ESTATE PLANNING INFORMATION NEEDED FOR REVOCABLE TRUST
Please Print
SECTION A. GRANTOR’S PERSONAL INFORMATION
Name of the Trust: _________________________________________Family Trust
Home Address ___________________________________________________
Home phone _______________________________
Husband Cell phone _______________________________
Wife Cell phone _______________________________
Business Address ___________________________________________________
Business phone _______________________________
Fax Number _______________________________
Husband E-mail Address _______________________________
Wife E-mail Address _______________________________
County of Residence _______________________________
State (if other than Texas) _______________________________
Husband’s Information
Name: ______________________________
Wife’s Information
Name ______________________________
(as to appear on documents)
Social Security Number: H_______________________________ W________________________________
Date of Birth:
H_______________________________ W________________________________
Date of Marriage: _______________________________
Have you executed a pre- or post-nuptial agreement? ( ) yes ( ) no
If so please provide a copy of same.
If either spouse has been previously married, please furnish:
Name of former Spouse(s):
H 1st Wife _____________________________
H 2nd Wife_____________________________
H Prior Marriage(s) terminated
1. death ( ) divorce ( ) 2. death ( ) divorce ( )
approximate date
1. ________________________________
2. ________________________________
W 1st Husband _____________________________
W 2nd Husband_____________________________
W Prior Marriage(s) terminated
1. death ( ) divorce ( ) 2. death ( ) divorce ( )
approximate Date
1. ________________________________
2. _____________________________
SECTION B. HEIRS or REMAINDER BENEFICIARIES OF REVOCABLE TRUST
Children/Heirs/Remainder Beneficiaries of Husband:
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Children/Heirs/Remainder Beneficiaries of Wife (Fill out only if different from Husband’s Heirs/Remainder Beneficiaries):
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
Name ___________________________________
Age ________
Percentage of Estate to Receive_____________
Address_________________________________________________________________________________________________
100%
Do any children have special needs or disabilities ( ) yes ( ) no
If yes please describe:
______________________________________________________________________________________________________
SECTION C. TRUSTEE INFORMATION FOR REVOCABLE TRUST
- Successor Trustee(s), (To serve; in order ¨, “jointly ¨):
In Husband’s Documents
(Typically the successor Trustees are the same in H and W documents, unless blended marriage)
First:
Name __________________________________ Add. ____________________________________________ ___________________________________________________
City, State, Zip __________________________________
Phone __________________________________
Second:
Name __________________________________ Add. ____________________________________________ _______________________________________
City, State, Zip __________________________________
Phone __________________________________
Third:
Name __________________________________ Add. ____________________________________________ _______________________________________
City, State, Zip __________________________________
Phone __________________________________
In Wife’s Documents
(Typically the successor Trustees are the same in H and W documents, unless blended marriage)
First:
Name __________________________________ Add. ____________________________________________ ___________________________________________________
City, State, Zip __________________________________
Phone __________________________________
Second:
Name __________________________________ Add. ____________________________________________ _______________________________________
City, State, Zip __________________________________
Phone __________________________________
Third:
Name __________________________________ Add. ____________________________________________ _______________________________________
City, State, Zip __________________________________
Phone __________________________________
- GRANTOR FINANCIAL INFORMATION [approximate values ONLY, exact figures not needed]
- Life Insurance/Annuities
______________________________________
______________________________________
- Checking/Saving Accounts/CD’s
______________________________________
______________________________________
- Stocks, Bonds, Mutual Funds
______________________________________
______________________________________
- IRA’s, Pension Plans
______________________________________
______________________________________
- Real Estate
Residence______________________________
Other Real Estate ________________________
- Extraordinary Personal Assets ( stamp/coin/gun/art collections; antiques; valuable jewelry; etc)
______________________________________
- Other Assets (mineral interests, closely held business interests, partnerships, etc)
______________________________________
______________________________________
- Expected Inheritances.
______________________________________
Total Estate ____________________________
Attach additional pages if necessary
Annual Income ____________ ____________ ___________________
SECTION F. SPECIAL ESTATE PLANNING PROVISIONS
Describe any special estate planning provisions (specific bequests, etc.) concerning how you want your estate disposed of at the time of your death. Designate contingent beneficiary, if a named beneficiary should not survive you and leave no children of their own. Attach additional pages if necessary.
Signed this the ________day of _____________________, 201.
________________________________________
Grantor
________________________________________
Grantor
COPIES OF DOCUMENTS TO BE FURNISHED
- All deeds and/or deeds of trust concerning real property you have an interest in.
- Any contract that limits your ability to transfer assets; such as a Buy-Sell Agreement concerning an interest in a closely held corporation or a partnership agreement that contains any restrictions on transferability.
- Copies of any trusts (for Husband/Wife or children), charitable trusts, partnership agreements, wills or any other existing estate planning document or entity.
Additional Notes: