Fill - Free fillable Personal Estate Planning Kit - Record Book (Park University) PDF form

PERSONAL ESTATE

PLANNING KIT

part two: record book

WHAT’S INSIDE

Track Your Personal Info

Calculate Your Estate’s Worth

Disposing of Your Estate

Consider Charitable Choices

getorganized

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3 Reasons You Should Start

Using This Record Book Now

You owe it to yourself and your family to complete your personal estate planning record. Keep

in mind that as you progress with your estate planning, your attorney should counsel you on all

aspects of your plans as well as draft all legal documents. Of course, we would also be happy to

assist you with your charitable intentions at the outset or after you have completed your record.

Good to Know!

If you’re married or

partnered, you and

your spouse should

prepare separate

record books. While

some sections contain

shared information,

most sections are

distinctly personal.

Plus it makes it easier

for loved ones to

manage your unique

affairs over time. For

additional copies of

this record book, please

contact us.

1

Your record provides important

personal information about

you and your family that will

be helpful to your executor (personal

representative) when it comes time to

settle your estate. Your executor will be

able to locate beneficiaries, your safe-

deposit box, abstracts, titles, stock or

bond certificates, will, trust agreements

and other important documents.

2

Your record serves as the basis

for creating your estate plan

and providing for the future

well-being of your family and the causes

you care about most. It will show you

what constitutes your estate and what

your beneficiaries can inherit. It will

prompt you to consider the disposition

of your assets. Will your assets

pass

by

joint ownership? Are they documented

for distribution in some other way? Or

must you address their distribution

in

your will? If you have not yet made a will,

you will find it easier to do

so

with

this

information at hand.

3

Your record also serves as a

basis from which to determine

what your estate taxes would

be under various plans of distribution.

Knowing the assets and the values to

be considered will help you and your

advisors find ways to minimize estate

taxes and identify liquid assets to cover

estate settlement expenses.

How to Use

This Record Book

Step 1:

To complete the forms, simply click

inside the blue boxes. Begin typing to fill them

in with the appropriate information.*

Step 2: To save your work, go to the File menu

and select “Save As.” Rename the file using a

unique file name or the date and save it to your

desktop or another easy-to-access location. (By

renaming the file, you will be able to use the

original record book file again and again.)

Step 3: When you are finished, print the

completed records and keep them in a secure

place, such as a safe-deposit box.

*You may also print the forms and fill them out by hand.

Continued on Page 4

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You

You owe it to yourself and your family to complete your personal estate planning record. Keep

in mind that as you progress with your estate planning, your attorney should counsel you on all

aspects of your plans as well as draft all legal documents. Of course, we would also be happy to

assist you with your charitable intentions at the outset or after you have completed your record.

Your name (Please print above.)

Address

City, State ZIP

Home phone/cell phone

Email

Date of birth/birthplace

Location of birth certificate

Location of adoption documents

Social Security number

Driver’s license number and state

Location of tax records

Location of titles, abstracts and leases

Location of stock and bond certificates

Military service, branch, years of service

Location of military documents

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You

::

First spouse’s name

Date of first marriage/location of certificate

Prenuptial agreement/location of document

Date of divorce, annulment, legal separation or death (Please print above.)

Location of documents

Second spouse’s name

Date of second marriage/location of certificate

Prenuptial agreement/location of document

Date of divorce, annulment, legal separation or death

Location of documents

Your Parents

Mother’s name

Address

City, State ZIP

Home phone/cell phone

Email

Date of birth/birthplace

Location of birth certificate

Date of death/resting place

Location of death certificate

Continued on Page 5

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Your Parents

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Social Security number

Father’s name

Address

City, State ZIP (Please print above.)

Home phone/cell phone

Email

Date of birth/birthplace

Location of birth certificate

Date of death/resting place

Location of death certificate

Social Security number

Your Spouse

Spouse’s name

Maiden name

Date of birth/birthplace

Location of birth certificate

Social Security number

Driver’s license number and state

Your Children

First child’s name/phone number

Continued on Page 6

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Your Children

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Date of birth/birthplace

Location of birth certificate

Location of adoption documents

Social Security number (Please print above.)

Driver’s license number and state

Second child’s name/phone number

Date of birth/birthplace

Location of birth certificate

Location of adoption documents

Social Security number

Driver’s license number and state

Third child’s name/phone number

Date of birth/birthplace

Location of birth certificate

Location of adoption documents

Social Security number

Driver’s license number and state

Fourth child’s name/phone number

Date of birth/birthplace

Location of birth certificate

Continued on Page 7

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Your Children

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Location of adoption documents

Social Security number

Driver’s license number and state

Fifth child’s name/phone number (Please print above.)

