International Estate Planning Questionnaire

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International Estate Planning Questionnaire document sample

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2/25/2011
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							ESTATE PLANNING
 QUESTIONNAIRE




     Russell J. “Jack” McCann
   McCann, Hubbard & Solomon
  1804 Williamson Court, Suite 201
    Brentwood, Tennessee 37027
        Office: 615-377-3319
         Fax: 615-377-0644
       jack@mhslawfirm.com
GENERAL INFORMATION
Please print or type all information.
                                          HUSBAND                               WIFE

 Full Name

 Residence Address

 City, State, Zip

 County

 Citizenship*

 Email address

 Residence Telephone

 Employer/Business Name

 Position

 Annual Salary/Commissions

 Business Telephone

 Birth Date

 Place of Birth

 Social Security Number

 Marriage                         Date:                    Place:

 Legal names as you sign them:
 (ex: Russell J. McCann)
 Husband previously married? ______ Prior children? _______ **

 Wife previously married? ________ Prior children? ________ **


* It is very important to plan carefully for tax and property consequences that may result from any interstate or
international aspects of your estate. If you travel extensively or own residential property in more than one
jurisdiction, please be prepared to discuss your view regarding what you consider to be your principal residence.

** For each prior marriage of either spouse, indicate name of whether prior spouse is living and if there are children
from the prior marriage. Please let me know if the divorce decree requires special provisions under the Will.




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Information on children and grandchildren is important for several reasons. For example, first, it can assist
in determining whether gifts to children should be outright or in trust. Second, it can help when the
draftsperson is considering the use of a trust (such as an irrevocable life insurance trust) which requires the
use of Crummey/Demand powers to qualify gifts to the trust for the annual exclusion. Third, it is quite
helpful in planning the generation-skipping transfer tax, both in terms of the allocation of the $1 million GST
exemption and in determining if the bump-up rule of IRC Section 2612(c)(2) applies when there is a
predeceased child.

List children in order of birth, indicate if any deceased.
            Name of Child                                 Address                   Birth Date        If Child is Married
                                                                                                        Spouse’s Name
 1.

 2.

 3.

 4.

 5.

 6.


Do you have any deceased children? ______ If yes, did they leave children or a spouse? _______.

Do you desire to skip your children and bequeath assets to grandchildren either directly or in trust? ________

Are you currently making annual gifts to or for the benefit of any child or grandchild?_______
If so, reference the beneficiaries by the above numbers: _______________________________.

                                                  DEFINITIONS
Executor: That person who will file the Will for probate, and who will manage your estate for the probate period
(usually one year or less). Generally the surviving spouse is the first choice Executor, but it does not have to be that
way.

Guardian: That person or couple who will have responsibility to raise your children if both spouses die or are
incapacitated. There are no rules about who must be guardian; you can choose friends instead of family members,
and vice versa.

Trustee: That person or persons or company that will manage the financial assets for the benefit of your spouse
and/or children until such time as distribution of all assets to the children.

DPOA: Durable Power of Attorney for finances. In the event you are temporarily or permanently mentally
disabled, there must be a named person, persons, or trust company to pay bills, borrow money for medical needs, or
sell assets for medical or family needs. First choice is typically a spouse, but we need backups.

HPOA: Health Care Power of Attorney. In the event you are temporarily or permanently disabled, there must be a
named person or persons to make minor and major medical decisions including electing or refusing treatments, or
electing hospice care instead of hospital care.

Living Will: If you are being kept alive artificially, with no hope of recovery, this instrument states your desire to
either terminate life support or continue life support, and to either make organ donations or to not make organ
donations.




                                                                                                                            3
1. a) If your children are minors, provide a first choice guardians:___________________________

   b) Provide a second choice guardians: __________________________________

2. a) If children are minors, provide a first choice trustees: _______________________________

   b) Provide a second choice trustees: __________________________________

   c) Provide a third choice trustees: __________________________________

3. If you and your spouse both die while the children are minors, and the children are brought up by the Guardians
and Trustee, at what ages after college would you want each child's share of his or her trust assets be paid out to that
child? (Example: pay out in thirds at ages 25, 30, and 35)

_____________________________________________________________________________

4. If all of you: you, your spouse, your children, and their children passed away, to whom or what would you want
to receive your cash and property? Would it be charities and/or individuals? What dollar amounts or percentages?

