Appendix
I
How to
Calculate Your Estate Tax Liability
Table 1-1. Estate
and Gift Tax Rate Schedules
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B |
C |
D |
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Taxable transfer ranges |
Tax on amount in Column A |
Tax rate on excess over amounts in Column A |
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Exceeding |
But not exceeding |
Percent |
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$ Ń |
$ 10,000 |
$ Ń |
18 |
If you make gifts or die after 1987, there is an additional 5 percent tax on estates in the range of $10 million to $21.4 million.
*Source: Leimberg, 1995, 585.
Estate Tax Liability Computation
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Assets |
Spouse 1 |
Spouse 2 |
Combined |
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1. Total assets to calculate value of gross estate. |
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Liquid assets |
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Investments |
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Other |
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Gross estate |
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2. Subtract last expense deductions from gross estate to determine adjusted gross estate. |
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Total last expense deduction |
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Adjusted gross estate |
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3. Subtract estate planning deductions from adjusted gross estate to determine taxable estate. |
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Total estate planning deductions |
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Taxable estate |
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4. Calculate tentative estate tax liability. |
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5. Subtract unified credit exemption ($220,550) if you haven't previously used it. |
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6. Determine estate tax liability. Subtract Step 5 from Step 4g. |
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Appendix
II
The Georgia Living Will
Living Will
Living will made this ___________ day of , ____________________________, ________(month, year).
I, ______________________________________________, being of sound mind, willfully and voluntarily make known my desire that my life shall not be prolonged under the circumstances set forth below and do declare:
1. If at any time I should (check each option desired):
( ) have a terminal condition,
( ) become in a coma with no reasonable expectation of regaining consciousness, or
( ) become in a persistent vegetative state with no reasonable expectation of regaining significant cognitive function,
as defined in and established in accordance with the procedures set forth in paragraphs (2), (9), and (13) of Code Section 31-32-2 of the Official Code of Georgia Annotated, I direct that the application of life-sustaining procedures to my body (check the option desired):
( ) including nourishment and hydration;
( ) including nourishment but not hydration, or
( ) excluding nourishment and hydration,
be withheld or withdrawn and that I be permitted to die;
2. In the absence of my ability to give directions regarding the use of such life-sustaining procedures, it is my intention that this living will shall be honored by my family and physician(s) as the final expression of my legal right to refuse medical or surgical treatment and accept the consequences from such refusal;
3. I understand that I may revoke this living will at any time;
4. I understand the full import of this living will, and I am at least 18 years of age, and am emotionally and mentally competent to make this living will; and
5. If I am a female
and I have been diagnosed as pregnant, this living will shall have no force
and effect unless the fetus is not viable and I indicate by initialing after
this sentence that I want this living will to be carried out.
(Initial)
Signed: ___________________________________________________________
____________________________________ (Residence) ___________________ (City) and
____________________________________ (County), and _________________ (State)
I hereby witness this living will and attest that:
1. The declarant is personally known to me and I believe the declarant to be at least 18 years of age and of sound mind;
2. I am at least 18 years of age;
3. To the best of my knowledge, at the time of the execution of this living will, I:
A. Am not related to the declarant by blood or marriage;
B. Would not be entitled to any portion of the declarant's estate by any will or by operation of law under the rules of descent and distribution of this state;
C. Am not the attending physician of declarant or an employee of the attending physician or an employee of the hospital or skilled nursing facility in which the declarant is a patient;
D. Am not directly financially responsible for the declarant's medical care; and
E. Have no present claim against any portion of the estate of the declarant;
4. Declarant has signed this document in my presence as above instructed, on the date above first shown.
Witness ___________________________________________________________
Address ___________________________________________________________
Witness ___________________________________________________________
Address ___________________________________________________________
Additional witness required when living will is signed in a hospital or skilled nursing facility.
I hereby witness this living will and attest that I believe the declarant to be of sound mind and to have made this living will willingly and voluntarily.
Witness: ___________________________________________________________
Medical director of skilled nursing facility or staff physician not participating in care of the patient or chief of the hospital medical staff or staff physician or hospital designee not participating in care of the patient.
This is a replication of the Living Will form as found in the Georgia Code §31-32-3 as of March 17, 1999. It is provided to the people of Georgia for their education and information and is not intended as legal advice.
Please check with a lawyer to make sure the law has not changed or if you have any questions.
Eleanor
M. Crosby, J.D., M.A., Georgia Senior Hot Line
Appendix
III
The Georgia Durable Power of Attorney for Health Care
Notice: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR AGENT) BROAD POWERS TO MAKE HEALTH CARE DECISIONS FOR YOU, INCLUDING POWER TO REQUIRE, CONSENT TO, OR WITHDRAW ANY TYPE OF PERSONAL CARE OR MEDICAL TREATMENT FOR ANY PHYSICAL OR MENTAL CONDITION AND TO ADMIT YOU TO OR DISCHARGE YOU FROM ANY HOSPITAL, HOME, OR OTHER INSTITUTION; BUT NOT INCLUDING PSYCHOSURGERY, STERILIZATION, OR INVOLUNTARY HOSPITALIZATION OR TREATMENT COVERED BY TITLE 37 OF THE OFFICIAL CODE OF GEORGIA ANNOTATED. THIS FORM DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS; BUT, WHEN A POWER IS EXERCISED, YOUR AGENT WILL HAVE TO USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS FORM. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS THE AGENT IS NOT ACTING PROPERLY. YOU MAY NAME COAGENTS AND SUCCESSOR AGENTS UNDER THIS FORM, BUT YOU MAY NOT NAME A HEALTH CARE PROVIDER WHO MAY BE DIRECTLY OR INDIRECTLY INVOLVED IN RENDERING HEALTH CARE TO YOU UNDER THIS POWER. UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW OR UNTIL YOU REVOKE THIS POWER OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT MAY EXERCISE THE POWERS GIVEN IN THIS POWER THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME DISABLED, INCAPACITATED, OR INCOMPETENT. THE POWERS YOU GIVE YOUR AGENT, YOUR RIGHT TO REVOKE THOSE POWERS, AND THE PENALTIES FOR VIOLATING THE LAW ARE EXPLAINED MORE FULLY IN CODE SECTIONS 31-36-6, 31-36-9, AND 31-36-10 OF THE GEORGIA ŌDURABLE POWER OF ATTORNEY FOR HEALTH CARE ACTÕ OF WHICH THIS FORM IS A PART. THAT ACT EXPRESSLY PERMITS THE USE OF ANY DIFFERENT FORM OF POWER OF ATTORNEY YOU MAY DESIRE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU.
DURABLE POWER OF ATTORNEY made this __________ day of ______________, 20_____.
1. I, _________________________________________________________________________________
(insert name and address of principal)
hereby appoint ______________________________________________________________________
(insert name and address of agent)
as my attorney in fact (my agent) to act for me and in my name in any way I could act in person to make any and all decisions for me concerning my personal care, medical treatment, hospitalization, and health care and to require, withhold, or withdraw any type of medical treatment or procedure, even though my death may ensue. My agent shall have the same access to my medical records that I have, including the right to disclose the contents to others. My agent shall also have full power to make a disposition of any part or all of my body for medical purposes, authorize an autopsy of my body, and direct the disposition of my remains.
THE ABOVE GRANT OF POWER IS INTENDED TO BE AS BROAD AS POSSIBLE SO THAT YOUR AGENT WILL HAVE AUTHORITY TO MAKE ANY DECISION YOU COULD MAKE TO OBTAIN OR TERMINATE ANY TYPE OF HEALTH CARE, INCLUDING WITHDRAWAL OF NOURISHMENT AND FLUIDS AND OTHER LIFE-SUSTAINING OR DEATH-DELAYING MEASURES, IF YOUR AGENT BELIEVES SUCH ACTION WOULD BE CONSISTENT WITH YOUR INTENT AND DESIRES. IF YOU WISH TO LIMIT THE SCOPE OF YOUR AGENTÕS POWERS OR PRESCRIBE SPECIAL RULES TO LIMIT THE POWER TO MAKE AN ANATOMICAL GIFT, AUTHORIZE AUTOPSY, OR DISPOSE OF REMAINS, YOU MAY DO SO IN THE FOLLOWING PARAGRAPHS.
