USE FULL LEGAL NAME.
Please rate the following as to how important they are to you:
(H high concern, S some concerned, L low concern, N/A no concern or not applicable)
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, 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. When doing so, please use the following abbreviations:
Owner of Property
If own property in your name only
Joint Tenancy with someone other than a spouse, i.e. a child, parent, etc.
If you cannot determine how the property is owned
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.).
Automobiles, Boats, and RVs
TYPE: For each motor vehicle, boat, RV, etc. please list the following: description, how titled, market value and encumbrance:
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 spouse’s name) for the benefit of a minor, please specify and give minor’s name.
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)
TYPE: Term, whole life, split dollar, group life, annuity. ADDITIONAL INFORMATION: Insurance company, type, face amount (death benefit), whose life is insured, who owns the policy, the current beneficiaries, who pays the premium, and who is the life insurance agent.
TYPE: Pension (P), Profit Sharing (PS), H.R. 10, IRA, SEP, 401(K). ADDITIONAL INFORMATION: Describe the type of plan, the plan name, the current value of the plan, and any other pertinent information.
TYPE: General and Limited Partnerships, Sole Proprietorships, privately-owned corporations, professional corporations, oil interests, farm, and ranch interests. ADDITIONAL INFORMATION: Give a description of the interests, who has the interest, your ownership in the interests, and the estimated value of the interests.
TYPE: Mortgages or promissory notes payable to you, or other moneys owed to you.
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.
TYPE: Other property is any property that you have that does not fit into any listed category.
* Values for property owned with other put your percentage in client’s column and other’s percentage in other’s column.
PERSONS TO ACT FOR YOU:
GUARDIAN FOR MINOR CHILDREN: If you have any children under the age of 18, list in order of preference who you wish to be guardian.
After your death, who do you want carrying out your instructions, for distribution to and, if desired, management of property for your beneficiaries?
POWER OF ATTORNEY:
If you were unable to make financial decisions for yourself, who would you want to make those decisions for you?
Do you want to authorize your Financial Agent to make gifts on your behalf during any period of time you are incapacitated?
If you were unable to make decisions for yourself, who would you want to make decisions for you with regard to your medical treatment?
Do you want to authorize your Medical Agent to take whatever steps are necessary to keep you in a personal residence rather than nursing home?.
Do you want to provide that upon certification by 2 physicians of need for psychological or substance treatment, Agent may arrange for voluntary admission?
DISTRIBUTIONS OF PERSONAL PROPERTY AND SPECIFIC GIFTS
USE OF PERSONAL PROPERTY MEMORANDUM:
SPECIFIC GIFTS: List any specific gifts of real estate or cash gifts you wish to make to either individuals or charities.
HOW AND WHEN TO DISTRIBUTE MY PROPERTY:
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.