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

5a) Husband: Whom do you wish to have as your first choice agent for your DPOA? ___________________; who
for your second choice? _____________________________.

5b) Wife: Whom do you wish to have as your first choice agent for your DPOA? _______________________; who
for your second choice? _________________________.

6a) Husband: Whom do you wish to have as your first choice agent for your HPOA? ___________________; who
for your second choice? _____________________________.

6b) Wife: Whom do you wish to have as your first choice agent for your HPOA? _______________________; who
for your second choice? _________________________.

7a) Husband: For your Living Will, do you desire to make organ donation? _______

7b) Wife: For your Living Will, do you desire to make organ donation? ________


8. Who is your first choice Executor? _________________, Second Choice? ______________

         Third Choice? __________________________

Do you or your spouse have any disabled children or relatives for whom we need to provide? Any other individuals
to be considered in the estate plans?

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________




                                                                                                                       4
                                              FINANCIAL DATA

                                         HUSBAND                                                WIFE

 Personal Banker
 Bank
 Accountant

 Stock Broker

 Firm
 Property Insurance
 Company
 Life Insurance Agent
 Physician
 Safe Deposit Box?
 Location?
 Any family attorney?
 Name
 Firm
 Phone:

(1) List houses and any other real estate you own:

     Description & Location               Title in Whose Name      Purchase Price   Current Value    (-) Mortgage   (=) Equity




                                                                                          Total Net Value =




(2) Do you or your spouse own a business or have any partnership interests?

             Description                       Type of Ownership                    Purchase Price            Current Value




                                                                                         Total Value =




                                                                                                                                 5
(3) Do you own any other titled property such as a cars, boats, motorcycles, airplanes, etc...?

      Description                        Title in Whose Name     Purchase Price   Current Value   (-) Loan         (=) Equity




                                                                                  Total Net Value =




(4) Please list checking accounts, savings accounts, money markets, CDs:
       Name of Institution                Account Number                  Titled in whose name               Approx. Balance




                                                                                         Total Net Value =




                                                                                                                                6
(5) Do you own any stocks, bonds, mutual funds, or other investment accounts?
# of Shares    Description    Account Number        Titled in whose name    Purchase Price        Avg Return            Current Value




                                                                                                       Total Value =




(6) Do you have any profit sharing, IRAs, 401Ks, 403Bs, Keoughs, SEPS, or pension plans?
       Description/Location           Beneficiary                     Average Return                         Current Value




                                                                                   Total Value =




(7) Does anyone owe you money (other than monthly rental payments)?
                                    Description                                                         Approx. Value




                                                                                       Total Value =




(8) Do you have any special items of value such as coin collections, antiques, jewelry, etc...?

                                      Description                                                         Approx. Value




                                                                                       Total Value =



                                                                                                                                        7
(9) What is the approximate total value of all your remaining personal property - whatever you own that has not
been included above? (Clothes, Furniture, etc...) Just Estimate..............
                                                                            Personalty Value =




(10) Do you have any OTHER debts other than mortgage(s) and loan(s) already listed above? (Such as credit cards,
personal loans, student loans, etc...?)

                       Description of Debt/Loan                                                Amount Owed




                                                                            Total Other Debt =




(11) WHAT IS YOUR NET WORTH ? (Add total equity from tables 1through 9 and subtract the debt in table 10):
                                                                            Net Worth =




(12) Total Value of Life Insurance if both you and your spouse die:
                                                                            Total Life Ins =


 Policies:
      Insured          Owner                      Beneficiary     Company           Value            Perm or Term




Wrap-up:

Are you or your spouse expecting to inherit an estate of $100,000.00 or more within the next five years? _________.

Any special questions or concerns not already addressed in this document? ________________

____________________________________________________________________________

In which state do you currently reside? _________________________

In the next ten years do you plan to move to Florida, California, or New York? _________________


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