PERSONAL INFORMATION

AND PROPERTY SUMMARY

PERSONAL INFORMATION OF:

Date Last Updated:

Personal Information

Self

/

Spouse

Name
Birthdate
Birth place
Social Insurance No.

Your Family

Your Children:

Name / Birth Date / Address / Marital Status / Grandchildren

Your Extended Family:

Self / Spouse
Parent’s names, dates of birth and places of birth
Siblings names and addresses
Nieces and Nephews names and birth dates

Marriage Information

Date of Marriage
Place of Marriage
Marriage Contract? / □ yes □ no

Your Advisors

Name and Address of Solicitor:Name and Address of Accountant:

Name and Address of Broker:Name and Address of Financial Advisor:

Estate Planning Documents

Wills

/

Self

/

Spouse

Date of Wills
Location of Original Documents
Executor name(s)
Executor address(es)

Powers of Attorney

/

Self

/

Spouse

Date of Documents
Location of Original Documents
Attorney name(s)
Attorney address(es)

Representation Agreements

/

Self

/

Spouse

Date of Documents
Location of Original Documents
Representative name(s)
Representative address(es)

Living Wills

/

Self

/

Spouse

Date of Documents
Location of Original Documents

If Children are under the age of majority:

Guardian name(s)
Guardian address(es)

Asset Information

Residential Property

(i.e. house, cottage) /

#1

/ #2
Address
Legal Description
Owner(s) / □ joint tenants □ tenants in common / □ joint tenants □ tenants in common
Purchase Date
Purchase Price
Name of Mortgagee
Amount of Mortgage

Investment Property

(i.e. rental, commercial) /

#1

/ #2
Address
Legal Description
Owner(s) / □ joint tenants □ tenants in common / □ joint tenants □ tenants in common
Purchase Date
Purchase Price
Name of Mortgagee
Amount of Mortgage

Bank Accounts

/

#1

/ #2
Name of Institution
Address
Account number(s)
Ownership / □ jointly □ sole name / □ jointly □ sole name
Safety Deposit Box? / □ yes □ no
if yes, box no. / □ yes □ no
if yes, box no.

RRSPs or RRIFs

/

#1

/ #2
Name of Institution
Address
Account number
Account owner
Name of Beneficiary

Investment Accounts

/

#1

/ #2
Name of Institution and Broker
Address
Account number
Ownership / □ jointly □ sole name / □ jointly □ sole name

Insurance Policies

/

#1

/ #2
Name of Insurance Company
Address
Policy number
Name of Insured
Owner of the Policy
Amount of Policy
Name of Beneficiary

Credit Cards

/

#1

/ #2 / #3
Name of Card Issuer
Account number
Name of Primary Card Holder
Name of additional Card Holders

Other Assets

Vehicles: (Year, Make, Model & Serial Number)

Boats and Engines: (Year, Make, Model & Serial Number)

Computer Equipment: (Type and Purchase Price)

Artwork:

Collections:

Interest in Estates or Trusts:

Other:

May 27, 2010 Page 1