2. The powers granted above shall not include the following powers or shall be subject to the following rules or limitations (here you may include any specific limitations you deem appropriate, such as your own definition of when life-sustaining or death-delaying measures should be withheld; a direction to continue nourishment and fluids or other life-sustaining or death-delaying treatment in all events; or instructions to refuse any specific types of treatment that are inconsistent with your religious beliefs or unacceptable to you for any other reason, such as blood transfusion, electroconvulsive therapy, or amputation):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
THE SUBJECT OF LIFE-SUSTAINING OR DEATH-DELAYING TREATMENT IS OF PARTICULAR IMPORTANCE. FOR YOUR CONVENIENCE IN DEALING WITH THAT SUBJECT, SOME GENERAL STATEMENTS CONCERNING THE WITHHOLDING OR REMOVAL OF LIFE-SUSTAINING OR DEATH-DELAYING TREATMENT ARE SET FORTH BELOW. IF YOU AGREE WITH ONE OF THESE STATEMENTS, YOU MAY INITIAL THAT STATEMENT, BUT DO NOT INITIAL MORE THAN ONE:
I do not want my life to be prolonged nor do I want life-sustaining or death-delaying treatment to be provided or continued if my agent believes the burdens of the treatment outweigh the expected benefits. I want my agent to consider the relief of suffering, the expense involved, and the quality as well as the possible extension of my life in making decisions concerning life-sustaining or death-delaying treatment.
Initialed__________________
I want my life to be prolonged and I want life-sustaining or death-delaying treatment to be provided or continued unless I am in a coma, including a persistent vegetative state, which my attending physician believes to be irreversible, in accordance with reasonable medical standards at the time of reference. If and when I have suffered such an irreversible coma, I want life-sustaining or death-delaying treatment to be withheld or discontinued.
Initialed__________________
I want my life to be prolonged to the greatest extent possible without regard to my condition, the chances I have for recovery, or the cost of the procedures.
Initialed__________________
THIS POWER OF ATTORNEY MAY BE AMENDED OR REVOKED BY YOU AT ANY TIME AND IN ANY MANNER WHILE YOU ARE ABLE TO DO SO. IN THE ABSENCE OF AN AMENDMENT OR REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY WILL BECOME EFFECTIVE AT THE TIME THIS POWER IS SIGNED AND WILL CONTINUE UNTIL YOUR DEATH AND WILL CONTINUE BEYOND YOUR DEATH IF ANATOMICAL GIFT, AUTOPSY, OR DISPOSITION OF REMAINS IS AUTHORIZED, UNLESS A LIMITATION ON THE BEGINNING DATE OR DURATION IS MADE BY INITIALING AND COMPLETING EITHER OR BOTH OF THE FOLLOWING:
3. ( ) This power of attorney shall become effective on _______________________________________(insert a future date or event during your lifetime, such as court determination of your disability, incapacity, or incompetency, when you want this power to first take effect).
4. ( ) This power of attorney shall terminate on _____________________________________________(insert a future date or event, such as court determination of your disability, incapacity, or incompetency, when you want this power to terminate prior to your death).
IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAMES AND ADDRESSES OF SUCH SUCCESSORS IN THE FOLLOWING PARAGRAPH:
5. If any agent named by me shall die, become legally disabled, incapacitated, or incompetent, or resign, refuse to act, or be unavailable, I name the following (each to act successively in the order named) as successors to such agent:
___________________________________________________________________________________________
___________________________________________________________________________________________
IF YOU WISH TO NAME A GUARDIAN OF YOUR PERSON IN THE EVENT A COURT DECIDES THAT ONE SHOULD BE APPOINTED, YOU MAY, BUT ARE NOT REQUIRED TO, DO SO BY INSERTING THE NAME OF SUCH GUARDIAN IN THE FOLLOWING PARAGRAPH. THE COURT WILL APPOINT THE PERSON NOMINATED BY YOU IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. YOU MAY, BUT ARE NOT REQUIRED TO, NOMINATE AS YOUR GUARDIAN THE SAME PERSON NAMED IN THIS FORM AS YOUR AGENT.
6. If a guardian of my person is to be appointed, I nominate the following to serve as such guardian:
___________________________________________________________________________________________
(insert name and address of nominated
guardian of the person)
7. I am fully informed as to all the contents of this form and understand the full import of this grant of powers to my agent.
Signed ___________________________________________________
(Principal)
The principal has had an opportunity to read the above form and has signed the above form in our presence. We, the undersigned, each being over 18 years of age, witness the principalÕs signature at the request and in the presence of the principal, and in the presence of each other, on the day and year above set out.
| Witnesses: | Addresses: |
| _____________________________________________ | _____________________________________________ |
| _____________________________________________ | _____________________________________________ |
| _____________________________________________ | _____________________________________________ |
Additional witness required when health care agency is signed in a hospital or skilled nursing facility.
I hereby witness this health care agency and attest that I believe the principal to be of sound mind and to have made this health care agency willingly and voluntarily.
Witness: ___________________________________________________
Attending Physician
Address: ___________________________________________________
___________________________________________________
YOU MAY, BUT ARE NOT REQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE AGENTS.
| Specimen signatures of agent and successor(s) | I certify that the signature of my agent and successor(s) is correct.: |
_____________________________________________ (Agent) |
_____________________________________________ (Principal) |
_____________________________________________ (Successor Agent) |
_____________________________________________ (Principal) |
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_____________________________________________ (Principal) |
b. The foregoing statutory health care power of attorney form authorizes, and any different form of health care agency may authorize, the agent to make any and all health care decisions on behalf of the principal which the principal could make if present and under no disability, incapacity, or incompetency, subject to any limitations on the granted powers that appear on the face of the form, to be exercised in such manner as the agent deems consistent with the intent and desires of the principal. The agent will be under no duty to exercise granted powers or to assume control of or responsibility for the principalÕs health care; but, when granted powers are exercised, the agent will be required to use due care to act for the benefit of the principal in accordance with the terms of the statutory health care power and will be liable for negligent exercise. The agent may act in person or through others reasonably employed by the agent for that purpose buy may not delegate authority to make health care decisions. The agent may sign and deliver all instruments, negotiate and enter into all agreements, and do all other acts reasonably necessary to implement the exercise of the powers granted to the agent. Without limiting the generality of the foregoing, the statutory health care power form shall, and any different form of health care agency may, include the following powers, subject to any limitations appearing on the face of the form:
This is a replication of the Durable Power of Attorney for
Health Care in the Georgia Code ¤31-36-10 as of March 17, 1999. It is provided
to the people of Georgia for their education and information and is not intended
for legal advice.
Please check with a lawyer to make sure the law has not changed or if you have any questions.
Eleanor M. Crosby, JD, MA, Georgia Senior Hot Line
Appendix
IV
Financial Power of Attorney
County of __________________________
State of Georgia
I, ___________________________________________, (hereinafter "principal"), a resident of _________________________________ County, Georgia, do hereby constitute and appoint_________________________________ my true and lawful attorney-in-fact (hereinafter "Agent") for me and give such person the power(s) specified below to act in my name, place, and stead in any way which I, myself, could do if I were personally present with respect to the following matters:
Directions: To give the Agent the powers described in paragraphs 1 through 13, place your initials on the blank line at the end of each paragraph. If you DO NOT want to give a power to the Agent, strike through the paragraph or a line within the paragraph and place your initials beside the stricken paragraph or stricken line. The powers described in any paragraph not initialed or which has been struck through will not be conveyed to the Agent. Both the Principal and the Agent must sign their full names at the end of the last paragraph.)
Note: If you initial paragraph 3 or paragraph 4 that follow, a notarized signature will be required on behalf of the Principal.
