Estate Planning Worksheet

Using this worksheet will assist us in getting to know you prior to our consultation and designing a plan that meets your needs and goals. All information provided is strictly confidential.

  • Part I: Personal Information
  • Part II: Important Questions
  • Part III: Your Estate- Assets & Debts
  • Part IV: Estate Plan Design Information- Decision Makers
  • Part V: Estate Plan Design Information- Distribution of Property

Not every section will apply to you and your situation- you can leave those areas blank. If you are unsure of an answer, or would rather discuss the issue in person, feel free to leave the section blank. If possible, please submit the completed worksheet (along with any supporting documents) to our office 48 hours prior to your appointment. Should you have any questions, please contact Danielle Browne  via  email at danielle@thebrownefirm.com. 

Thank you and we look forward to meeting with you soon!

Part I: Personal Information

(name most often used to title property and accounts)

(other names used to title property and accounts)

Select...

Your Children/Dependents

(please use full legal name)

Advisors

Insurance Policies:

(please list company & policy limits if known)

Part II: Important Family Questions

(Please check for "Yes", leave blank for "No")

Your Concerns

Please rate the following as to how important they are to you:

(H high concern, S some concern, L low concern, N/A no concern or not applicable)

Description

Client's Level of Concern 

Desire to get affairs in order and create a comprehensive plan to manage affairs in case of death or disability.

Providing for and protecting a Partner.

Providing for and protecting children.

Providing for and protecting grandchildren.

Disinheriting a family member.

Preserving the privacy of affairs in case of disability or at time of death from business competitors, predators, dishonest persons and curiosity seekers.

Plan for the transfer and survival of a business if I am unable to work

Avoiding or reducing your estate taxes.

Avoiding probate at  time of death.

Avoiding a guardianship (“living probate”) in case of a disability.

Avoiding will contests or other disputes upon death.

Protecting assets from lawsuits or creditors.

Maintaining/bolstering my privacy (as it may relate to personal and/or business assets)

Plan for a child with disabilities or special needs, such as medical or learning disabilities.

Protecting children’s inheritance from the possibility of failed marriages.

Protect children’s inheritance in the event my surviving Partner gets remarried. 

Provide that your death shall not be unnecessarily prolonged by artificial means or measures.

Updating/making changes to an existing business. 

Integrating an existing business into my overall estate plan.

Part III: Your Estate - Assets & Debts

Instructions for completing the Property Information checklist:

General Headings: This Property Information checklist helps you list all the property you own and what it is worth.  If you do not own property under a particular heading, just leave that section blank.  Under certain headings, you may own more property than can be listed on this checklist.  If so, include it at the bottom of this section under additonal property. attach extra sheets of paper to list your additional property.

Type: Immediately after the heading for each kind of property is a brief explanation of what property you should list under that heading.

Owner of Property: How you own your property is extremely important for purposes of properly designing and implementing your estate plan.  For each property, please indicate how the property is titled (i.e. individual, joint  (include joint owner name) trust, LLC, corporation, other). 

ASSETS

Real Property

TYPE:  Any interest in real estate including your family residence, vacation home, timeshare, vacant land, etc.

Furniture and Personal Effects

TYPE:  List separately only major personal effects such as jewelry, collections, antiques, furs, and all other valuable non-business personal property (indicate type below and give a lump sum value for miscellaneous, less valuable items.).

Miscellaneous Furniture and Household Effects  (Total)

Automobiles, Boats, and RVs

Bank Accounts

TYPE:  Checking Account “CA”, Savings Account “SA”, Certificates of Deposit “CD”, Money Market “MM” (indicate type below). Do not include IRAs or 401(k)s here

Note:  If Account is in your name (or your partner’s name) for the benefit of a minor, please specify and give minor’s name.

Stocks/Bonds, Mutual Funds, Etc.

TYPE:  List any and all stocks and bonds you own.  If held in a brokerage account, lump them together under each account.   (indicate type below)

Life Insurance Policies and Annuities

TYPE:  Term, whole life, split dollar, group life, annuity.  