Date of birth/birthplace

Location of birth certificate

Location of adoption documents

Social Security number

Driver’s license number and state

Your Pets

First pet’s name/species and coloring

Vet’s contact information

Food/other care

Second pet’s name/species and coloring

Vet’s contact information

Food/other care

Third pet’s name/species and coloring

Vet’s contact information

Food/other care

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Current/Retired Employer(s)

Employer’s Contact Information

Are you retired? Yes No

Company name (Please print above.) Phone Supervisor

Current benefits and location of documents

Position Start date (and end date, if retired)

Ownership interest Yes No

Employer’s Contact Information

Company name Phone Supervisor

Current benefits and location of documents

Position Start date (and end date, if retired)

Ownership interest Yes No

Previous Employer(s)

Employer’s Contact Information

Company name Phone Supervisor

Current benefits and location of documents

Position Start date and end date

Ownership interest Yes No

Employer’s Contact Information

Company name Phone Supervisor

Current benefits and location of documents

Position Start date and end date

Ownership interest Yes No

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Will and Trust

Do you have a will? Yes No

Are you the creator or beneficiary of any trusts? Yes No

Please record documents here:

Document title (Please print above.)

Date prepared

Prepared by (name, title, contact information)

Location of document

Location of copies

Executor or trustee

Alternate executor or trustee

Additional notes

Document title

Date prepared

Prepared by (name, title, contact information)

Location of document

Location of copies

Executor or trustee

Alternate executor or trustee

Additional notes

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Power of Attorney

Have you signed a financial durable power of attorney? Yes No

Document title (Please print above.)

Date prepared

Prepared by (name, title, contact information)

Name of person appointed to act on your behalf

Names of alternates to act on your behalf

Effective date of power holder to act: Immediately Upon your incapacity Other

Location of original document

Location of copies

Additional notes

Health Care Directives

Do you have a living will? Yes No

Do you have a health care power of attorney? Yes No

Name of person appointed to act on your behalf

Names of alternates to act on your behalf

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Health Care Directives

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Please record documents here:

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Document title

Date prepared

Effective date for power holder to act: Immediately Upon your incapacity Other

Prepared by (name, title, contact information) (Please print above.)

Location of original document

Locations of copies (We suggest attaching a copy to this record book.)

Document title

Date prepared

Effective date for power holder to act: Immediately Upon your incapacity Other

Prepared by (name, title, contact information)

Location of original document

Locations of copies (We suggest attaching a copy to this record book.)

Long-Term Care

Do you have a long-term care insurance policy? Yes No

Insurance agent’s name

Company name

Policy number

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Body, Organ and Tissue Donations

Do you wish to donate your body, organs or tissues? Yes No

First donation (identify the particular organ or tissue, or indicate entire body) (Please print above.)

Receiving organization’s name and contact information

Location of documents

Second donation (identify the particular organ or tissue)

Receiving organization’s name and contact information

Location of documents

Third donation (identify the particular organ or tissue)

Receiving organization’s name and contact information

Location of documents

Please note: This is not intended as a legal form. Consult with your doctor and attorney today to

create the appropriate documents.

Secured Place

Do you have a safe-deposit box? Yes No

Bank name, branch location and contact information

People with authorized access

Box number and location of keys

Contents

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Passwords

First product/service, account name, user name or account number/password (Please print above.)

Second product/service, account name, user name or account number/password

Third product/service, account name, user name or account number/password

Fourth product/service, account name, user name or account number/password

Funeral Instructions

You have a preference. That’s why it is not unusual for you to plan your funeral

arrangements now. When the day arrives, your family will lovingly appreciate your

proactive nature and concern for them as well.

Funeral home preference

Type of preparation Cremation Burial Donation of body

Location of memorial service

Cemetery preference

Casket and vault preference

Pastor preference

Casket bearer 1

Casket bearer 2

Casket bearer 3

Casket bearer 4

Casket bearer 5

Casket bearer 6

Funeral Instructions

Song/Hymn 1 (Please print above.)

Song/Hymn 2

Song/Hymn 3

Song/Hymn 4

Soloist name

Organist name

Favorite Scriptures

Reading 1

Reading 2

Reading 3

Reading 4

Favorite flowers

Memorial ideas

Type of service (Open or closed casket, religious or secular, and any other preferences)

Headstone preference

Burial clothing preference

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Music Preferences

Obituary (Things you want included and newspapers where you want it published)

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Other Matters That Need Family Attention

Here’s a checklist of actions that need completion in the period of time between your

death and up to a year after. Check the boxes that apply to you, so your family members

can take care of them later.

Contact the attorney to have the will read

and to see what has to be done in regard

to estate settlement.

Contact the Social Security Administration.

Social Security pays a lump sum

death benefit of $255. A surviving spouse can get survivor’s benefits as early as age

60—earlier if a surviving spouse is disabled. Children under age 18 may also be entitled

to survivor’s benefits when a parent dies.