The powers conveyed in this document shall not become effective until the following time or upon the occurrence of the following event or contingency:
Note: The Principal may choose to designate one or more persons to determine conclusively that the above-specified event or contingency has occurred. Such person or persons must make a written declaration under penalty of false swearing that such event or contingency has occurred in order to make this document effective. Completion of this provision is optional.
The following person or persons are designated to determine conclusively that the above-specified event or contingency has occurred:
________________________________________________________________________________________
________________________________________________________________________________________
Signed: ___________________________________
Principal
___________________________________
Agent
It is my desire and intention that this power of attorney shall not be affected by my subsequent disability, incapacity, or mental incompetence. Any and all acts done by the Agent pursuant to the powers conveyed herein during any period of my disability or incapacity shall have the same force and effect as if I were competent and not disabled.
I may, at any time, revoke this power of attorney, but it shall be deemed to be in full force and effect as to all persons, institutions, and organizations which shall act in reliance thereon prior to the receipt of written revocation thereof signed by me and prior to receipt of actual notice of my death.
I do hereby ratify and confirm all acts whatsoever which my Agent shall do, or cause to be done, in or about the premises, by virtue of this power of attorney.
All parties dealing in good faith with my Agent may fully rely upon the power of and authority of my Agent to act for me on my behalf and in my name, and may accept and rely on agreements and other instruments entered into or executed by the agent pursuant to this power of attorney.
This instrument shall not be effective as a grant of powers to my Agent until my Agent has executed the Acceptance of Appointment appearing at the end of this instrument. This instrument shall remain effective until revocation by me or my death, whichever occurs first.
Compensation of Agent. (Directions: Initial the line following your choice.)
IN WITNESS WHEREOF, I have hereunto set my hand and seal on this ______ Day of ____________, 20___.
___________________________________
Principal
WITNESSES
___________________________________
Signature and Address
___________________________________
Signature and Address
Note: A notarized signature is not required unless you have initialed paragraph 3 or 4 regarding property transactions.
I, ____________________________________________________, a Notary Public, do hereby certify that _______________________________ personally appeared before me this date and acknowledged the due execution of the foregoing Power of Attorney.
___________________________________
Notary Public
State of Georgia
County of _______________
I owe a duty of loyalty and good faith to the Principal, and must use the powers granted to me only for the benefit of the Principal.
I must keep the PrincipalÕs funds and other assets separate and apart from my funds and other assets and titled in the name of the Principal. I must not transfer title to any of the PrincipalÕs funds or other assets into my name alone. My name must not be added to the title of any funds or other assets of the Principal, unless I am specifically designated as Agent for the Principal in the title.
I must protect and conserve, and exercise prudence and caution in my dealings with, the PrincipalÕs funds and other assets.
I must keep a full and accurate record of my acts, receipts, and disbursements on behalf of the Principal, and be ready to account to the Principal for such acts, receipts, and disbursements at all times. I must provide an annual accounting to the Principal of my acts, receipts, and disbursements, and must furnish an accounting of such acts, receipts, and disbursements to the personal representative of the PrincipalÕs estate within 90 days after the date of death of the Principal.
I have read the Compensation of Agent paragraph in the Power of Attorney and agree to abide by it.
I acknowledge my authority to act on behalf of the Principal ceases at the death of the Principal.
I hereby accept the foregoing appointment as Agent for the Principal with full knowledge of the responsibilities imposed on me, and I will faithfully carry out my duties to the best of my ability.
Dated: _____________, 20_____
___________________________________
(Signature)
___________________________________
(Address)
Note: A notarized signature is not required unless the Principal initialed paragraph 3 or paragraph 4 regarding property transactions.
I, ___________________________________, a Notary Public, do hereby certify that ___________________________________ personally appeared before me this date and acknowledge the due execution of the foregoing Acceptance of Appointment.
___________________________________
Notary Public
This is a replication of the Financial Power of Attorney in
the Georgia Code 10-6-142 as of March 17, 1999. It is provided to the people
of Georgia for their education and information and is not intended as legal
advice.
Please check with a lawyer to make sure the law has not changed or if you have any questions.
Eleanor M. Crosby, JD, MA, Georgia Senior Hot line
Appendix
V
What to Do When Your Loved One Dies
When your spouse or someone close to you dies, certain things need to be done. Here is a quick list of things to do:
1. Contact the funeral director. Be prepared to give the following information for the death certificate.
____ full name of deceased
____ date and place of birth
____ nationality
____ occupation
____ Social Security number
____ marital status
____ full name of parents, siblings, and other survivors of deceased (including mother's maiden name)
____ full name of previous marriage partner(s)Make funeral arrangements with funeral director and clergy.
____ specify when family members will be available
____ select casket
____ select calling hours
____ choose cremation, body donation, memorial service and burial service
____ select transportation (number of cars, limousines)Full expenses may include coffin, flowers, clergy, honorariums, newspaper notices, use of church, clothing, transportation, funeral home space rental, certified death transcripts, opening the grave, cemetery plot, grave marker and cremation.
____ specify when family members will arrive
____ plan service including hymns and poems
____ provide biographical information
____ ask his choice of time for services
3. Contact attorney immediately so he or she can:
____ locate and probate will*____ advise you as to what to sign and what not to sign____ re-record deeds to real property*____ disperse estate assets such as stocks, bonds, savings accounts, business assets*____ write a will for you or review and update your will____ advise you*Some choose to do this themselves
4. Locate cash to take care of immediate needs. Sources of cash include:
____ cash on hand____ savings accounts____ checking accounts____ money market certificates____ life insurance cash value
5. Likely places to search for important papers are:
____ safe deposit boxes
____ brief cases
____ strong boxes
____ office desk
____ lockers
____ safesLocate:
____ life insurance policies
____ accidental death and health insurance policies
____ homeowner insurance polices
____ bankbooks
____ notes receivable and notes payable
____ real estate deeds
____ security certificates
____ wills
____ income tax return forms
____ W-2 forms and other records of earnings
____ marriage certificate
____ Social Security number
____ birth certificates of all family members to prove ages
____ military discharge papers
____ Veterans Administration claim number
____ automobile registration
____ installment payment books
6. Obtain copies of these papers:
____ death certificate (need at least 15 copies from funeral director to claim insurance, Social Security and veterans benefits)
____ birth certificate
____ marriage certificate
____ Social Security card
7. Contact life insurance agents.
____ file a claim using death certificate or attending physician's statement for proof of death
____ supply information including policy number(s) and amount(s), full name and address of deceased, deceased's occupation and date last worked, date and place of birth, date, place and cause of death, claimant's name, age, address and Social Security numberYour settlement options are:____ lump sum Š you may immediately be paid a lump sum
____ interest only Š principal stays intact, interest paid periodically; this is a good option temporarily while you decide what to do with the money
____ life income or annuity Š beneficiary receives stipulated benefit on set dates for the lifetime of the claimant
____ fixed installments Š benefits are paid in agreed amounts over a period of time until the money is used up
8. Contact your nearest Social Security office to apply for spouse and dependent benefits. Bring the following information:
____ certified copy of death certificate
____ deceased's Social Security number
____ proof of age of deceased
____ marriage certificate
____ approximate earnings of deceased in year of death
____ deceasedÕs employer's name
____ record of deceased's earnings in year prior to death (use W-2 forms or self employment tax return)
____ Social Security number of spouse and dependent children, proof of age of spouse and dependents (birth certificate, baptism, certificate or grade school records if no birth certificate)Note: Railroad Worker Benefits are available to the beneficiary rather than Social Security benefits, if the person was employed more than 10 years.
For veterans benefits, you should contact the VA office and take along service discharge papers, serial number, branch and dates of service. Also, the death certificate, marriage certificate, and birth certificates of dependent children.
9. Contact employer and/or business associates to find out about:
____ group life insurance
____ pension fund contributions
____ accrued vacation and sick pay
____ terminal pay allowance
____ gratuity payments (tips)
____ service recognition awards
____ unpaid commissions
____ disability income
____ credit union balance
____ check to see if you and other dependents are still eligible for hospitalization and health insurance
10. Contact organizations to which deceased belonged.
11. After property title changes are complete, contact the insurance company that insures your property to inform them of changes in ownership.
