Estate Planning Information Sheet
Summary: This confidential checklist requests information that is important for the proper planning of your estate.
Herbert E. “Chip” Browder, LLC
2216 Fourteenth (14th)
Street (35401-2928)
P. O. Box 2444
Tuscaloosa,
Alabama 35403-2444
Writer’s Secretary,
Jennifer Jones, at (205) 349-1910
Writer’s E-Mail Address: chip@cbrowderlaw.com
Fax Number (205) 349-1552
ESTATE and ASSET PROTECTION PLANNING INFORMATION SHEET
This confidential checklist requests information that
is important for the proper planning of your estate. Please complete as much of the information
requested as possible, which should expedite the planning process. However, it is not necessary that the
Checklist be entirely completed before our next meeting and we can, of course,
go over any questions you have when we meet together. The information you provide will be a
starting point for our discussions. It
is important that the information you provide be as accurate and complete as
possible, since we will rely on it when providing advice to you and for the
development of your estate and asset/lawsuit protection plans.
Based upon your particular circumstances, there should be various planning opportunities for you and your family to protect your hard-earned savings from the “reach” of litigious parties and their attorneys. Your adoption of a comprehensive Asset Protection Plan may be simply described as the process of organizing your and your family's assets and financial affairs in advance, so as to guard them from loss by reason of some future fiscal calamity. Once again, the phrase "in advance" warrants strong emphasis.
Asset protection planning is not based on hiding assets or an attempt to defraud existing creditors or those with pending or threatened claims against you. Simply stated, we are attempting to protect you and your family against possible future contingencies or "what ifs”. Therefore, we must be cautious and avoid the negative implications that may follow from planning to protect assets other than in advance, that is, when there are known creditors or pending claims of potential future creditors. If you are currently involved in a lawsuit or believe a recent event or occurrence might result in a legal claim being made against you or a member of your family, then you should bring that particular matter to our immediate attention before we proceed any further.
Your Full Name:______________________________________ U.S. Citizen (Yes/No)_________ Other Names or nicknames by which you are known:______________________________________
Home
Address:____________________________________________________________________
Work
Address:____________________________________________________________________
Home
Phone Number:_____________________
Work Phone Number:_____________________
Social
Security Number:_________________________________
Date
of Birth:______________________
Other
states in which you have lived, if
any:____________________________________________
Spouse's
Full Name:_____________________________________
U.S. Citizen (Yes/No)________
Other
Names or nicknames by which Spouse is
known:____________________________________
Spouse’s
Work Address:_____________________________________________________________
Spouse’s
Work Phone Number:___________ Spouse’s
SS No:___________________________
Spouse’s
Date of Birth:______________________
Other
states in which Spouse has lived, if
any:___________________________________________
Anniversary Date of Current Marriage: _________ Place of Current Marriage (state): _________
Pre-
or Post-nuptial Agreement Signed (Yes or No):
______ (if yes, please provide a
copy).
Name of Your Former Spouse, if any:_______________ Date of Divorce or Death of former spouse: ______
Provisions of Divorce Decree:
__________________________________________
(attach copy if available).
Name of Current Spouse's Former Spouse, if any:
________________ Date of Divorce/Death:____________
Provisions of Divorce Decree:
__________________________________________
(attach copy if available).
Do you or your spouse, or any children of grandchildren,
if applicable, have any special health problems, which may be relevant to your
estate planning? (Yes/No) _______. If
yes, please explain:
______________________________________________________________________________________.
Children: Full Name Address Date of Birth SS#
1.
___________________________________________________________________________________
____________________________________________________________________________________
Comments or Special Circumstances: _____________________________________________________
2.
___________________________________________________________________________________
___________________________________________________________________________________
Comments or Special Circumstances: ______________________________________________________
3.
____________________________________________________________________________________
____________________________________________________________________________________
Comments or Special Circumstances: ______________________________________________________
4.
____________________________________________________________________________________
____________________________________________________________________________________
Comments or Special Circumstances: _______________________________________________________
Note: Please indicate if any of your children are
of a former marriage, and if so, please also list the name of the other parent
of that child; and, please also indicate if any of your children are
adopted. Also, please indicate any
special comments or concerns that you have about any of your children; for
example, does a child have special needs; are there any special circumstances
or problems applicable to a particular child; is there anything in particular
about a child that you wish to take into account in your estate planning?
On the next page, please indicate
also if any special circumstances are applicable to a grandchild as well.
Grandchildren:
Parent’s Name Grandchild's Full Name Address
Date of Birth SS#
1.
____________________________________________________________________________________
______________________________________________________________________________________
Comments or Special Circumstances: ______________________________________________________
2.
____________________________________________________________________________________
______________________________________________________________________________________
Comments or
Special Circumstances: ______________________________________________________
3.
____________________________________________________________________________________
____________________________________________________________________________________
Comments or Special Circumstances: _______________________________________________________
4.
____________________________________________________________________________________
Special Circumstances: _______________________________________________________