REQUEST FOR PREPARATION OF:
SECTION 1 - PERSONAL INFORMATION
1. Marital Status:
Gender:
You
Your Spouse
2. Do you have a Will now?
3. Do you have a Trust now?
4. Children born to you or adopted by you
5. Information pertaining to all grandchildren:
SECTION 2: INDIVIDUALS / INSTITUTIONS WHO WILL STEP IN UPON YOUR DEATH:
1. Executor(s) - Person who will serve as personal representative in the administration of your estate. Your executor
is the person who will distribute your estate according to your wishes. This is usually your spouse or a close relative
or friend.
#1 Choice:
Alternate:
2. Guardians for Minor Children ---Person who will raise your children if something happens to you and/or your spouse
#1 Choice:
Alternate:
Do you want to provide a brief explanation of why you chose this person as guardian in case any questions arise?
3. Trustee/Custodian for Minor Children --- Manages your children's' inheritance. This can be the same person as the
guardian, another adult, and/or a corporate trustee. #1 Choice:
Alternate:
4. Do you want your children's inheritances to be in a Uniform Trust to Minors Account (UTMA) - custodial
account ending at age:
OR Minor's Sub trust - Trust account that must end by the time the minor reaches age 35. Choose an age
where trust will terminate for the child:
- max age, or
SECTION 3 BENEFICIARIES - YOUR HEIRS 1. Beneficiaries: Your beneficiaries are the people and organizations who will inherit your property. You can
designate a dollar amount or a percentage of your estate to be given to each.
(Provide addresses for individuals/organizations who are not your children/grandchildren, are they above 18, and
the amount or Percentage as follows:
2. Alternate Beneficiaries - If one of your beneficiaries pre-deceases their inheritance, do you want to divide their
share among the others or do you want to leave their share to someone else (i.e.: Their spouse or children?)
3. Special Gifts to organizations - Do you want to make a gift (cash or a specific item) to a charity, foundation,
religious or fraternal organization?
4. Special Gifts to Individuals - Do you want to give any specific items to a family member or other individual? (For
example: wedding ring to your daughter, gun collection to a son or nephew, etc.)
5. Disinheriting - Are there any relatives that you specifically do NOT want to receive anything from your estate?
6. Do you want to forgive any debts upon your death? If so, describe the debt indicating the amount and the
name and address of the debtor:
SECTION 4: FOR LIVING TRUSTS ONLY.
A Revocable Living Trust is an entity that survives your passing away. All property you transfer to your trust will pass
on to your heirs without going through the court process of probate which may take years and could result in a
substantial amount of legal and court fees. Since this trust is revocable, it can be changed at any time during your life
and you are in total control of your property until you die. If you are married, your trust can leave your assets to your
spouse upon your death with the final resting place of the property being with your final beneficiaries, such as your
children. In order to benefit fully from the trust, all your property must be formally moved into the trust. This includes
bank and investment accounts, real property, personal property and ALL property, provided there is no beneficiary
already designated. To transfer real property (house, land, farm), you need to file a quit claim deed with the county
recorder. To transfer bank and brokerage accounts, you must check with the institution as to how to formally transfer
the property into the trust. Usually a letter or form will suffice, but every institution has different requirements.
You must name a successor trustee(s). You are the trustee of your living trust during your lifetime. When you pass away, a
successor trustee is appointed to manage the trust. You may name a trustee and an alternate trustee. The successor
trustee should be the same person as the executor of your estate you have named in your Will.
#1 Choice:
Alternate:
1. List all property you own that has a recorded title - house, car, boat, bank accounts, investment accounts EXCEPT
ANY ITEMS THAT ALREADY HAVE A BENEFICIARY SUCH AS: LIFE INSURANCE AND RETIREMENT
ACCOUNTS - THEY ARE NOT INCLUDED IN A WILL OR TRUST SO DO NOT INCLUDE THEM HERE.
2. List all other property you wish to include in the trust such as jewelry, furniture, antiques, and so on
FINAL ARRANGEMENTS
If you desire to provide special instructions to your survivors regarding your final arrangements, complete the
following:
1. What type of service do you want, how elaborate, and where? Are there any special people to contact? Do you want
cremation?
2. If you have a cemetery lot or crypt, where is it located?
ACKNOWLEDGMENT AND AUTHORIZATION
I understand that the Legal Document Assistant (LDA) preparing my documents is NOT an attorney, cannot
select forms and DOES NOT give legal advice. I hereby direct the Legal Document Assistant to type and perform
certain services as outlined in the Contract for Services which we each executed regarding this matter. I further
declare that the foregoing information which I have provided is, to the best of my knowledge, true and correct.
Just check on this box below to verify *