12. Notify state and federal tax authorities.
13. Notify anyone connected with family finances such as attorney, insurance agent, banker, stockbroker, accountant or financial planner.
14. Gather and list all current bills deceased owes and money owed deceased.
Losing a loved one is one of the most stressful experiences of life! You can ease this difficult time in advance by preparing a will and a list of the locations for all financial and professional resource information.
Prepared by Esther M.
Maddux, Extension Financial Management Specialist
Reviewed
and edited by Wanda W. O'Callaghan, Fran Carmichael
March 1999
Appendix
VI
Household Records: What to Keep and Where
Are your household
records in order? If not, now is a good time to get organized. Record keeping
isn't a well-liked task but can save you frustration, wasted time and financial
loss.
Organized records can mean the difference in financial gain or loss. Your personal finances are like a mini-business and deserve to be operated efficiently. You need organized records for the following reasons.
This record-keeping guide can help you develop a personalized and efficient system for organizing and safeguarding important family papers. Also, use it as a guide for deciding what items to keep, the reason for keeping them, how long you need to keep them, and where they should be kept.
How to Organize Your Home Filing System
An organized filing system is essential to good record keeping. Just tossing receipts in a drawer or shoebox isnÕt always enough. An organized home bill-paying center will help you manage your family financial matters better. Keep all of your family records and business correspondence in one location. Have a specific place to keep bills until they are paid.
The bill-paying center may be elaborate or simple. The type doesn't matter as long as you can find what you need when you need it. Here are some items to keep in your bill-paying center that will make bill paying easier:
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Where do you begin organizing
your home filing system? Some categories and headings for filing systems are
listed below. It is not intended to be a complete list. You may not want a
separate file folder for all items listed. This list is intended as a guideline
that you can adapt to your needs. You may wish to consolidate some of the
suggested items, use different headings or groupings, and include other items.
For example, you may want a divider for insurance or you may want to file
insurance papers under separate headings of "auto," "home" or "health."
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Addresses - Dates
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Autos and Vehicles
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Bank Records
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Correspondence
Employment Records
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Equipment
and Appliances
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Financial Records
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Housing
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Income Tax
Insurance Policies
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Investments
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Organizations - Clubs
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Personal Records
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Reference Material
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What Records Should I Keep for Tax Purposes?
You must keep records so that you can prepare a complete and accurate income tax return. The law does not require any special form of records. However, you should keep all receipts, canceled checks or other proof of payment, and documentation to support any deductions or credits you claim.
If you file a claim for refund, you must be able to prove by your records that you have overpaid your tax (IRS 1999, p.19).
You must keep your records for as long as they are important for the federal tax law. Keep records that support an item of income or a deduction appearing on a return until the period of limitations for the return runs out. A period of limitations is the limited period of time after which no legal action can be brought. For assessment or collection of tax you owe, this is three years from the date you filed the return. For filing a claim for credit or refund, this is three years from the date you filed the original return or two years from the date you paid the tax, whichever is later. Returns filed before the due date are treated as filed on the due date.
If you did not report income that you should have reported on your return, and it is more than 25 percent of the income shown on the return, the period of limitations does not run out until six years after you filed the return. If a return is false or fraudulent with intent to evade tax, or if no return is filed, an action can generally be brought at any time.
In real property transactions, the basis of new or replacement property may depend on the basis of the old property. Keep the records of transactions relating to the basis of property for as long as they are important in figuring the basis of the original or replacement property.
You should keep copies of tax returns you have filed and the tax return documentation as part of your records. They may be helpful in amending filed returns or preparing futures ones.
Where Should You Keep Your Records?
You can save yourself future time and money if you gather your important records, track down the ones you're missing, throw away those you don't need and file what's left in its proper place. You don't have to do the whole job in a day or even a week. Tackle it a chunk at a time.
Before you set up your record-keeping system, decide who will do the record keeping and where it will be done. Encourage all family members to save financial information, such as receipts, and know how to use the files. A person with the skills and interest to handle the job will want to take leadership. Develop a regular schedule for bookkeeping and stick to it.
Your records can be divided into several categories:
A Safe Deposit Box
Certain records are difficult or impossible to replace. Keep them in a safe deposit box at a financial institution or at home in a fireproof box. You need to keep things like your car title, birth certificate, marriage certificate and will in your safe deposit box.
Current Financial Records
File current records in a metal file cabinet, accordion file or cardboard box. Choose a location to store your financial records that is convenient and easily located; a work place nearby is ideal.
Permanent Records
At the end of your record-keeping year, clear your current files. Throw away items that are no longer of any value, such as sales receipts for groceries. Move important papers to your permanent file. A good time to clean your files is when you prepare your income tax return. As you look for tax items, throw away items you no longer need and transfer items you may need in the future to your permanent files. Keep items such as tax returns and bank statements.
Records to Carry With You
Certain records need to be with you at all times. You need to carry records such as credit cards, driverÕs license and insurance card with you in your wallet. Your insurance card and emergency information in case of an accident can be placed in a storage compartment in your car.
One of the big record-keeping problems is knowing what to keep, where to keep it and what to throw away. Here are some guidelines to help you decide.
Where You Should Keep Records and Papers*
|
Item |
In a Safe Place |
Filed at Home |
With You |
|
|
Safe Deposit Box |
Current File |
Permanent File |
Purse or Billfold |
|
|
Account books |
X |
X |
||
|
Adoption papers |
X |
|||
|
Auto license receipt |
X (in car) |
|||
|
Auto title and bill of sale |
X |
|||
|
Bank statements |
X |
X |
||
|
Baptism and confirmation certificates |
X |
|||
|
Birth certificates |
X |
|||
|
Canceled checks (for year) |
X |
|||
|
Canceled checks Š for payment of taxes and other important purposes |
X |
|||
|
Citizenship papers |
X |
|||
|
Contracts Š installment (and for six years after paid) |
X |
|||
|
Copyrights and patents |
X |
|||
|
Credit cards |
X (list) |
|||
|
Death certificate |
X |
|||
|
Driver's license and insurance card |
X |
|||
|
Employment record |
X |
|||
|
Government savings bonds |
X |
|||
|
Guarantees, warranties, instruction books |
X |
X |
||
|
Health records |
X |
|||
|
Identification Š name, address, whom to notify, special health information, doctor and hospital preferred |
X |
|||
|
Installment notes |
X |
|||
|
Letter regarding government insurance awarding compensation for service incurred disability |
X |
|||
|
List of insurance policies |
X |
X
|
||
|
Living will, durable power of attorney for health care, statutory financial power of attorney |
X |
|||
|
Marriage, divorce and custody papers |
X |
|||
|
Military discharge papers and records |
X |
|||
|
Organization membership |
X |
|||
| Real estate papers | ||||
|
X
|
|
|
|
|
X
|
|
|
|
|
X
|
X
|
||
|
Receipts and receipted
bills |
X |
X |
||
|
Social Security card |
||||
|
X
|
|||
|
X
|
|||
|
Stock Certificates, other investments |
X |
|||
|
Tax returns |
||||
|
X
|
|||
|
X
|
|||
|
Wills, gift records, trusts |
X |
|||
* An explanation of each record follows this table.
