate who, what, how much, and the time and manner of each division, i.e., all or part, immediately or at specific ages, equal among children, 1/3 at age 25, 1/3 at age 30, 1/3 at age 35, etc.)
E. Contingent Beneficiaries (Who receives the estate if all of your issue die before you? Commonly your parents would be given a life estate, and when they die, the estate is then divided among the relatives of both spouses.)
F. Special Instructions (If any, such as a particular item to a named beneficiary)
Your Family Living Trust includes the following documents: Revocable Trust document Pour Over Will(s) Power(s) of Attorney for health care Power(s) of attorney for financial management Living Will(s).
The price quote listed below is for a modest estate of no more than two real estate properties; modest investments and insurance policies. We reserve the right to quote an individual price if your estate is extensive.
To begin preparation of your Family Living Trust contact Lord & Carter at 415 N. Sullivan Suite C # 164, Veradale, Washington99037. Phone confirmation at 1-509\927-4093. Make out all checks or U.S. Postal Money Orders to Lord & Carter. Preparation will begin when payment is received. Please allow 2 weeks for delivery. A representative of Lord & Carter will confirm all information by phone.