Confidential Estate Planning Information - Schedule of Assets

CONFIDENTIAL ESTATE PLANNING INFORMATION - SCHEDULE OF ASSETS

Kenneth R. Sechler, Attorney at Law, 6135 Memorial Drive, Suite 105A
Dublin, Ohio 43017-9014●614/889-0234 ● fax 614/923-9006
●

Client: ______Date: ______

You may wish to store this information on external media and not on your hard drive

CASH ASSETS: (Bank accounts, certificates of deposit, etc. Retirement assets are listed on page 5)
Asset Description / Owner
H, W, or HW / Beneficiary (Ben) or
Joint Tenant (JT) / Net Value
1. / $
2. / $
3. / $
4. / $
5. / $
6. / $
7. / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset, such as “Chase Bank checking” or “Huntington CD”

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State whether the asset is held:

(a)in both names as joint tenants with right of survivorship (JTWROS), or

(b)with a beneficiary designation, such as a POD (payable on death) or TOD (transferable on death) designation and state the names of the beneficiaries

If neither (a) nor (b) apply, leave the space blank. For example, leave the space blank if the asset is held in just one name with no beneficiary designation or in both names as tenants in common with no right of survivorship and with no beneficiary designation.

STOCKS, BONDS, MUTUAL FUNDS
Asset Description / Owner
H, W, or HW / Beneficiary (Ben) or
Joint Tenant (JT) / Net Value
1. / $
2. / $
3. / $
4. / $
5. / $
6. / $
7. / $
8. / $
9. / $
10. / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset, such as AMerrill Lynch brokerage account,@AFord Motor Co. common stock,@ or AVanguard Windsor fund@

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State whether the asset is held:

(a)in both names as joint tenants with right of survivorship (JTWROS), or

(b)with a beneficiary designation, such as a POD (payable on death) or TOD (transferable on death) designation, and state the names of the beneficiaries

If neither (a) nor (b) apply, leave the space blank. (For example, leave the space blank if the asset is held in just one name with no beneficiary designation or in both names as tenants in common with no right of survivorship and with no beneficiary designation)

REAL ESTATE
Asset Description / Owner
H, W, or HW / Beneficiary (Ben) or
Joint Tenant (JT) / Net Value
1. / $
2. / $
3. / $
4. / $
5. / $
6. / $
7. / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset, such as AResidence at 810 Maple St.@ or AApartment building at 620 Main St.@

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State whether the asset is held:

(a)in both names as joint tenants with right of survivorship, or tenants by the entirety

(b)with a beneficiary designation, such as a TOD (transfer on death) designation and state the names of the beneficiaries

If neither (a) nor (b) apply, leave the space blank. (For example, leave the space blank if the asset is held in just one name or in both names as tenants in common with no right of survivorship)

BUSINESS INTERESTS/LLCS/PARTNERSHIPS/ETC.
Asset Description / Owner
H, W, or HW / Beneficiary (Ben) or
Joint Tenant (JT) / Net Value
1. / $
2. / $
3. / $
4. / $
5. / $
6. / $
7. / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset, such as AABC, Inc., an Ohio corporation, 10 shares common stock,” “World View, LLC., an Ohio limited liability company, 100% membership interest,” “Smith & Jones,” an Ohio general partnership, a 50% partnership interest,” or “Property Investment, LP, an Ohio limited partnership, 10 units (1.0 %) limited partnership interest.”

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State whether the asset is held:

(a)in both names as joint tenants with right of survivorship (JTWROS), or

(b)with a beneficiary designation, such as a TOD (transferable on death) designation and state the names of the beneficiaries

EMPLOYEE BENEFITS/RETIREMENT ACCOUNTS
Asset Description / Owner
H, W, or HW / 1st and 2nd
Beneficiaries / Net Value
1. / 1st
2nd / $
2. / 1st
2nd / $
3. / 1st
2nd / $
4. / 1st
2nd / $
5. / 1st
2nd / $
6. / 1st
2nd / $
7. / 1st
2nd / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset, such as AFifth Third IRA@ or AAT&T 401(k)@

Owner: State whether owned by H=Husband or W=Wife

Beneficiary: State the names of the beneficiaries

NOTES/ACCOUNTS RECEIVABLE
Asset Description / Owner
H, W, or HW / Beneficiary (Ben) or
Joint Tenant (JT) / Net Value
1. / $
2. / $
3. / $
4. / $
5. / $
6. / $
7. / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State whether the asset is held:

(a)in both names as joint tenants with right of survivorship (JTWROS), or

(b)with a beneficiary designation, such as a POD (payable on death) or TOD (transferable on death) designation and state the names of any beneficiaries

MISCELLANEOUS ASSETS(Cars, collectibles of significant value such as antiques or a coin collection, jewelry, and household belonging and personal effects as a group)
Asset Description / Owner
H, W, or HW / Beneficiary (Ben) or
Joint Tenant (JT) / Net Value
1. / $
2. / $
3. / $
4. / $
5. / $
6. / $
7. / $

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State whether the asset is held:

(a)in both names as joint tenants with right of survivorship, or tenants by the entirety

(b)with a beneficiary designation, such as a TOD (transfer on death) designation, and state the names of the beneficiaries

If neither (a) nor (b) apply, leave the space blank. (For example, leave the space blank if the asset is held in just one name or in both names as tenants in common with no right of survivorship)

INSURANCE ASSETS
Asset Description / Owner
H, W, or HW / 1st and 2nd
Beneficiaries / Face Amount
Cash Value
1. / 1st
2nd / $
$
2. / 1st
2nd / $
$
3. / 1st
2nd / $
$
4. / 1st
2nd / $
$
5. / 1st
2nd / $
$
6. / 1st
2nd / $
$
7. / 1st
2nd / $
$

Describe any liens or encumbrances on these assets by identifying the asset, the amount of the lien, and the name of the lender:

Asset Description: Describe the asset, state whether whole life, term, universal, variable, second to die, annuity, etc.; list separate amounts for guaranteed face amounts and for accidental or special death benefits

Owner: State whether owned by H=Husband, W=Wife, HW=in both names

Beneficiary: State the names of the primary and secondary beneficiaries

ADVISORSNames and Contact Information
1. / Attorney / Kenneth R. Sechler, 6135 Memorial Drive, Suite 105A, Dublin, OH 43017
614-889-0234
2. / Accountant
3. / Financial-Investments
4. / Insurance - Life
5. / Insurance – Other
6. / Banking
7. / Physicians
8. / Clergy
9. / Other
OTHER INFORMATION
Funeral plans
Prearranged: / Yes / No / Prepaid: / Yes / No
Cemetery plots
Location of deed
Location of:
Asset information
Prior tax returns
Current tax info
Birth certificates
Marriage license
Home safes &
hiding places / (suggest disclosure to trusted family members or trusted friends)
PASSWORDS – for financial accounts, email, etc.
You may wish to store this information on external media and not on your hard drive
Account or Service / User Name / Passwords / Answers to Security Questions

Planning Objectives and Priorities

Kenneth R. Sechler, Attorney at Law
6135 Memorial Drive, Suite 105A
Dublin, Ohio 43017-9014
614/889-0234
614/923-9006 fax

Confidential Estate Planning Information – Schedule of Assets
Kenneth R. Sechler, Attorney at LawPage 1 of 12