Records to Keep in Safe Deposit Box or Fireproof Strong Box
|
Item |
Suggested Uses |
|
Adoption papers |
Need for Social Security, inheritance, veterans federal pension compensation and other benefits. |
|
Automobile title (truck, motorcycles, etc.) |
Evidence of ownership, essential for transfer to new owner when car is sold. |
|
Automobile bill of sale |
Contains motor number, serial number and other important information. You will have necessary information if auto is stolen or if you use it as collateral for a loan. |
|
Birth certificate |
A copy may be kept at home. To prove ages to start school, to register for little league, for obtaining some jobs, to obtain driver's license, for marriage license, to qualify for Social Security benefits, to obtain passports. |
|
Church records |
Baptismal and confirmation certificates. Acceptable evidence of birth date when obtaining a delayed birth certificate. |
|
Citizenship papers |
To obtain certain types of jobs, to obtain passports, prove eligibility to vote. |
|
Contracts, notes and debts |
Evidence of what you owe or what is owed to you. Important for interest deductions on tax return and to indicate fulfillment of contract terms. If someone owes you money, you may not be able to get debtor to sign another note if lost or destroyed. Make a memo of money lent without a formal note. Survivors may not be able to collect, but they can try. When debt is repaid, cancel note immediately so heirs won't try to collect. |
|
Copyrights and patents |
Proof of ownership rights. |
|
Custody papers |
To prove legal guardianship of children. |
|
Death certificate |
Need for identification to receive Social Security, veteran, pension and insurance benefits. |
|
Divorce records |
To clear legal requirements for remarriage. |
|
Gift records |
Keep records of substantial gifts to others. This includes cash, property, art, cars and jewels. |
|
Government savings bonds |
Keep written record at home of issuing date, complete serial number, denomination, co-owner (if any), and (after redemption) amount received. Need for income tax, for gift tax report if you give it away, for ease of replacement in case of loss. |
|
Household inventory |
Write down the date purchased and personal possessions you buy or receive as gifts during the year. Transfer this information once a year to your complete household inventory in a safe deposit box. Include snapshots or video of rooms and sales receipts proving cost of major items. Need in case of fire or theft to prove to insurance company exactly what you had. Makes it easier to recover losses. Need for determining net worth, when determining insurance needs, applying for loans, settling divorce, applying for adoption or planning financial future. |
|
Investments |
Keep a list of savings accounts, stocks, bonds, real estate and other investments along with location and numbers at home. Keep investments, including stock and bond certificates, in your safe deposit box. Keep complete records of when they were bought and sold, at what price and commission paid. Need for estate and income tax purposes. |
|
List of insurance companies, policy numbers, name of each insured, and agents |
Policy can be easily replaced by company, but all information concerning policy is vitally important. Keep policies in home file. |
|
Marriage records |
For proof of marriage, to obtain driver's license (if female changes last name to spouse's name), to collect insurance, to collect Social Security, to settle estate. |
|
Military service records |
Records you need to keep to qualify for veterans benefits include: medical treatment or disability papers. Some authorities recommend that the county or city clerk record discharge certificates to create additional official record in case the original is lost. Include all documents connected with the GI Bill for education. |
|
Passports |
If your passport has expired, keep it anyway. It will help you get a new one. |
|
Real estate papers |
|
|
Keep until property is sold to prove clear title. |
|
Keep title, property insurance policy and receipts for payments on mortgage. Keep records of improvement to compute capital gains or losses. Record day, month and year you acquire or sell property, gross sale price, depreciation, legal fees and expense of sale. Need for income tax and estate tax purposes. |
|
Retirement records |
Needed to collect benefits. Keep notes on pension or profit sharing money you have. Keep IRA and Keogh documents and information on where assets are invested. |
|
Social Security card |
Keep copy of card or number from card. |
|
Wills and trust documents |
Keep original in safe deposit box. Keep a copy in strong box at home. Essential for most satisfactory settlement of estate. Leave copy with attorney who drew it up or with bank trust department. |
Records to Keep at Home
|
Item |
Suggested Uses |
|
Account books |
Record income and expenditures for reference and comparison. Useful to determine net worth. |
|
Bank records |
Keep all bank statements, canceled checks, passbooks and correspondence in your current files for current year. Keep all old check stubs and bank statements, passbooks and canceled checks in your permanent files. Canceled checks can prove you paid for home improvements so you can reduce capital gains tax. |
|
Business expenses |
If you are eligible to claim business expenses, you need a diary to substantiate deductions. Enter expenses daily in a diary and attach receipts. |
|
Casualty and theft losses |
Keep records of casualty and theft losses due to vandalism, fire, storm, flood, accidents or similar causes. |
|
Credit cards, mortgage loans, installment purchases, charge accounts |
Keep statements in current file to tell how much you owe, if payments are properly credited and amount of interest paid. Keep a list of company name, address, phone number and account number for each credit card. In case of loss or theft, notify nearest company office by telephone or telegraph. Give your name, address, card number, where and when you think it was lost or stolen, and whether you reported loss to police. Follow up with a letter giving same information. |
|
Death records |
Location of burial plot, where deed is kept, arrangements for care of lot. Any final instructions with regard to your funeral, donating organs for transplant or other personal requests. Date and place of death of family members, where buried. |
|
Education and employment |
Keep on file all permits, licenses, proficiency certificates, résumés, information on union membership and names of past employers. Need when seeking employment. Evidence of qualification for certain work. Evidence of reliability and tenure. Used to determine retirement benefits. |
|
Employee benefits |
In current file, keep company booklets explaining your benefits. |
|
Employee education expenses |
If your education meets qualifying education requirements, you can deduct your educational expenses if you itemize your deductions or if you are self-employed. The education must: 1) Be required by your employer or the law to keep your present salary, status, or job (and serve a business purpose of your employer), or 2) maintain or improve skills needed in your present work. |
|
Financial advisers |
List of names, addresses and telephone numbers including your banker, broker, lawyer, accountant, insurance and real estate agents and the employee-benefits counselor at work. |
|
Gifts |
Keep receipts for tax deductible, charitable contributions in your current file. You may deduct unreimbursed out-of-pocket expenses incurred as result of charitable activity. |
|
Guarantees and warranties |
File for proof of date of purchases; to determine service and parts guaranteed. Keep until no longer valid. |
|
Health records |
For each family member: record of immunizations, blood type, dates of major illness, surgery, hospitalizations, checkups and physicians having record of each. |
|
Instruction manuals |
Keep instructions on how to operate appliances and other products, and where they can be repaired. Discard when out of date. Read and file use and care instructions for clothing, fabrics and furniture. |
|
Insurance policies |
|
|
Keep policy, along with any change of beneficiary, correspondence with company and proof of ownership if you transfer policy to some else. |
|
Keep policy, along with any change of beneficiary, correspondence with company and proof of ownership if you transfer policy to someone else. |
|
Keep list of debt information such as to whom money is owed, how much is owed. |
|
Keep current policies in your file box or fireproof strong box. Keep old policies in permanent files. If a claim for an old injury that occurred on your property is filed against you, you may need proof of earlier coverage. |
|
Keys |
To reduce the frustration of lost keys, put extra keys in labeled, sealed envelopes inside file folder. |
|
Master list of important information |
Enter all of your important documents, the identifying number and where they can be found. Include all family, property, financial and tax records. Also include where safe deposit box key is located. |
|
Medical and dental expenses |
Keep receipts for medical expenses in current files to prove any deductions you may be eligible to claim. |
|
Rental property |
Keep complete records of all expenses and current income from rental property in current files. Keep records of previous years in permanent files. |
|
Safe deposit box rent |
Tax deductible if you use the box to store taxable-income producing stocks, bonds or investment-related papers and documents. |
|
Tax records |
Keep tax returns, proof of income received and receipts or canceled checks necessary to substantiate tax deductions for at least three years from due date of return. Normally IRS doesn't audit your taxes once three years have passed. IRS has six years to assess extra tax if your actual income is 25 percent more than reported income. You can be audited any time in case of fraud or where no return was filed. No statute of limitations exists. |
Records to Carry With You
|
Item |
Suggested Uses |
|
Automobile license receipt |
Must have to purchase new license plate. |
|
Automobile insurance card |
To prove you have automobile insurance. |
|
Credit card |
Identification; to charge purchases. |
|
Driver's license |
Identification and evidence of legal ability to drive. |
|
Identification |
|
|
Emergency treatment. Place note in household files for ready reference in case of loss. |
|
For identification to receive benefits when admitted to hospital. |
|
Personal information and persons to contact in case of emergency. Name, address and telephone numbers in case emergency treatment is needed. |
|
|
|
Emergency treatment |
|
Emergency treatment |
|
Emergency treatment |
|
Organization membership |
Identification and proof of membership. |
|
Social Security card |
Identification. Number should be listed at home. Keep a copy of card in safe deposit box. |
* Keep anything you can't replace or would be costly or troublesome to replace in your safe deposit box. Keep list of safe deposit box contents at home.