Retirement Plans

TYPE:  Pension (P), Profit Sharing (PS), H.R. 10, IRA, SEP, 401k, 403b.  

Business Interests

Money Owed To You

TYPE:  Mortgages or promissory notes payable to you, or other moneys owed to you.

Anticipated Inheritance, Gift, or Lawsuit Judgment

TYPE:  Gifts or inheritances that you expect to receive at some time in the future; or moneys that you anticipate receiving through a judgment in a lawsuit.  Describe in appropriate detail.

Other Assets

TYPE:  Other property is any property that you have that does not fit into any listed category.

DEBTS

Please include information related to debt, including:

  • Debtor/guarantor (i.e. individual, joint (include joint owner name), trust, LLC, corporation, other)
  • Institution (i.e. Bank of America, Charles Schwab)
  • Approximate Amount Owed & Terms
  • Debt Associated With ______ (i.e. Mortgage on Primary Residence)
  • Joint Property values enter 1/2 in client’s column and 1/2 in Partner's column. If Joint Owner is not spouse, only include Client's portion

Mortgages

Credit Card(s)

Student Loans

Personal Loans

IRS/State Taxes Owed

(back taxes & payment plans only)

Other Debt(s)

Part IV: Estate Plan Design Information - Decision Makers

This section helps us to design your Estate Plan. Here you will list your choices for person(s) you would like to serve in your place, should you be incapacitated or you pass away. Please list in order of succession. If decision makers are to serve jointly, please indicate. If you do not have your decision maker's contact information, you can provide to us at a later date. If you are undecided as to your decision makers, or want to discuss further during your consultation, please leave blank. Note: Most couples forming joint trust choose the same Successor Trustees, however you may choose separate designations. who would you want to make decisions for you with regard to your property and assets owned by you

If there is a person serving in more than one role, you can just include their first and last name after filling out their complete contact information the first time. 

 

 

Initial Trustee: Usually the Maker will be the Trustee of his or her own trust.  Often, both partners, jointly.  Allows you to continue to jointly control your assets as before. 

Initial Trustee

Successor Trustee: If you were unable to make decisions for yourself due to incapacity/disability, or upon death (and your Partner was not available), who would you want to make decisions for you with regard to your property and assets owned by the trust?

Successor Trustee

GUARDIANS FOR MINOR CHILDREN

PERMANENT GUARDIAN FOR MINOR CHILDREN: If you have any children under the age of 18, list in order of preference, who you wish to be custodial/physical, guardian of the children (if both parents/legal guardians were not available).

Permanent Guardian for Minor Children

POWER OF ATTORNEY:              If you were unable to make financial decisions for yourself, who would you want to make those decisions for you?

Power of Attorney

LIVING WILL:

HEALTH CARE:     If you were unable to make health care decisions for yourself, who would you want to make decisions for you with regard to your medical treatment?

Health Care Proxy

In making distributions during any period of time the client is incapacitated, the successor Trustee shall give primary consideration to: 

Burial

V. Estate Plan Design Information: Distributions of Property

In this section, please list your beneficiaries, i.e. the person(s)/charities you want to inherit your estate after you pass away. There are many options for distribution to the beneficiaries (outright, structured/staggered trusts, special needs trusts, asset protection trusts, etc.) which we can discuss during your consultation.

WHO gets my stuff?

SPECIFIC GIFTS: List any specific gifts of real property or cash gifts (i.e. “My house” or “$10,000”) that you wish to make to either individuals or charities. Personal Property is handled separately (i.e. do not list items of a personal nature, like jewelry or art).

The Rest...

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HOW AND WHEN TO DISTRIBUTE MY PROPERTY

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REMOTE CONTINGENT BENEFICIARY:  Who do you want to receive your property in the remote event that no one listed above is alive to receive your property?  Determining the remote contingent beneficiary is not so important that it should cause you to delay completion of your entire estate plan.  It can always be changed at a later date. 

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