Estate Planning Checklist


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Information for Estate Planning

(If not married just fill in for Client and indicate not married)

 

(Continue on back of each sheet where necessary)

 

 

GENERAL INFORMATION    

Full Name of Client :________________________________ Birthdate _________

 

Occupation:_________________________  Social Sec#_______________ 

 

Citizenship:_________________________ 

 

Full Name of Spouse:________________________________ Birthdate _________

 

            Occupation:__________________________ Social Sec#______________

           

            Citizenship: __________________________

 

Address: ___________________________________________________________

 

Telephone #s: Home____________ Work (H)_____________  (W) ________________

 

 

Fax(H)__________ (W)__________ Beeper/Cell (H) ____________(W)______________

 

Email addresses:   (H) _______________________;   (W) __________________________

 

CHILDREN: (indicate if adopted or who is the parent if child is not from current marriage; please also add any particularly pertinent information regarding the child on the back of this sheet )

Name                           Birthdate                     Address/Phone

1.

 

 

2.

 

 

3.

 

 

4.

OTHER DEPENDENTS (such as parents) :     Name, relationship, type of dependency (please also indicate the age, health and financial situation of your respective parents and whether they will need to qualify for government benefits? 

 

 

 

 

 

 

 

GRANDCHILDREN:  Indicate #of child listed above, name of spouse, and names and  birthdates of their children:

 

 

 

 

 

 

 

SPECIAL NEEDS:  Please explain if any family member or dependent requires special medical, educational or other care:

 

 

 

 

 

PRIOR MARRIAGES: Please indicate name of previous spouse, how and when marriage terminated and existence of any alimony or child support payments.

 

 

 

 

 

MEDICAL ISSUES:    Already have living wills  yes ______ no ______

 

ANATOMICAL GIFTS:  Client yes______ no ______         Spouse yes______ no_______

 

NUTRITION/HYDRATION

if terminal illness:   Client yes ____ no______          Spouse yes_______ no______

 

SURROGATE to make health care decisions- name, relationship, address, telephone:

            FOR CLIENT: ________________________________________________________

               alternate      ________________________________________________________

            FOR SPOUSE _________________________________________________________

                alternate      _________________________________________________________

 

POWERS OF ATTORNEY    Do you have copies? ______; Need to prepare ______

            CLIENT’S AGENT: _______________________________  Tel. ________________

                address           _______________________________________________________

            SPOUSE’S AGENT: _______________________________ Tel. _________________

               address          ________________________________________________________            

 

DOMICILE ISSUES:

2nd home address, if any: ___________________________________________________

            Please indicate the amount of time spent there each year and where registered to vote

 

 

FAMILY ADVISORS:

Accountant: _________________________ Tel. ___________________

Stock Broker: _______________________  Tel. ___________________

Insurance Agent: ____________________   Tel.___________________

Other Advisor: ______________________   Tel. __________________  

 

PRE OR POST MARITAL AGREEMENT   Yes ___  No ____ Copy attached ____

 

EXISTING WILLS:   Husband:  Yes ______  Copy attached _______

                                      Wife:        Yes  ______  Copy attached _______  

 

EXISTING SEPARATE STATEMENTS RE TANGIBLE PERSONAL PROPERTY:      Husband:     Yes ____ No ____;   Wife    Yes ____  No _____

 

EXISTING TRUSTS:   

Husband:       Revocable:                             Yes _____   Copy attached _______

                        Irrevocable:                           Yes _____    Copy attached _______ 

                        Retirement Trust                  Yes ______  Copy attached _______

 

Wife:              Revocable:                             Yes _____   Copy attached _______

                        Irrevocable:                           Yes _____    Copy attached _______ 

                        Retirement Trust                  Yes ______  Copy attached _______ 

 

 

PERSONAL REPRESENTATIVES (appointed to administer estate if probated):

 

Husband's:   First Set:          _____________________________________________

 

                    Second Set          _____________________________________________

 

Wife:          First Set:             _____________________________________________

 

                   Second Set           _____________________________________________

              

TRUSTEES of Existing Trusts (if more than one, please identify trust and add to back of sheet) :

 

Husband's: First Set:            _____________________________________________

 

                    Second Set          _____________________________________________

 

Wife:          First Set:             _____________________________________________

 

                   Second Set           _____________________________________________

 

GUARDIANS FOR MINORS (if any):

 

                   First Set:              _____________________________________________

           

                  Second Set:           _____________________________________________

 

COMPUTER INFORMATION:   Directions regarding information stored on personal computers, locations of passwords, etc:

 

 

 

                       

EXISTING BUSINESS AGREEMENTS THAT IMPACT ESTATE PLANNING:

 

1.                                                                                             Copy Attached ______

 

2.                                                                                             Copy Attached ______

 

3.                                                                                             Copy Attached ______

 

 

 

 

 

 

YOUR CONCERNS OR GOALS REGARDING ESTATE PLANNING

 

           

HUSBAND:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WIFE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ASSET INFORMATION:   

 

            The manner in which property is held (jointly, individually, in trust, or subject to a contractual beneficiary designation) will determine whether it passes automatically to certain persons at death or whether it is subject to the terms of an existing will or trust or if it will pass according to statutory direction, in the absence of a will.