Take time to organize your household records now. You can save frustration, wasted time and financial loss in the future. Develop a system that works for you so you can safeguard your important papers. Organize a record-keeping system so you know what to keep, where to keep it and how long.
The Internal Revenue Service has free publications that you can order or view online.
To order by phone, call 1-800-TAX-FORM (1-800-829-3676); online, visit www.irs.ustreas.gov.
The author expresses special thanks to the following people who reviewed the manuscript and shared their suggestions: Ms. Betty Beaver, Internal Revenue Service; Dr. Nayda Torres, The University of Florida Cooperative Extension Service; and Mrs. Rose Simmons, Georgia Cooperative Extension Service.
Prepared by Esther M. Maddux, Ph.D., C.F.P., Extension Financial Management Specialist
Appendix
VII
Financial Record Book
The "Financial Record Book" provides a ready reference to your current financial situation. It should be placed in a convenient location. Let someone you trust Ń a family member, your attorney, banker or executor Ń know where it is in case of an emergency or death. Update it periodically to reflect any important changes.
If you need more spaces, duplicate the pages. You may want to start a financial notebook. A loose-leaf notebook would allow you to add pages as needed in certain sections. Use pencils so that forms can be easily updated. You may want to give a copy of a completed book to someone you trust so he or she will have it in case of an emergency.
Personal and Family Information
|
Name: Last |
First | Middle | Maiden |
Social Security #
|
||
|
Age: Date of Birth
|
Birthplace (city, county, state)
|
Citizen of | ||||
|
Residence: Street
|
City, County, State, ZIP | Years | Phone |
|||
|
Previous Address
|
||||||
|
Employer
|
Occupation | Years |
||||
|
Employer Address: Street |
City, County, State, ZIP
|
Phone | ||||
|
Marital Status: Single, Married (Date married), Widowed, Divorced, Separated
|
||||||
|
Previous Marriages
|
||||||
|
High School
|
City, County, State | Degree/Date | ||||
|
College
|
City, County, State | Degree/Date | ||||
|
Graduate School
|
City, County, State | Degree/Date | ||||
|
Other
|
City, County, State | Degree/Date | ||||
|
Branch of Military Service
|
Serial # | |||||
|
Enlistment Date
|
Discharge Date | Highest Rank | ||||
|
Church Membership
|
Affiliation | |||||
|
Fraternal, Service, Social and Union Memberships
|
||||||
|
Special Recognition:
|
||||||
|
Father's Full Name |
Living (Y/N) | Age | Dependent (Y/N) | Health |
Cause of Death if Deceased
|
Date of Birth |
|
Mother's Full Name (Include Maiden) |
Living (Y/N) | Age | Dependent (Y/N) | Health |
Cause of Death if Deceased
|
Date of Birth |
|
Brothers and Sisters: |
Living (Y/N) | Age | Dependent (Y/N) | Health |
Cause of Death if Deceased
|
Date of Birth
|
|
Children: Name |
Age | Date of Birth | Social Security # | This marriage |
Adopted
|
Marital Status
|
|
Spouse's Name: Last |
First | Middle | Maiden |
Social Security #
|
||
|
Age: Date of Birth
|
Birthplace (city, county, state)
|
Citizen of | ||||
|
Residence: Street
|
City, County, State, ZIP | Years | Phone |
|||
|
Previous Address
|
||||||
|
Employer
|
Occupation | Years |
||||
|
Employer Address: Street |
City, County, State, ZIP
|
Phone | ||||
|
Marital Status: Single, Married (Date married), Widowed, Divorced, Separated
|
||||||
|
Previous Marriages
|
||||||
|
High School
|
City, County, State | Degree/Date | ||||
|
College
|
City, County, State | Degree/Date | ||||
|
Graduate School
|
City, County, State | Degree/Date | ||||
|
Other
|
City, County, State | Degree/Date | ||||
|
Branch of Military Service
|
Serial # | |||||
|
Enlistment Date
|
Discharge Date | Highest Rank | ||||
|
Church Membership
|
Affiliation | |||||
|
Fraternal, Service, Social and Union Memberships
|
||||||
|
Special Recognition:
|
||||||
|
Father's Full Name |
Living (Y/N) | Age | Dependent (Y/N) | Health |
Cause of Death if Deceased
|
Date of Birth |
|
Mother's Full Name (Include Maiden) |
Living (Y/N) | Age | Dependent (Y/N) | Health |
Cause of Death if Deceased
|
Date of Birth |
|
Brothers and Sisters: |
Living (Y/N) | Age | Dependent (Y/N) | Health |
Cause of Death if Deceased
|
Date of Birth
|
|
Children: Name |
Age | Date of Birth | Social Security # | This marriage |
Adopted
|
Marital Status
|
Professional and Personal Advisers*
|
ATTORNEY: |
ACCOUNTANT: |
|
Name_____________________________________ |
Name_____________________________________ Name of firm_______________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| BANKER: | REAL ESTATE BROKER: |
| Name_____________________________________ Name of institution__________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Name of firm_______________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| INSURANCE REPRESENTATIVE: | TRUST OFFICER: |
| Name_____________________________________ Name of agency____________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Name of firm_______________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| BROKER: | FINANCIAL PLANNER: |
| Name_____________________________________ Name of firm_______________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Name of firm_______________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| BUSINESS PARTNER: | CLERGYMAN: |
| Name_____________________________________ Name of business___________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Name of church_____________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| DOCTOR: | NEAREST RELATIVE: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
| ____________________________: | ____________________________: |
| Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
Name_____________________________________ Address___________________________________ __________________________________________ Telephone No.______________________________ |
*Many of these may not apply to your situation. The number of advisers you have will vary according to your financial situation and your stage in the family life cycle.
Where Are the
Following Important Records?
List the location of these documents.
|
Original Will |
|
Copy of Will |
|
Original Trust |
|
Copy of Trust |
|
Power of Attorney |
|
Real Estate Deeds |
|
Insurance Policies (Life, Health, Disability, Property) |
|
Loans, Investments, Retirement Accounts |
|
Security Certificates |
|
Pension Certificates |
|
Business Agreements |
|
Notes Receivable & Payable |
|
Bank Books (Checking, Savings) |
|
Installment Payment Books |
|
Automobile Registration & Title |
|
Inventory of Household Goods |
|
Inventory of Farm or Business |
|
Personal Property Tax Receipts |
|
Income & Gift Tax Returns |
|
Social Security Card &
Number |
|
Employment Records |
|
Naturalization Papers |
|
Military Service Papers |
|
VA Education/Housing Entitlement Papers |
|
Marriage Certificate |
|
Pre- or Postnuptial Agreements |
|
Divorce Records |
|
Birth Certificates of All Family Members |
|
Baptismal Certificates |
|
Adoption Papers |
|
Safe Deposit Box
|
|
Amount*
|
||||||||||||
|
Per Week |
Biweekly |
Per Month |
Per Year |
|||||||||
|
gross |
net |
gross |
net |
gross |
net |
gross |
net |
|||||
|
Paycheck #1 |
||||||||||||
|
Paycheck #2 |
||||||||||||
|
Paycheck #3 |
||||||||||||
|
Paycheck #4 |
||||||||||||
|
Tips |
||||||||||||
|
Commission |
||||||||||||
|
Interest |
||||||||||||
|
Dividends |
||||||||||||
|
Rent |
||||||||||||
|
Gifts |
||||||||||||
|
Annuities |
||||||||||||
|
Social Security |
||||||||||||
|
Retirement Benefits |
||||||||||||
|
Child Support |
||||||||||||
|
Alimony |
||||||||||||
|
Supplemental Security Income |
||||||||||||
|
Public Assistance |
||||||||||||
|
Veterans Benefits |
||||||||||||
|
Profits-Business, farm |
||||||||||||
|
Loan Proceeds |
||||||||||||
|
Other |
||||||||||||
|
Totals |
||||||||||||
* Choose one of these columns to reflect the amount of your income. You only have to fill in one of the income sources.
