4 Title Chart

Print and complete. Please bring to your appointment, along with financial statement or last tax return.  

My Income for last year:      $   _____________


Income of spouse/partner: $   _____________

Valuation and Title for Updating Estate Plan-estimates are fine

Asset

Joint

Your trust Owns Alone

Your Spouse’s/

partner’s trust Owns Alone

Liabilities

Atty use

Residence                                          

$

$

$

$

 

Other Real Estate                                              

 

 

 

 

 

Other residences, commercial property, raw land

 

 

 

 

 

Household Furnishings

 

 

 

 

 

Personal effects, like jewelry & collectibles

Doll house, art

 

 

 

 

 

Motor vehicle

 

 

 

 

 

Motor vehicle

 

 

 

 

 

Bank #1/Checking-Savings-CD, etc

 

 

 

 

 

Bank #2/Checking-Savings-CD, etc

 

 

 

 

 

Non-Retirement Brokerage Act

 

 

 

 

 

Non-Retirement Brokerage Act

 

 

 

 

 

Direct Investments or DivReinvestment Plans

 

 

 

 

 

Retirement Plans

 

 

 

 

 

Retirement Plans

 

 

 

 

 

Retirement Plans

 

 

 

 

 

Life Insurance

 

 

 

 

 

Life Insurance

 

 

 

 

 

Life Insurance

 

 

 

 

 

Equity or stock

 

 

 

 

 

LLP interests

 

 

 

 

 

Anticipated Inheritances

 

 

 

 

 

Other assets?

 

 

 

 

 

 

 

 

 

 

 

Total Assets

 $

 $

 $

 





December 2010