Estate Planning Worksheet Printable Active
ESTATE PLANNING WORKSHEET
FREE NO OBLIGATION INITIAL CONSULTATION
INTRODUCTION:
Information provided is held in complete confidence and is used to analyze estate planning needs and design estate planning documents.
Completing this worksheet is not complimentary initial consultation .
During the initial appointment, we will determine your specific estate planning needs and goals. The potential cost of probate and tax which would occur with your plan will be analyzed, and methods of reducing costs and accomplishing goals will be discussed. An exact quote on fees for estate planning will be provided before you authorize completion of your estate plan.
INSTRUCTIONS:
The information requested on this worksheet may seem intrusive, but we must understand your present situation and your wishes for the future. This information enables us to plan the estate to accomplish your goals, avoid probate, and save on taxes and administrative expenses.
If you (Client #1) are Married and all information on this worksheet is identical to you and your spouse (Client #2), complete only one worksheet. If information significantly differs, consider choosing the Single version of the worksheet for each person. Unmarried couples may use the worksheet as married couples, but please select the correct marital status, as it affects our recommendations for your estate planning.
Important!
1) This form may be printed and filled out manually. For any information requested here that there isn't enough room for on the printed forms, please include that information on additional sheets of paper.
2) This form may be filled in here and then you may print the form by clicking PRINT THIS FORM at the bottom of the page. This form cannot be submitted electronically. It is only meant to be printed and filled out or filled out and printed. You will need to send us this information after you have printed it.
3) Our Online Estate Planning Worksheet enables you to submit your information online using our Secure SSL-Encrypted Online Estate Planning Worksheet . All of your input will be captured once you submit the form and you will receive an electronic copy of your information.
Required fields are denoted by red asterisks *
Today's Date
STATUS
CLIENT #1
First Name
*
Middle Initial
*
Last Name
*
Date of Birth
*
Social Security Number
Email Address
*
Mobile Phone
*
Work Phone
Home Phone
Street Address
*
City
*
State
*
Zip
*
BACKGROUND
How soon would you like to complete planning? Is there a deadline, such as an upcoming trip, surgery, etc.?
If Other above, please specify:
What is the approximate total value of the estate?
What is the approximate total of your combined outstanding liabilities?
What is the approximate value of death benefits on Client #1's life insurance?
What is the approximate value of death benefits on Client #2's life insurance?
REAL ESTATE (INCLUDING MINERAL INTERESTS IN OIL AND GAS)
Vacant Land
Current Value
LIQUID ASSETS (Include Account Number and Where Held)
Total Cash on Hand
CLOSELY HELD BUSINESS INTERESTS
LIABILITIES
BENEFICIARY INFORMATION
GIFT TAX RETURNS
APPOINTMENTS
SUCCESSOR TRUSTEE. If you wish to avoid probate of your estate by executing a living trust during your lifetime, a successor trustee should be named. The person or corporate trustee selected as your personal representative is usually the same as the successor trustee. The successor trustee would manage assets if you were unable, or with a joint trust, if neither you or your spouse were able. The successor trustee would distribute assets to beneficiaries after death, or in a joint trust, should neither you or your spouse survive.
Successor Trustee Name:
Successor Trustee Complete Address:
Alternate Successor Trustee Name:
Alternate Successor Trustee Complete Address:
2nd Alternate Successor Trustee Name:
2nd Alternate Successor Trustee Complete Address:
HEALTH CARE AGENT. This individual will make medical decisions on your behalf including decisions regarding medical consents, life support issues, and nursing home admission if you cannot make these decisions yourself. Frequently, the primary agent is the spouse. It is not required to appoint the same person who is your successor trustee or personal representative as your health care agent.
Health Care Agent Name:
Health Care Agent Address:
Alternate Health Care Agent Name:
Alternate Health Care Agent Address:
Client #2 Health Care Agent Name:
Client #2 Health Care Agent Address:
Client #2 Alternate Health Care Agent Name:
Client #2 Alternate Health Care Agent Address:
DURABLE POWER OF ATTORNEY (DPOA). This individual will make financial decisions including decisions regarding securities, accounts, deed, and asset transfers on your behalf should you be unable to make these decisions yourself. Frequently, the primary agent is the spouse. It is not required for your DPOA to be the same person who is your successor trustee or personal representative. You choose below whether you intend for your DPOA to assume his power immediately upon signing, or only upon your incapacity.
DPOA Name:
DPOA Complete Address:
Alternate DPOA Name:
Alternate DPOA Complete Address:
Alternate DPOA Phone:
2nd Alternate DPOA Name:
2nd Alternate DPOA Complete Address:
2nd Alternate DPOA Phone:
Client #2 DPOA Name:
Client #2 DPOA Complete Address:
Client #2 Alternate DPOA Name:
Client #2 Alternate DPOA Complete Address:
Client #2 2nd Alternate DPOA Name:
Client #2 2nd Alternate DPOA Complete Address:
PERSONAL REPRESENTATIVE. The Will should name a safety net personal representative should it become necessary to probate the estate. (Personal representative is also sometimes referred to as executor or administrator.) (Example: Client #2 as primary personal representative, with a child, relative, friend, or corporate trustee as an alternate. In second marriage situations, Client #2 as the primary personal representative may not always be appropriate.)
Personal Representative Name:
Personal Representative Complete Address:
Alternate Personal Representative Name:
Alternate Personal Representative Complete Address:
2nd Alternate Personal Representative Name:
2nd Alternate Personal Representative Complete Address:
PLAN OF DISTRIBUTION
Do you want to make charitable gifts to a person, church, or other institution? If so, please describe.
BENEFICIARIES. Briefly describe where you would want assets remaining after any gifts are distributed. (Don’t worry about tax planning or other considerations in answering this question. We’ll consider those details later if needed.)
All to Client #2... (fill in here)
Other Distribution... (fill in here)
*
ULTIMATE DISTRIBUTION. Provide for distributing your property if neither you, your spouse nor your children/other beneficiaries named above survive.
PLEASE COMPLETE THIS SECTION ONLY IF YOU HAVE MINOR BENEFICIARIES OR BENEFICIARIES WITH DISABILITIES
GUARDIAN. If you have minor children or a beneficiary with special needs, you may need to appoint a guardian. The guardian handles the day-to-day care of the child. Name an alternate guardian to act if your first choice cannot serve.
Guardian Name
Alternate Guardian Name
TESTAMENTARY TRUSTEE. You may need a trustee to manage assets for beneficiaries until they reach an age when you believe they should be capable of managing assets on their own. A trustee can keep the beneficiary’s money invested wisely and use it for their education, support, etc., until they reach the age specified for outright distribution of assets to them. The trustee can be a relative, friend, trust company, or other person or institution you trust to manage and distribute assets according to your wishes. The testamentary trustee can be the same person named as the guardian, or could be a different person or institution.
Testamentary Trustee Name:
Alternate Testamentary Trustee Name:
AGE OF DISTRIBUTION. If you establish a testamentary trust to allow a third party to manage assets for beneficiaries, you should decide when the beneficiaries will be mature enough to manage assets on their own. You may select from the following distributions, or speak with us about a specific plan.
Specify the Age:
*
Specify the Two Ages:
*
Specify the Three Ages:
*
Other Age of Distribution
*
GENERAL QUESTIONS
NOTES AND QUESTIONS: Please note anything else which may be important in planning your estate, or questions.
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