|
Dollar Amount |
||||
|
Deductions |
Paycheck #1 |
Paycheck #2 |
Paycheck #3 |
Paycheck #4 |
|
Federal Taxes |
||||
|
State Taxes |
||||
|
Social Security (FICA) |
||||
|
Retirement Plan #1 |
||||
|
Retirement Plan #2 |
||||
|
Retirement Plan #3 |
||||
|
Insurance: |
||||
|
||||
|
||||
|
||||
|
||||
|
||||
|
Miscellaneous: |
||||
|
||||
|
||||
|
||||
|
||||
|
||||
|
Other |
||||
|
Total Deductions |
||||
|
Gross Pay |
||||
|
Total Deductions |
||||
|
Net Pay |
||||
To find out what portion of gross pay is used for deductions, divide your deductions by gross pay and multiply by 100.
|
Total
deductions
Gross Income |
$
529.85
$1,541.67 |
= .344 X 100 = 34.4% | ||
|
Spendable
Income
Gross Income |
$1,011.82
$1,541.67 |
= .656 X 100 = 65.6% | ||
If your total deductions are $529.85 and your gross pay is $1,541.67, then 34.4% of your income goes for deductions and 65.6% or $1,011.82 is available to spend or save.
This worksheet allows you to compare income and expenses as well as plan for the next pay period. Place the amount of income you have available for family living expenses at the top of the first "spent" column beside amount of check. Place the amount of your expenses beside each expense, under the "spent" column. Then you use the "plan" column to make adjustments for the next pay period.
|
Date of check |
||||||||
|
Take-home pay |
||||||||
|
Item |
Spent |
Plan |
Spent |
Plan |
Spent |
Plan |
Spent |
Plan |
|
Housing |
||||||||
|
Utilities |
||||||||
|
Food |
||||||||
|
Transportation |
||||||||
|
Clothing and personal care |
||||||||
|
Medical and health |
||||||||
|
Education |
||||||||
|
Recreation/entertainment |
||||||||
|
Church/contributions |
||||||||
|
Credit |
||||||||
|
Savings |
||||||||
|
Other |
||||||||
|
Total expenses |
||||||||
|
Total monthly income |
||||||||
|
Total monthly expenses |
||||||||
|
Net |
|
Housing Utilities Food |
Transportation Clothing and Personal
Care |
Medical and Health Education Recreation/Entertainment |
Church/contributions Credit Savings Other |
|
|
Due |
Week 1 |
Week 2 |
Week 3 |
Week 4 |
Week 5 |
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Income |
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Expenses |
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Budge/Spent/Balance |
Budget/Spent/Balance |
Budget/Spent/Balance |
Budget/Spent/Balance |
Budget/Spent/Balance |
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Totals |
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January |
February |
March |
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April |
May |
June |
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July |
August |
September |
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October |
November |
December |
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January |
February |
March |
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April |
May |
June |
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July |
August |
September |
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October |
November |
December |
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Loans (Mortgages, car loan, installment debts, personal loans, life insurance loans, charge accounts, credit cards, taxes, notes payable, accounts payable, interest payable)
|
Type of Loan/Debt |
Name of Lender |
Name of Borrower* |
Loan Amount |
Date Made MO/YR |
Secured By |
Interest Rate |
Length of Loan |
Monthly Payment |
Payment Due Date |
Total Balance Due |
Date Paid Last |
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TOTAL |
$_______ |
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$_______ |
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$_______ |
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|||||
* Name of Borrowers Š You, Your Spouse, You and Co-signer, Other (Specify)
|
Policy 1 |
Policy 2 |
Policy 3 |
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Name of Company |
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Name(s) of Insured |
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Purchase Date |
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Type of Policy1 |
|||
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Policy Number |
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Face Value |
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Owner of Policy |
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Beneficiary(ies)2 |
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Premium $/Date Due3 |
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Current Cash Value |
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Outstanding Loans |
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Location of Policy |
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Agency/Address |
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Contact Person |
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Telephone Number |
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Other4 |
|
Policy 1 |
Policy 2 |
Policy 3 |
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Name of Company |
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Person(s) Covered |
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Purchase Date |
|||
|
Policy Number |
|||
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Percent of Salary Replaced |
|||
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Premium $/Date Due |
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Waiting Period |
|||
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Length of Coverage
|
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Monthly Benefit |
|||
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Coordination With Other Income |
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Definition of Disability |
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Residual Clause |
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Retirement Plan/ |
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Location of Policy |
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Agency/Address |
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Contact Person |
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Telephone Number |
|
Policy 1 |
Policy 2 |
Policy 3 |
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Name of Company |
|||
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Person(s) Covered |
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Purchase Date |
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Policy Number |
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| Coverages | |||
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Deductible |
|||
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Premium $/Date Due |
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Location of Handbook |
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Agency/Address |
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Telephone Number |
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Policy 1 |
Policy 2 |
Policy 3 |
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Purchase Date |
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Company Name |
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Company Address |
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Company Phone |
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Agent Name |
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Policy Number |
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| Type: | |||
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Group |
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Individual |
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Persons Insured: |
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Premium (When Paid) ($) |
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Deductible ($) |
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Coinsurance ($) |
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||
| Annual Stop Loss Limit ($) |
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| Lifetime Maximum |
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| Inpatient Hospital Services |
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| Inpatient Surgery |
|
||
| Physician's Expense |
|
||
| Emergency Accident Treatment |
|
||
| Skilled Nursing Home Care |
|
||
| Outpatient Surgery |
|
||
| Outpatient Diagnostic/Radiation Therapy |
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||
| Maternity Care |
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||
| Ambulance |
|
||
| Home Health Care/Hospice Care |
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||
| Psychiatric/Substance Abuse Care |
|
||
| Prescriptions |
|
||
| Preventive Care |
|
||
| Pre-exisitng Conditions |
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Location of Handbook |
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||
Homeowner's/Renter's
Insurance
|
Policy 1 |
Policy 2 |
Policy 3 |
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Name of Company |
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Policy Number |
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Location of Property |
|||
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Type of Coverage (all risks or named perils) |
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Date Purchased Home |
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Purchase Price of Home |
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Location of Deed |
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Current Market Value |
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Mortgage Holder |
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Monthly Mortgage Payment/Due Date |
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| Deductible | |||
| Inflation Coverage Index | |||
| Personal Items Coverage (floater) | |||
