Want to know more about a “trust”? Here are some intake questions that give you an idea of what a trust is about and what “goes into it.” Please note this information questionnaire is not an explanation of a trust but an explanation of information needed to draft a trust. Your Elder Law attorney will consult with you about your unique situation and provision that need to be drafted to tailor it to your exact situation.
TRUST QUESTIONNAIRE
(This form can be downloaded in pdf format from our Clients page)
Client’s Name(s)____________________________________________________
Home Telephone___________________________________________________
Husband’s Work___________________________________________________
Wife’s Work______________________________________________________
Principal Residence
Street Address___________________________________________________
City__________________________State______Zip_____________________
Vacation Home
Street Address___________________________________________________
City__________________________State______Zip_____________________
I.PERSONAL DATA
A.HUSBAND AND WIFE
Husband’s full name______________________________________________
U.S. Citizen_____________ If not, what Country___________________
Marriage date____________________
Previous marriages (list names of former spouse and children; provide a copy of the Divorce Decree)__________________________________________________________________________
Wife’s full name_________________________________________________
U.S. Citizen_____________ If not, what Country___________________
Marriage date____________________
Previous marriages (list names of former spouse and children; provide a copy of the Divorce Decree) _________________________________________________________________________________
B. Children
Is there a physical possibility of more children_________________
Are any of your children adopted; if so, please list_______________________________________
Are any of your children handicapped or in poor health, if so, please list_______________________
Are any of your children deceased, if so, please list_______________________
Please list any grandchildren of such deceased children
_________________________________________________________________
1. Child’s name________________________Date of Birth_______________
Address______________________________________________________
Spouse’s name_________________________________________________
Child’s children (names and ages)____________________________________________________
_______________________________________________________________________________
2. Child’s name________________________Date of Birth_______________
Address______________________________________________________
Spouse’s name_________________________________________________
Child’s children (names and ages)___________________________________________________
______________________________________________________________________________
3. Child’s name________________________Date of Birth_______________
Address______________________________________________________
Spouse’s name_________________________________________________
Child’s children (names and ages)_____________________________________________________
________________________________________________________________________________
4. Child’s name________________________Date of Birth_______________
Address______________________________________________________
Spouse’s name_________________________________________________
Child’s children (names and ages)_____________________________________________________
________________________________________________________________________________
C. Pets. Do you want to provide for the care of your pets should you become disabled or pass away?
HUSBAND YES________ NO________
WIFE YES________ NO________
Caregiver choice_________________________________________
Name/Type of Pet(s)______________________________________
II. CHOICE OF TRUSTEE(The trustee is responsible for managing assets held in trust for the benefit of specified beneficiaries.)
HUSBAND
Initial Trustee__________________________________________________ Address________________________________________________________
City________________________State______Telephone_________________
Co-Trustee_____________________________________________________
Address________________________________________________________
City________________________State______Telephone_________________
Successor Trustee________________________________________________
Address_________________________________________________________
City________________________State______Telephone_________________
WIFE
Initial Trustee __________________________________________________
Address________________________________________________________
City________________________State______Telephone_________________
Co-Trustee_____________________________________________________
Address________________________________________________________
City________________________State______Telephone_________________
Successor Trustee________________________________________________
Address_________________________________________________________
City________________________State______Telephone_________________
III. TRUST ARRANGEMENTS
A. Do you want the trust funds to be held in one common fund until your youngest has the opportunity to obtain a college education?
HUSBAND YES________ NO________
WIFE YES________ NO________
B. If your children are under a specified age, should their share be held in trust until a particular age?
HUSBAND YES________ NO________ If so, what age?________________________
WIFE YES________ NO________If so, what age?________________________
C. Do you want all of a child’s share to be distributed at one time or a percentage distributed at a particular age?
HUSBAND One time distribution_________________________________
Age of distribution______________________________________________
WIFEOne time distribution____________________________________
Age of distribution______________________________________________
D. Does your child’s children take his/her parents’ share if your child does not survive you?
HUSBAND YES________ NO________
WIFE YES________ NO________
E. CHOICE OF GUARDIAN FOR MINOR CHILDREN IF BOTH GRANTORS ARE DECEASED_____________________________________________________________
F. CARE INSTRUCTIONS FOR ANY MINOR CHILDREN
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
V. FINANCIAL DATA(Designate whether owned by husband(H) or wife (W), or jointly owned (J).
A. REAL ESTATE OWNED
1. Legal Description_________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Owner_______________________________Date Acquired________________
Cost_________________Lien_________________Value__________________
2. Legal Description_________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Owner_______________________________Date Acquired________________
Cost_________________Lien_________________Value__________________
3. Legal Description_________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Owner_______________________________Date Acquired________________
Cost_________________Lien_________________Value__________________
B. STOCKS AND BONDS
Company__________________________________________________________
Type____________________# of Shares__________ Value_________________
Owner____________________________________________________________
Company__________________________________________________________
Type____________________# of Shares__________ Value_________________
Owner____________________________________________________________
C. BANK ACCOUNTS
Bank____________________________________Type_____________________
Owner___________________________________Balance__________________
Bank____________________________________Type_____________________
Owner___________________________________Balance__________________
Bank____________________________________Type_____________________
Owner___________________________________Balance__________________
Bank____________________________________Type_____________________
Owner___________________________________Balance__________________
D. BUSINESS INTERESTS
Name____________________________________Type*___________________
Owner___________________________________Value____________________
*Type: C-Corporation P-Partnership S-S Corporation SP-Sole Partnership
G. PLEASE DESCRIBE ANY RETIREMENT PLAN, PROFIT SHARING PLAN, ETC. (LIST EQUITY)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
H.LIFE INSURANCE OR ANNUITIES
Company_______________________________________Type_______________
Amount______________________________Cash value____________________
Beneficiary________________________________________________________
Accountant or Tax Preparer _________________________________________
Address__________________________________________________________
Phone____________________________________
Stock Broker______________________________________________________
Address__________________________________________________________
Phone____________________________________
Financial Planner__________________________________________________
Address__________________________________________________________
Phone____________________________________
I. ESTIMATED GROSS ESTATE
Husband only__________________________________
Wife only_____________________________________
Joint_________________________________________
Total_________________________________________
Please add additional sheets as necessary.