Call the Veterans Administration (VA).

A surviving spouse and dependent

children may be entitled to a small pension if the deceased served in the Armed Forces.

The VA will pay partial burial expenses and provide a headstone or marker as well as

an American flag to drape over the casket, without charge. If burial is in a national

cemetery, the VA will provide a grave site and pay burial costs.

Notify organizations where the deceased held memberships.

Some offer

memorial services. They may have life insurance and may return part of dues paid.

Organizations to notify:

Contact former employers for benefits

resulting from that employment. Refer

to the list in the employment history section (see Page 8).

Collect life insurance policies and call the compani

es and ask for death claim

forms. The beneficiary can choose to take proceeds in a lump sum or spread them out

as payments over the years.

Contact companies holding retirement plans.

There may be money left in them

to be paid out to survivors. Like life insurance, proceeds can be paid out in a lump

sum or in installments. Tax advisors should be consulted before beneficiaries make

that decision.

Consult with the health insurance company.

It may pay some expenses of your

last illness. Future premiums may also be less if the policy has covered two or more

people and now there will be one less person covered. Some health insurance policies

are also combination policies that provide some death benefits.

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calculateestate’sworth

Worksheets to Help You Create Your Estate

HOW TO TELL

“Mine” From “Ours”

Sole property is anything

that belongs to you

alone. Joint property are

items that are shared. To

determine whether or not

you can pass all or part of an

asset by your will, you should

know the form of title. There

are four ways property can

be owned jointly.

1.Joint tenancy with right

of survivorship. When

one owner passes away,

the surviving joint owner

owns the entire asset.

2.Tenancy in common.

You and others have

an undivided interest

in an asset. You can pass

your interest by will. The

surviving joint tenant

doesn’t automatically take

title to your interest.

3. Tenancy by the entirety.

This form of ownership is

recognized by many states.

It’s limited to married

couples and generally to

real property.

4.Community property.

This is a form of property

ownership between

spouses in select states.

Generally, all property

acquired during marriage

is community property,

regardless of which spouse

holds title. You can will

only half the property; the

other half belongs to your

surviving spouse.

What Is Your Estate Really Worth?

Your estate’s value from an estate

planning viewpoint is different from your

net worth, which is a snapshot of what

you own and what you owe.

Fortunately, most people find they

have much more in their estate than they

thought when they account for savings,

employer and personal life insurance,

retirement plan benefits and perhaps even

a future inheritance. For estate planning

purposes, an inventory of your assets and

liabilities will help you determine what

you can leave to your heirs after your

lifetime and how to best provide for the

distribution of your estate.

Make an Inventory of Your Assets

If you are married, be sure to include your

spouse’s assets and all jointly owned or

community property. Use the current

market value for everything you own and

the face value (not cash value) for any life

insurance. Don’t strive for exact amounts;

round numbers will do.

Make Property Decisions

Once you’ve made an inventory of your

property, you’re ready to decide where you

want it to go. The following pages can help

you organize your plans.

Once the worksheets are complete, you

are ready to meet with your attorney for

important counsel and the drafting of

necessary documents.

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___________________________ _____________________ ___________ ___________ ___________

_____________________ ___________ ___________ ___________

___________________________ _____________________ ___________ ___________ ___________

___________________________

___________________________ ________ ___________ ___________ ___________ ___________

___________________________ _____________________ ___________ ___________ ___________

calculateestate’sworth

List Your Assets

1. Cash (savings, money market and checking accounts, CDs)

Type of account Institution

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $

2. Real Estate

Description and

location of property

Date of

purchase

Cost

basis

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $ $

3. Stocks, bonds, mutual funds

Description

Date of

purchase

Cost

basis

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $ $

4. Obligations due me (mortgages held, notes receivable, accounts receivable)

Name of debtor

Address

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $

::

___________________________

________

calculateestate’sworth

List Your Assets

___________

___________ ___________ ___________

___________ ___________ __________

___________ ___________ ___________

________________ _______________ _______________ ___________ ___________ ___________

_______________ _________ _________ ___________ ___________ ___________ ___________

5. Personal assets (automobiles, jewelry, furniture, boats, paintings, collections, etc.)

Description

Date of

purchase

Cost

basis

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $ $

6. Life insurance

Face Amount*

Name of company

Insured

Beneficiary

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $

*Note any policy loans

7. Annuities

Present Value

Description

Annuitant

Beneficiary

Cost

basis

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $ $

calculateestate’sworth

List Your Assets

_____________________________________ _______________________ ___________ ___________

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_____________________________________ ___________ ___________ ___________ ___________

8. Retirement benefits (pension, profit-sharing, IRAs, Keogh plans, etc., including face

amounts of life insurance owned in the retirement plan)

Value of Interest

Description Beneficiary

Owned by

you alone

Owned by

your spouse

$ $

9. Business interests owned (proprietorship, partnership, corporation)

Value of Interest

Business name and address

Cost

basis

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $ $

10. Other assets potentially includable in estate because of your interest in them

(interest in a trust or estate, royalties, patents, copyrights, trademarks, etc.)