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| Location of Policy | |||
| Premium $/Due Date | |||
| Expiration Date | |||
| Agency/Address | |||
| Contact Person | |||
| Telephone Number | |||
|
Policy 1 |
Policy 2 |
Policy 3 |
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Name of Company |
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Year/Make/Model of Auto |
|||
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Registration Number/Title Number |
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License Plate Number |
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Policy Number |
|||
| Liability Coverage Š Bodily Injury | |||
|
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Medical Payments Coverage |
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| Uninsured/Underinsured Motorist Coverage | |||
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Collision Deductible |
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| Comprehensive Deductible | |||
| Emergency Road Service | |||
| Car Rental | |||
| Umbrella Liability | |||
| Premium $/Date Due | |||
| Expiration Date | |||
| Location of Policy | |||
| Agency/Address | |||
| Contact Person | |||
| Telephone Number | |||
| Location of Title | |||
| Holder of Lien(s) | |||
|
Pay-off Date |
|||
How much are you saving each month?_______________________________________________________
How? (Payroll Deductions, etc.)_____________________________________________________________
Cash on Hand___________________________________________________________________________
|
Checking Accounts |
||||||
|
Account Holder(s) |
Type of Account |
Account Number |
Interest Rate |
Branch Name/Address |
Ownership* |
Present Balance |
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Savings/Money Market Account |
||||||
|
Date Opened |
Initial Rate |
Current Rate |
Name/Address of Institution |
Account Number |
Ownership |
Present Amount |
|
Certificates of Deposit |
||||||
|
Date Purchased |
Date of Maturity |
Interest Rate |
Name/Address of Institution |
Account Number |
Ownership |
Principal Amount |
|
Savings Bonds |
||||||
|
Date Purchased |
Type |
Amount Purchased |
Ownership |
Present Amount |
||
| Total in personal accounts | ||||||
How much are you saving each month?_______________________________________________________
How? (Payroll Deductions, etc.)_____________________________________________________________
Cash on Hand___________________________________________________________________________
|
Checking Accounts |
||||||
|
Account Holder(s) |
Type of Account |
Account Number |
Interest Rate |
Branch Name/Address |
Ownership* |
Present Balance |
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|
||||||
|
Savings/Money Market Account |
||||||
|
Date Opened |
Initial Rate |
Current Rate |
Name/Address of Institution |
Account Number |
Ownership |
Present Amount |
|
Certificates of Deposit |
||||||
|
Date Purchased |
Date of Maturity |
Interest Rate |
Name/Address of Institution |
Account Number |
Ownership |
Principal Amount |
|
Savings Bonds |
||||||
|
Date Purchased |
Type |
Amount Purchased |
Ownership |
Present Amount |
||
| Total in personal accounts | ||||||
*
Ownership Š Sole ownership (husband or wife), joint tenants, tenancy in common
|
Company |
Ownership1 |
Number of Shares |
Type2 |
Current Dividend3 |
Date Purchased |
Purchase Price Per Share |
Total Cost |
Current Price Per Share |
Current Market Value |
| Notes: | 1 Ownership
Š Sole ownership (husband, or wife), joint tenants, tenancy-in-common 2 Type Š Preferred/common 3 Current Dividend Š Are dividends reinvested? Are stocks pledged as collateral? |
|
Company |
Ownership* |
Number of Units Purchased |
Purchased Price Per Unit |
Total Cost |
Coupon Interest |
Date Purchased |
Maturity Date |
Current Price Per Unit |
Current Market Value |
|
Corporate |
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Government/Municipal |
|||||||||
* Ownership Š Sole ownership (husband, or wife), joint tenants, tenancy-in-common, other (pledged as collateral)
|
Company |
Ownership |
Number of Units |
Payment Plan* |
Capital Gains Reinvested |
Dividends Reinvested |
Purchase Date |
Unit Cost |
Total Cost |
Current Price/Unit |
Current Market Value |
* Payment plan Š Monthly, quarterly
|
Type |
Personal Annual Contribution |
Company Annual Contribution |
Amount Vested/When |
Retirement Disbursements |
Death Benefits |
|||
|
Monthly Annuity Begin/End |
Lump Sum |
Monthly Annuity Begin/End |
Beneficiary |
Current Market Value |
||||
|
Individual Retirement Account |
|
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/ |
/ |
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/ |
|
|
|
Keogh Plan (HR-10) |
|
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/ |
/ |
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/ |
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Qualified Pension Plan |
|
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/ |
/ |
|
/ |
|
|
|
Profit Sharing |
|
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/ |
/ |
|
/ |
|
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|
Stock Bonus |
|
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/ |
/ |
|
/ |
|
|
|
Employee Stock Purchases |
|
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/ |
/ |
|
/ |
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|
Qualified Thrift Plan |
|
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/ |
/ |
|
/ |
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|
Deferred Compensation |
|
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/ |
/ |
|
/ |
|
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|
Social Security |
|
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/ |
/ |
|
/ |
|
|
|
Type |
Personal Annual Contribution |
Company Annual Contribution |
Amount Vested/When |
Retirement Disbursements |
Death Benefits |
|||
|
Monthly Annuity Begin/End |
Lump Sum |
Monthly Annuity Begin/End |
Beneficiary |
Current Market Value |
||||
|
Individual Retirement Account |
|
|
/ |
/ |
|
/ |
|
|
|
Keogh Plan (HR-10) |
|
|
/ |
/ |
|
/ |
|
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|
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|
|
Qualified Pension Plan |
|
|
/ |
/ |
|
/ |
|
|
|
Profit Sharing |
|
|
/ |
/ |
|
/ |
|
|
|
Stock Bonus |
|
|
/ |
/ |
|
/ |
|
|
|
Employee Stock Purchases |
|
|
/ |
/ |
|
/ |
|
|
|
Qualified Thrift Plan |
|
|
/ |
/ |
|
/ |
|
|
|
Deferred Compensation |
|
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/ |
/ |
|
/ |
|
|
|
Social Security |
|
|
/ |
/ |
|
/ |
|
|
|
Address |
Location of Deed |
Ownership* |
Date of Purchase |
Purchase Price |
|
|
Residence |
|||||
|
Vacation Property |
|||||
|
Cemetery Plot |
|||||
|
Income Producing Property |
|||||
|
Unimproved Real Property |
|||||
|
Farmland/Farm Buildings |
|||||
|
Business |
|||||
* Ownership Š Sole ownership (husband or wife), joint tenants, tenancy-in-common
|
Ownership |
Number of Units |
Date Acquired |
Purchase Price |
Current Market Value |
|
|
Livestock |
|||||
|
Feed Crop and Supplies |
|||||
|
Machinery/Equipment* |
|||||
* Machinery/Equipment Š Above ground and below ground
Receivables:
Notes/Accounts/Mortgages
|
Who Owes You? |
Address |
Where Is the Note? |
Interest Accrued |
Amount/Maturity Date |
|
Leases |
Where Is the Lease? |
Name(s) |
|
|
Royalties, Mineral Rights |
|||
|
Crop and Pasture Land |
|||
|
Purchase Price |
Date of Purchase |
Current Market Value |
|
|
General Partnership Interests |
|||
|
Limited Partnership Interests |
|||
|
Closely Held Corporate Stock |
|||
|
Purchase Price |
Date of Purchase |
Current Market Value |
||
|
Automobiles |
||||
|
Motorcycles/Motor Home, etc. |
||||
|
Boat |
||||
|
Airplane |
||||
|
Household Furnishings and Equipment |
||||
|
Jewelry, Furs, Antiques, Art, etc. |
||||
|
Hobby Assets (Coins, Stamps, Guns, etc.) |
||||
|
Other |
||||
|
Comments:
|
||||
Net Worth Statement
for Three Years*/**
|
Assets Owned |
19 |
19 |
19 |
|
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|
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|
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|
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|
|||
|
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|
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|
|||
|
Liabilities Owed |
$ | $ | $ |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|||
|
Your Total Net Worth |
|||
|
19 |
19 |
19 |
|
|
Total Assets |
|||
|
Total Liabilities |
|||
|
Net Worth = Assets - Liabilities |
|||
*
To calculate your net worth, list the fair market value of you assets. List
the outstanding balance on your debts. Total assets. Total liabilities. Subtract
liabilities from assets to get net worth.
** Beside
each item list how owned: sole owner (husband or wife), joint tenancy with right
of survivorship, tenant-in-common
After reviewing my personal financial records, I need to make the following changes:
|
1. Record keeping
|
|
2. Cash flow
|
|
3. Credit use
|
|
4. Insurance
|
|
5. Investments
|
|
6. Tax planning
|
|
7. Retirement plan/employee benefits
|
|
8. Estate plan
|
The University of Georgia and Ft. Valley State University, the U.S. Department of Agriculture and counties of the state cooperating. The Cooperative Extension Service, the University of Georgia College of Agricultural and Environmental Sciences offers educational programs, assistance and materials to all people without regard to race, color, national origin, age, sex or disability.
For large print, taped or Braille editions of this publication, contact the author.
An Equal Opportunity
Employer/Affirmative Action Organization Committed to a Diverse Work Force
Bulletin 1018, May 2000
Issued in furtherance of Cooperative Extension work, Acts of May 8 and June 30, 1914, The University of Georgia College of Agricultural and Environmental Sciences and the U.S. Department of Agriculture cooperating.
Gale A. Buchanan, Dean and Director