Document locator of:



Doctor Ace Document locator and Personal Financial Statement. (found in word file - document locator 1 and physical location)

Updated month 2020

Place copies or originals of all documents below in a safe folder:

Life, home, auto, health and business Insurance documents:

Birth certificates:

Titles to cars:

Home deeds and proof of ownership:

Marriage certificate:

Social security cards:

Military discharge papers DD 214:

Home ownership documents:

Timeshare document:

A memory stick pictures of your entire house and all property in the house especially all the valuables, paintings, jewelry and anything else of value.

Physical location of all passwords

Quickbooks bank records for home and work:

Passports:

Tax returns:

Wills, trust and power of attorney's:

Spouse wills.

Power of attorney for both spouses

Medical power of attorney

Irrevocable Life insurance trust

Family limited partnership

Charitable remainder trust

Wills that include family credit shelter (bypass trust) marital deduction trust for each

Stock certificates:

Other investment documents from your broker or brokerage company

Letters of final request:

Medical and dental records:

Social security statement:

Safe-deposit keys:

Family limited partnership and other trust documents:

Home insurance - Policy Number, Name, phone, email

Auto polices insurance - Policy Number, Name, phone, email

Health insurance - Policy Number, Name, phone, email

Business insurance - Policy Number, Name, phone, email

Long-term care insurance - Policy Number, Name, phone, email

Notification list

Accountant (Name/phone/email)

Attorney: (Name/phone/email)

Banker: (Name/phone/email)

Accounts

Personal checking#

Personal sweep #

Business checking #

Business sweep #

Trust checking #

Credit Cards (Name/cc number/phone/email)

Credit card #1

Credit card #1

Credit card #1

Credit card #1

Executor attorney: (Name/phone/email)

Contingent executor: (Name/phone/email)

Insurance agent: (Name/phone/email)

Clergyman: (Name/phone/email)

Funeral director: (Name/phone/email)

Guardian: (Name/phone/email)

Veterans administration: 1 800 827-1000

Social security: 1-800-772-1213

Retired pay: 1800 321-1080

Life insurance policies

Company: Great West Life Insurance Company (Policy # )

Agent: American Dental Association Telephone number: 800-537-2033

Amount: $ Date:

Type of policy: Term (Accidental double indemnity)

Location of policy:

Beneficiaries:

Company: Life Insurance Co. (Policy # )

Agent: Telephone number:

Amount: $ (cash value $ ) Date:

Type of policy:

Location of policy:

Beneficiaries:

Accidental death/ disability benefits of $250,000.00 from my Visa card if the airline ticket was purchased by the credit card. This applies to all ticketed passengers where I used the credit card to pay for the tickets.

Pensions/annuities

Wills and estate planning documents

Documents include: Last will and testament with a bypass trust, durable power of attorney for health-care, living will, and durable power of attorney for asset management.

Location of original last will:

phone #

Date of will:

Copies of documents:

Personal information

Full legal name:

Address:

Social security number: Spouse S.S. No.:

Medicare number:

Armed forces service number:

Date and location of discharge:

Birth date:

Marriage date/place:

Fathers full name:

Mothers full maiden name:

Children:Name Address Birth date

Personal financial statement (found in word file personal financial)

Updated 2017

Name: SS# Driver License

Spouse S.S. No. Address:

home phone: business phone:

you owe in the chart below.

|Determine your Net Worth |

|Assets |Amount | |Liabilities |Amount |

|Personal Cash (Bank) | | | | |

|Practice Cash (Bank) | | | | |

|Taxable investments (stocks) | | | | |

|Tax deferred investments (IRA/401k) | | | | |

|Cash value life insurance | | | | |

|Gold/Silver | | | | |

|Other | | | | |

|Real estate | | |How much is owed | |

|Main home | | |How much is owed | |

|Vacation homes | | |How much is owed | |

|Rental property | | |How much is owed | |

|Practice building | | |How much is owed | |

|Practice (value = 2X net) | | |How much is owed | |

|Other Assets | | |How much is owed | |

|Automobiles/boat | | |How much is owed | |

|Personal property | | |How much is owed | |

|Pension (value = 20X yearly amt) | | |School loans | |

|Social Security ((value = 20X yearly amount) | | |Credit cards debt | |

| | | |Other debt | |

| | | | | |

|Total assets $ | | |Total liabilities$ | |

| | | |Net worth$ (Assets - Liabilities) | |

Recap of income and expenses

|Annual income year 2019 |Amount |Annual expenses year 2019 |Amount |

|Salary or wages | |Property tax | |

|DET distribution | |Income tax | |

|Rentals (gross income) | |Real estate loan payments | |

|Business (net income) | |Note payments | |

|Military retire pay | |Living expenses | |

|Social Security | | | |

|Total income $ | |Total expenses $ | |

Property owned:

Home:

Cost to build was $ plus $ for land, plus Landscaping $ for a total of $ . Estimated value $.

Vacation resort (Time shares) location and phone number

Estimated value $

Rental, Value is $

Loan owed me:

Long-term care insurance:

Stocks

Investments cash

IRA accounts: You do not have to pay taxes on the principle of nondeductible traditional IRA’s.

Charles Schwab: Account# Telephone 800

See AG Edwards accounts –

See above and statement enclosed

Children IRA account #

Gold and Silver amount and location

Funeral request of

Funeral home:

Director: Telephone:

Address:

Service type: Religious: Military: Fraternal:

Person officiating: Telephone:

Music selection:

Reading selection:

Flowers:

Memorials:

Pallbearers:

Deposition:

Other instructions:

Burial

Cemetery:

Location:

Section: Plot number: Block:

Location of deed:

Special instructions:

Funeral expenses coverage

Life insurance:

Social Security: Veteran's administration:

Union benefits: Fraternal organizations:

Pension benefit:

Burial insurance:

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