TRUST QUESTIONNAIRE FOR A SINGLE TRUST - Silverblatt Law

TRUST QUESTIONNAIRE FOR A SINGLE TRUST

Please fill out this questionnaire as much as possible. This will be kept strictly confidential and will be destroyed after execution of the documents. Use full legal names. Please print. Use the back of any page for additional room or notes.

I. IDENTIFICATION OF TRUSTMAKER AND FAMILY A. Name. (Women should only list their maiden names if it typically used. If so, list as middle name.)

First: _______________ Middle: _______________ Last: ____________________ Suffix: _______

Home Phone:

US Citizen: _____ Yes _____ No

B. Children (Include children born to or adopted by you):

1. Name: Home Phone:

Age: Special Provisions Necessary: _____ Yes _____ No

2. Name: Home Phone:

Age: Special Provisions Necessary: _____ Yes _____ No

3. Name: Home Phone:

Age: Special Provisions Necessary: _____ Yes _____ No

4. Name: Home Phone:

Age: Special Provisions Necessary: _____ Yes _____ No

5. Name: Home Phone:

Age: Special Provisions Necessary: _____ Yes _____ No

II. STANDARD PROVISIONS IN ALL WILLS AND TRUSTS Unless you specifically designate otherwise, these provisions are included: A. Payment of all debts and expenses except those which are not currently due, as in a mortgage. B. "Children" as used in the Will shall include any children born or adopted after the making of the Will, but not step-children. C. No bond to be required for the Executor or the Trustee. D. Independent Executor under the laws of Texas allows for the administration of the Will and Estate without Court supervision. E. Broad powers for the Executor and the Trustee.

F. Transfers to Minors Act provisions in case any beneficiary is still under age. G. Collection of Veteran's benefits whenever applicable. H. No contest clause. I. Reference to an optional informal memorandum leaving specific items of sentimental value to specific persons. (We will give you a sample for such a memorandum.)

III. OTHER PROVISIONS

Other provisions which may be put into a Will / Trust for a small additional fee include:

A. Disinheritance Clause

E. Contingent Trusts

B. Charitable Bequests

F. Recognition and Incentive Provisions

C. Split Guardianships

G. Disincentive Provisions

D. Special Needs Trust

H. Pet Care Provisions

IV. NOMINATION FOR FIDUCIARY POSITIONS

NOTE: The same person(s) can be trustee, guardian and/or executor if you so desire.

A. Successor Trustees:

1. First Successor Trustee: ________________________ Relationship: _______________________

City and State: ________________________________ Home Phone: _______________________

2. First Successor Trustee: ________________________ Relationship: _______________________

City and State: _______________________________ Home Phone: _______________________

B. Guardian. If applicable, your choice for guardian of your children who are under the age of 18, if there

is no surviving parent.

1. First Choice:

Relationship: ____________________

2. Second Choice:

Relationship: ____________________

C. Executor. The Executor will be the person in charge of handling the probate of the Pour-over Will

should there be any assets which were not put into the Trust prior to death. The Pour-over Will asks your

Executor to distribute those assets to the Trust.

1. First Choice:

Relationship: ____________________

2. Second Choice:

Relationship: ____________________

V. DISTRIBUTION OF ESTATE A. Beneficiaries of Specific Gifts, if any. (These gifts will take priority over all other bequests. It is usually preferable to take advantage of the informal memorandum clause placed in the trust which allows more flexibility.)

B. Residuary. Whom do you want to receive the remainder of your property, after debts have been paid

and any specific gifts have been given out?

Choose either 1 or 2.

1. Children. Check here for standard choice of equally to all children.

And choose one of the following for situations if your child is deceased:

a. Check here for "Per stirpes" (to their natural or adopted children)

b. Check here for "Per capita" (to only your surviving children)

2. Other Distribution Plan. (Give names and their relationship to you.)

Names

Relationship

a. __________________________________________ ______________________________

b. __________________________________________ ______________________________

c. __________________________________________ ______________________________

d. __________________________________________ ______________________________

e. __________________________________________ ______________________________

C. Disinheritance. List anyone whom you wish to deny any rights as to control or inheritance of your

estate and their relationship to you.

Names

Relationship

a. __________________________________________ ______________________________

b. _________________________________________ ______________________________

D. Contingent Trusts. If any beneficiary is below the designated age, then their share will continue in trust

until they reach that designated age; to be used in advance only for health, education and emergency welfare

needs:

1. Choose one of the following:

a. Check here for no contingent trust

b. Check here for all at age 25

c. Check here for 1/3rd distributions at ages 25, 30 and 35

_______

d. Other arrangement ___________________________________________

2. Indicate your choices for Trustee of the Contingent Trust.

a. First choice for Trustee:

b. Second choice for Trustee:

E. Recognitions and Incentives. These are optional but provide encouragement and recognition upon

certain noteworthy events if you are not alive to make a gift.

1. Amount to be distributed in advance upon attainment of the following:

a. 2 year college degree or its equivalent $

b. 4 year college degree or its equivalent $

c. Master's degree or its equivalent

$

d. Doctorate's degree or its equivalent $

e. Upon a first marriage

$

F. Disincentive. We can include a "dirtball" provision that withholds a bequest for five years if the Trustee believes the Beneficiary is abusing drugs or alcohol, or is not working, seeking employment, doing charity work or raising a family.

Yes, we would like this.

VI. SUMMARY OF ASSETS

To properly advise you of potential tax problems as well as trust applications, the following

disclosure of information is required. Estimates will be sufficient. Use fair market values, free from

mortgage and liens.

A. Checking Accounts:

Institution

Right of Survivorship Community/Separate Estimated Value

1.

Yes

No

/

$

2.

Yes

No

/

$

B. Savings Accounts:

1.

Yes

No

/

$

2.

Yes

No

/

$

C. Certificates of Deposit:

1.

Yes

No

/

$

2.

Yes

No

/

$

D. Investment Accounts:

1.

Yes

No

/

$

2.

Yes

No

/

$

3.

Yes

No

/

$

4.

Yes

No

/

$

E. Insurance Policies:

Insurance Company Insured

Amount of Policy

Beneficiary/Beneficiaries

$

$

$

$

F. Savings Bonds:

Owner(s) Name on Bond:

Estimated Total Face Value:

G. Personal Property: This includes clothing, jewelry, personal belongings but unless there are

exceptionally valuable pieces, we only need an estimated value on the total amount:

Personal Property: $

Household Goods: $

H. Real Estate. Please list the street addresses for each parcel at this time. Later, we will ask that you provide a copy of each deed for parcels you wish to transfer into your trust.

1. Residence/Homestead. Value: __________________ Approximate Acreage: _________________ Mailing Address:

Subdivision/Survey: ______________________ County and State: ___________________________ 2. Other Real Property. Value: __________________ Approximate Acreage: _________________ Mailing Address:

Subdivision/Survey: ______________________ County and State: ___________________________ 3. Other Real Property. Value: __________________ Approximate Acreage: _________________ Mailing Address:

Subdivision/Survey: ______________________ County and State: ___________________________ 4. Other Real Property. Value: __________________ Approximate Acreage: _________________ Mailing Address:

Subdivision/Survey: ______________________ County and State: ___________________________

ATTORNEY NOTES:

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