CONFIDENTIAL: TO MORGAN KING ONLY
SUBMIT FORM #3: ASSETS
DATE:
CLIENT'S NAME:
PHONE NO. WITH AREA CODE
THIS PHONE NO. IS A:
CELL PHONE
REGULAR PHONE HOME
REGULAR PHONE WORK OR OFFICE
EMAIL ADDRESS:
CONTACT PERSON:
CONTACT PERSON'S PHONE NO.
A: PERSONAL: CHECK ALL ASSETS YOU OWN OR HAVE IN YOUR POSSESSION:
1. REAL PROPERTY THAT IS YOUR RESIDENCE
2. MOBILE HOME, CONDOMINIUM, BOAT, TRAILOR, OR OTHER STRUCTURE THAT YOU LIVE IN
3. COMMERCIAL OR RENTAL REAL ESTATE
4. OTHER REAL PROPERTY
5. ONE OR MORE PRIVATE PENSION OR RETIREMENT PLANS
6. A PUBLIC EMPLOYEE OR GOVERNMENT PENSION OR RETIREMENT PLAN
7. ONE OR MORE IRA ACCOUNTS
8. ONE TO THREE MOTOR VEHICLES
9. FOUR TO SIX MOTOR VEHICLES
10. MORE THAN SIX MOTOR VEHICLES
11. STOCKS MUTUAL FUNDS BONDS
12. STOCK OPTIONS
13. PART OWNERSHIP IN A BUSINESS OR FRANCHISE
14. FULL OWNERSHIP OF A BUSINESS OR FRANCHISE
15. MONEY OWED TO YOU OR YOUR SPOUSE PERSONALLY
16. FUNDS PAID TO YOU OR OWED TO YOU FROM A LAWSUIT, SETTLEMENT, OR ANNUITY
17. OTHER LEGAL CLAIM
18. EXPECTING PAYOUT ON A LIFE, HEALTH, MOTOR VEHICLE, OR OTHER INSURANCE POLICY
19. PATENTS, COPYRIGHTS, OR BOOK OR MOVIE RIGHTS
20. ONE OR MORE BUSINESS BANK ACCOUNTS
21. A TRUST OR TRUST FUND
22. BOAT
23. AIRPLANE OR HELICOPTER
24. OTHER RECREATIONAL VEHICLE
25. VALUABLE HOBBY
26. VAUABLE COLLECTION
27. CASH IN OTHER THAN A BANK ACCOUNT
28. ONE OR MORE EXPENSIVE PETS (e.g. HORSE)
29. GEMS, JEWELRY, OR PRECIOUS METALS
30. APARTMENT OR OFFICE RENT DEPOSIT
31. PENDING SALE OF PROPERTY FOR WHICH CLIENT MAY EARN A COMMISSION
32. RESIDUAL COMMISSION FROM SALE OF INSURANCE
33. BONUS EXPECTED FROM EMPLOYER OR FORMER EMPLOYER
34. EXPECTING INHERITANCE OR DISTRIBUTION FROM A LIVING TRUST
35. HOLDING A WINNING LOTTERY TICKET OR SIMILAR CERTIFICATE
36. OFFSHORE BANK ACCOUNT
37. EXPECTING A DISTRIBUTION FROM MARITAL PROPERTY SETTLEMENT OR DIVORCE DECREE
38. EQUIPMENT, TOOLS, INVENTORY, SUPPLIES, OR FURNISHINGS USED IN YOUR BUSINESS
39. MOTOR VEHICLES USED IN YOUR BUSINESS
40. VALUABLE PROPERTY IN YOUR POSSESSION THAT IS OWNED BY SOMEONE ELSE.
41. REAL OR PERSONAL PROPERTY LEASED TO YOU
42. EXPECTING A TAX REFUND OR ECONOMIC STIMULUS PAYMENT
43. OTHER VALUABLE PROPERTY NOT DESCRIBED ABOVE
B. DO YOUR MINOR CHILDREN OWN ASSETS OR ITEMS WORTH MORE THAN $5,000?
YES
NO
NOT SURE
C. IF YOU ARE IN BUSINESS, YOUR BUSINESS IS A:
NOT APPLICABLE
SOLE PROPRIETORSHIP
PARTNERSHIP (DO NOT COUNT YOUR SPOUSE AS A PARTNER)
CORPORATION
OTHER LEGAL ENTITY
D. IF YOU ARE IN BUSINESS, ESTIMATED VALUE OF THE BUSINESS:
E. IF YOU ARE IN BUSINESS, YOUR BUSINESS IS A FRANCHISE:
NOT APPLICABLE
YES
NO
NOT SURE
F. IF YOU ARE IN BUSINESS, DOES YOUR BUSINESS HAVE ACCOUNTS RECEIVABLE OF MORE THAN $5,000?
NOT APPLICABLE
YES
NO
NOT SURE
G. IF YOUR ANSWER TO "F" ABOVE IS YES, PLEASE ESTIMATE HOW MUCH IS OWED TO YOUR BUSINESS $:
H. BUSINESS: ASSETS & PROPERTY - CHECK IF BUSINESS OWNS:
MOTOR VEHICLES
TRACTORS
HEAVY MACHINERY
LIGHT MACHINERY
PATENTS & COPYRIGHTS
INVENTORY
SHELVING & OTHER STORAGE STRUCTURES
ACCOUNTS RECEIVABLE
PHONE NUMBER
COMPUTERS & PRINTERS
PROPRIETORY S
H. DOES YOUR SPOUSE OWN SEPARATE PROPERTY THAT IS WORTH MORE THAN $5,000?
NOT APPLICABLE
YES
NO
NOT SURE
I. IS SOMEONE ELSE HOLDING IN HIS OR HER POSSESSION ANYTHING OF VALUE OWNED BY YOUR?
YES
NO
NOT SURE
J. HAVE YOU OR YOUR SPOUSE GIVEN OR TRANSFERRED TITLE TO A VALUABLE ASSET TO ANY THIRD PERSON WITHIN THE LAST 2 YEARS?
YES
NO
NOT SURE
K. HAVE YOU OR YOUR SPOUSE GIVEN OR TRANSFERRED POSSESSION OF A VALUABLE ASSET TO ANY THIRD PERSON WITHIN THE LAST 2 YEARS?
YES
NO
NOT SURE
L. HAVE YOU CREATED ANY KIND OF A TRUST IN THE LAST 10 YEARS?
YES
NO
NOT SURE
M. HAVE YOU TRANSFERRED TITLE OR POSSESSION OF VALUABLE PROPERTY TO A TRUST OF ANY KIND?
YES
NO
NOT SURE
TYPE FIGURES AT RIGHT INTO BOX BELOW - THEN HIT "SUBMIT"
*
Submit
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