Current Value

Description

Cost

basis

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

$ $ $ $

Owned by

you alone

Owned by

your spouse

Owned

jointly or

community

TOTAL OF ALL ASSETS

$ $ $___________ ___________ ___________

__________________________

______________________

__________________________

______________________

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List Your Liabilities (approximate balances owed)

__________________________ ______________________ ___________ ___________ ___________

___________ ___________ ___________

__________________________________________________ ___________ ___________ ___________

1. Mortgages

Description of property Name of creditor

Owed by

you alone

Owed by

your spouse

Owed

jointly

$ $ $

2. Loans, installment debts (bank, auto and personal loans, insurance loans, etc.)

Description Name of creditor

Owed by

you alone

Owed by

your spouse

Owed

jointly

$ $ $

3. Current bills (department store and other charges, credit cards, etc.)

Description Name of creditor

Owed by

you alone

Owed by

your spouse

Owed

jointly

$ $ $

4. Taxes owed (estimated state and federal income tax, property tax, etc.)

Description

Owed by

you alone

Owed by

your spouse

Owed

jointly

$ $ $

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List Your Liabilities (approximate balances owed)

__________________________________________________ ___________ ___________ ___________

___________ ___________ ___________

5. All other liabilities

Description

Owed by

you alone

Owed by

your spouse

Owed

jointly

$ $ $

TOTAL OF ALL LIABILITIES

Owed by

you alone

Owed by

your spouse

Owed

jointly

$ $ $

You Your spouse Joint

Total of all assets

$ $ $

Minus total of all liabilities

( ) ( ) ( )

NET

ESTATE (estimated)

$ $ $

dispositionofestate

Who Gets What?

_____________________________________ ___________________________________________________

______________________________________________________ _____________ _____________

_____________________________________

___________________________________________________

__________________________________________________ _____________________________________

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Now that you’ve determined which assets comprise your estate and their values, you need to

indicate who you want to inherit your assets.

1. Gifts to spouse

(indicate a contingent beneficiary in case your spouse does not survive you)

Description of asset or percentage of estate

Name/Relationship/Address

2. To other beneficiaries

Description of asset or percentage of estate Name of Beneficiary/Relationship/Address

3. To charitable organizations

Name and address of charitable organization

Percentage

of net estate

Dollar amount

% OR $

Name and address of charitable organization

Description of

specific asset

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:: dispositionofestate

Who Gets What?

__________________________________________________________________ ____________________

Information contained herein was accurate at the time of printing. The information in this publication is not intended as legal or tax advice.

For such advice, please consult an attorney or tax advisor. Figures cited in any examples are for illustrative purposes only. References to tax

rates include federal taxes only and are subject to change. State law may further impact your individual results.

4. Residue of estate

Name and address of charitable organization Percent of residuary estate

%

Name and address of other beneficiaries

Percent of residuary estate

%

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considercharitablechoices

How You, Your Family and Your Favorite Causes Can Benefit

!

Gifts That

Give Back!

A generous gift to us

should not supplant

your personal and family

concerns, of course.

However, you will reap

benefits from your

philanthropy that have

practical consequences.

Income tax benefits. A

gift to a qualified charitable

organization may entitle

you to an income tax

charitable deduction when

you itemize.

Capital gains tax savings.

When you donate

appreciated property you

have held for more than

one year to a qualified

charitable organization,

you can reduce or even

eliminate capital gains

taxes on the transfer.

You may also qualify for

an income tax charitable

deduction based on the

fair market value of the

securities at the time of

the transfer.

Lifetime income. If you

desire, you can receive

an assured income for life

through a planned gift.

Once you have completed this record

book, you are ready to meet with your

attorney and other professional advisors

for their important counsel and the

drafting of necessary documents.

We hope that as part of your planning

you consider making a gift to us in

your will or through some other form

of gift planning. A gift to us, however,

should never come before your personal

or family needs. That’s the beauty of

a planned gift—you come first.

Depending on the type of gift you

choose, you may potentially reap

benefits from your philanthropy

that have very practical and desirable

outcomes, such as the following:

• Ability to leave a legacy

• Income tax benefits

• A life income

•

Reduce or eliminate capital

gains taxes

• Personal satisfaction

Whatever your objective, we can help

match your needs with the right giving

tool to provide the most benefits for you,

your family and us.

Please contact us and we’ll be happy

to explain the choices available to you—

without obligation.

Fillable Personal Estate Planning Kit - Record Book (Park University)

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