 

            Therefore, it is important to be accurate concerning the exact ownership of an asset and the exact contractual beneficiary, if any- such as the life insurance beneficiary or retirement account beneficiary or the beneficiary of an “in trust for” account.

 

Please indicate ownership by placing approximate current value of asset in column labeled “HUSBAND, WIFE, or JOINT”.   Please indicate the contractual beneficiary, if any.    

 

If more space is needed, please show "continued" and add to back of sheet.

 

 

TANGIBLE PROPERTY                                   HUSBAND       WIFE               JOINT

Motor vehicles (Boats, cars, airplanes)              ________          ________          ________ 

Personal possessions (jewelry etc.)                     ________          ________          ________

Furniture                                                          ________          ________          ________

Collections (coins, art, etc.)                               ________          ________          ________

Other                                                               ________          ________          ________

 

 

BANK ACCOUNTS        

Type of Account                 Beneficiary?

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________ 

BANK ACCOUNTS (cont).                           HUSBAND     WIFE              JOINT

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________ 

___________________________                  ________        ________        ________

 

SECURITIES     (Stocks/bonds/mutual funds,etc.)

or Investment Accounts)

Company ______________________           _________      _________      _________

Company _____________________             _________      _________      _________

Company _____________________             _________      _________      _________            

Company ___________________                 _________      _________      _________

Company ___________________                 _________      _________      _________

Company ___________________                 _________      _________      _________ 

 

OTHER INTANGIBLE PROPERTY  (i.e. accounts receivable; mortgages payable

                                                                to client or spouse)

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

___________________________                  ________        ________        ________

 

REAL ESTATE  - list fair market value with mortgage in (   )

Location and brief description

___________________________                  ________        ________        ________

___________________________

___________________________                  ________        ________        ________

___________________________

___________________________                  ________        ________        ________

___________________________

 

 

 

BUSINESS INTERESTS                                   HUSBAND     WIFE              JOINT

Name and form (partnership, corporation- type,

proprietorship, )

___________________________                  ________        ________        ________

___________________________

___________________________                  ________        ________        ________

___________________________

___________________________                  ________        ________        ________

___________________________

                       

RETIREMENT ASSETS                                  

________________________________              ________          ________          ________

________________________________              ________          ________          ________

________________________________              ________          ________          ________

________________________________              ________          ________          ________

________________________________              ________          ________          ________

________________________________              ________          ________          ________

Is either party taking distributions?                 Yes ______         Yes ______

 

BENEFICIAL INTERESTS IN TRUSTS

Description of interest (life interest, remainder)

________________________________              _________        _________        _________

________________________________              _________        _________        _________

 

POWERS OF APPOINTMENT

OVER TRUST OR OTHER  PROPERTY

________________________________              _________        _________        _________

________________________________              _________        _________        _________ 

 

EXPECTED INHERITANCES             

            From whom:

________________________________              _________        _________        _________

________________________________              _________        _________        _________

GIFTS MADE IN PAST   

            Amount           To whom         By whom        Date            Gift tax return filed?

 

 

 

 

LIFE INSURANCE OR ANNUITIES

1.     Company ____________________ Policy Number _______________Type  ____________  Name of Insured _________________ Owner _______________________________

Primary Beneficiary: ________________ Secondary Beneficiary: _____________________

Face Value ____________Cash value _________ Outstanding Loans on Policy __________

2.     Company ____________________ Policy Number ___________Type of policy _________                       Name of insured _________________ Owner _______________________________

Primary Beneficiary: ________________ Secondary Beneficiary: _____________________

Face Value ____________Cash value _________ Outstanding Loans on Policy __________

3.     Company ____________________ Policy Number ___________Type of policy _________   Name of insured _________________ Owner _______________________________

Primary Beneficiary: ________________ Secondary Beneficiary: _____________________

Face Value ____________Cash value _________ Outstanding Loans on Policy __________

4.     Company ____________________ Policy Number ___________Type of policy _________                       Name of insured _________________ Owner _______________________________

Primary Beneficiary: ________________ Secondary Beneficiary: _____________________

      Face Value ____________Cash value _________ Outstanding Loans on Policy _________

5.   Company ____________________ Policy Number ___________Type of policy _________                              

Name of insured _________________ Owner _______________________________

Primary Beneficiary: ________________ Secondary Beneficiary: _____________________

Face Value ____________Cash value _________ Outstanding Loans on Policy __________

6    Company ____________________ Policy Number ___________Type of policy__________   

Name of insured _________________ Owner _______________________________                                                                       

Primary Beneficiary: ________________ Secondary Beneficiary: _____________________

      Face Value ____________Cash value _________ Outstanding Loans on Policy _________

LIABILITIES (excluding mortgages)     

            Creditor          Debtor             Property Securing Debt if any           Due Date

 


Law Office of Alice W. Weinstein assists clients in Miami, Sarasota, Tampa, and St. Petersburg, Florida and in Miami-Dade County, Sarasota County, Pinellas County, Hillsborough County, and Pascoe County.


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7305 Bay Club Court, Tampa, FL 33607
| Phone: 305-898-7536

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