First Name: Last Name:
Email : Phone: - -

Have you prepared a living will?  Yes     No
When was the last time you reviewed your will? 19 
20 
Is it important to you to reduce your death tax obligation?  Yes     No
Are you interested in bequests to charity? (College, hospital, church, etc.)  Yes     No
Do you have any charitable or family gifting programs?  Yes     No
Would you like to discuss a gift program for your children or a trust for them?  Yes     No
How do you feel about making gifts during your lifetime to avoid estate taxes at your death?
If you had to ask another person to be your “financial guardian” who would you choose to be “in charge” of everything (i.e., making important, potentially long term, financial decisions both investment and/or purchase decisions and also spending/expenditure decisions)?
   
Despite the fact that he/she is a relative, what particular attributes make this person your first choice?
Are they healthy?
What weaknesses do they have?
Who is your second choice to serve as your financial guardian?
What makes this person your second choice?
What are their skills and weaknesses?
Who is your third choice to serve as your financial guardian?
Please describe type of trust and purpose:
Do you feel comfortable with your current plan?  Yes     No
Executors Trustees Guardians
Husband's Will Family Trust Husband's Will
1 1 1
2 2 2
3 3 3
Wife's Will 4 Wife's Will
1   1
2   2
3   3
Do you feel comfortable with your spouse’s ability to manage his/her assets after your death?  Yes     No
Should there be management assistance for funds going to:  Wife     Husband
Should the family remain in the present house?  Yes     No
Do you have adequate health insurance coverage?  Yes     No
How do you define being incapacitated?
At what stage would you give up control of your finances to any of the people in the questions above so they can take care of you?
What specific instructions would you give them to best take care of your spouse and your children?
What specific things must they do?
What specific things must they NOT do?
Are there any competing needs between you and your spouse?  Yes     No
Are there any competing needs between you and your children?  Yes     No
Are there any competing needs between your spouse and your children?  Yes     No
Would you establish any priorities for them? For example, would you allow them to make gifts to charities or family members, including children?  Yes     No
Would your answer change if your spouse was also disabled/incapacitated or did not survive you?  Yes     No
Do you anticipate receiving an inheritance in the future? Please describe:
If you have children under the age of 18, they must have legal guardians. Who would you select to act as a substitute parent to them, to give them parental, moral and/or spiritual guidance as they grow?
Should minor children remain together if neither parent is living?  Yes     No
Are you the potential guardian for someone else?  Yes     No
If you selected the same person to be both your “financial guardian” (who is actually the successor trustee of your trust) and the “legal guardian” of your children, have you considered the magnitude of responsibility that person would have for both finances and raising your children as a parent?  Yes     No
Have you considered how difficult it would be for one person to handle any of the jobs we have mentioned?  Yes     No
Other possible candidates to serve as successor trustee?
Other possible candidates to serve as legal guardians?
If you (and your spouse) die prematurely, at what ages do you want your children to receive your estate? (Example: 1 / 3 at 21, 1 / 3 at 25 and 1 / 3 at 30)
Until these ages, the Trustee would take care of their financial needs.   at  
  at  
  at  
  at  
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Should your children predecease you, or should you all die in a common accident, to whom would you want your estate to pass?
When considering the idea of leaving wealth to others (spouse, children, grandchildren, charities), are you comfortable leaving your wealth in a single lump sum?  Yes     No
Would your answer change depending on the age, health, intellectual capacity, or financial abilities of these people?  Yes     No
   Please explain:
When considering the idea of leaving your wealth to others, are there any expenditures or uses for which your wealth should not be used?  Yes     No
   Please explain:
Do you have a child with a learning disability?  Yes     No
Do any of your children receive governmental support or benefits?  Yes     No
Do you have adopted children?  Yes     No
Do any of your children have special educational, medical, or physical needs?  Yes     No
Are any of your children institutionalized?  Yes     No
Are you or your spouse receiving social security, disability, or other governmental benefits?  Yes     No
Do you provide primary or other major financial support to adult children?  Yes     No
Have either you or your spouse been divorced?  Yes     No
Are you or your spouse making payments pursuant to a divorce or property settlement agreement?  Yes     No
Have you or your spouse ever been widowed?  Yes     No
In what states have you lived while married to your current spouse?
During what periods of time did you reside there?
Are any of your assets located in other states?  Yes     No
Have you or your spouse ever filed federal or state gift tax returns?  Yes     No
Have you or your spouse completed previous will, trust, or estate planning?  Yes     No
Are you a United States citizen?  Yes     No
Is your spouse a United States citizen?  Yes     No
Do you own assets outside of the United States?  Yes     No
Does your spouse own assets outside of the United States?  Yes     No
List the names of all persons whom you would consider possible candidates to serve as your own financial guardian if you cannot take care of your own finances?
  Name Relationship Age
1
2
3
List the names of all persons whom you would consider possible candidates to serve as the guardians of your minor children?
  Name Relationship Age
1
2
3
What is your approximate current income? Husband:
Wife:
How much do you desire for monthly retirement income?
Are you interested in "split-interest gifts" to charity which produce income during your life to you as well as a current income tax deduction?  Yes     No
Would you remain in your current home at retirement?  Yes     No
How much income do you desire per month for your family if you die prematurely?
   
What do you think is a fair return on safely invested capital?
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