Price & Farrington, PLLC

Attorneys and Counselors at Law

Glenn D. Price, M.Sc., J.D.*

Charles P. Farrington, J.D., LL.M.**2370 130th Avenue N.E., Suite 103Andrea Logan, Paralegal

Bellevue, Washington 98005

Telephone: 425.451.3583

* Admitted in Washington, Alaska and PennsylvaniaFacsimile: 425.452.0153E-mail:

**Admitted in Washington

Founding Member, WealthCounsel, LLC

ESTATE PLANNING GOALS

DATE/TIME:______

NAME:______

Estate planning should be a rewarding and meaningful experience, not a burden and a chore. In order to create a consistent and comprehensive estate plan, it is important to establish and prioritize your personal estate planning goals. Please indicate how important the following goals are to you by circling the appropriate numeral. Use zero for those items that are not applicable or of no importance to you and five for the goals of paramount importance to you.

Importance

Least...... Most

1. I want to make sure that I keep control overmy0 1 2 3 4 5

assets while I am alive and healthy.

2. I want to choose which of my loved ones will make 0 1 2 3 4 5

decisions for us if I am not able to, including financial,

health care, and life support decisions.

3. I want to plan for my disability without the expense,0 1 2 3 4 5

delays and complications of court-supervisedguardianship proceedings.

4. I want to avoid placement in a nursing home as long0 1 2 3 4 5

as possible, preferring in-home health care.

5. I want to preserve the privacy of my estate from solicitors, 0 1 2 3 4 5

business competitors, or others with questionable motives.

Estate, Tax, Business and Asset Protection Planning

Estate Planning Goals

Page 1

6.I want to avoid probate and minimize estate0 1 2 3 4 5

administration costs.

7.I am concerned about estate and death taxes.0 1 2 3 4 5

8.I want to make sure that my life insurance proceeds0 1 2 3 4 5

are not included in my taxable estate.

9.I want to disinherit certain family members.0 1 2 3 4 5

10.I need to protect my estate from will contests0 1 2 3 4 5

and/or beneficiary disputes.

11.I want to make sure my estate plan will be valid if0 1 2 3 4 5

I move to another state.

12.I own a business that I want to insure remains in0 1 2 3 4 5

the family.

13.I have minor children for whom I need to provide.0 1 2 3 4 5

14.I want to provide for my grandchildren.0 1 2 3 4 5

15.I have a child or grandchild with special needs such0 1 2 3 4 5

as medical or learning disabilities.

16.I have children from (a) previous marriage(s) for whom I need0 1 2 3 4 5

to provided in my estate plan.

17.I wish to protect my children's inheritance 0 1 2 3 4 5

if I (re)marry.

18.I am interested in protecting my children from losing0 1 2 3 4 5

their inheritance in a failed marriage or lawsuit.

19.I would like to leave bequests to charity.0 1 2 3 4 5

20.I am interested in establishing a charitable trust that0 1 2 3 4 5

maintains an income stream for my lifetime.

Estate, Tax, Business and Asset Protection Planning

Estate Planning Goals

Page 1

21.I would like to assist my parents in preparing their0 1 2 3 4 5

own estate plan.

22.I would like to make sure my pets are protected and0 1 2 3 4 5

cared for.

I have other important goals and objectives not mentioned above, as follows:

______
______
______
______
______
______

Estate planning should always be done with your goals and objectives in mind. If your estate planning does not meet your legally obtainable goals and objectives, it is an inadequate plan and has been a poor bargain. Remember, proper estate planning is of vital importance and will profoundly and inevitably affect everything in the world that you own and the people in this world whom you care about most. We will help you be certain that your plan is prepared thoughtfully and comprehensively with the highest level of professionalism.

Estate, Tax, Business and Asset Protection Planning