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Estate Planning
InventoryBNC Wealth Management Services
Bismarck, ND • Minneapolis, MN • Glendale, AZ1-800-BNC-BANK
08/10
2BNC National Bank Estate Planning Inventory
Many people have a will which states how their property will be managed and administered after their death, but provision for the proper administration of property during the remainder of their lifetime is often neglected. Estate planning is valuable protection for you and your family in the event of an illness or death. Your property will be managed as you choose with strong consideration given to:
1) avoiding a taxable event, and
2) income maximization for your heirs.
Using the valuable information you have compiled, we can assist you in meeting the major objectives of estate planning.
For a free initial consultation today, call 701-222-2200 or 1-800-BNC-BANK.
3BNC National Bank Estate Planning Inventory
1. Name Birth Date Security #
Husband ____________________________________________ ___________ ______________
Wife ________________________________________________ ___________ ______________
2. Address County
City _____________________________________________________________ ________________
Farm ____________________________________________________________ ________________
3. Telephone Number _____________________________________________________________________
4. Children Name Birth Date Married Occupation
________________________________________________ _________ ________ _______________
________________________________________________ _________ ________ _______________
________________________________________________ _________ ________ _______________
________________________________________________ _________ ________ _______________
________________________________________________ _________ ________ _______________
________________________________________________ _________ ________ _______________
5. Other Dependents Name Birth Date Relationship
_______________________________________________________ ___________ _____________
_______________________________________________________ ___________ _____________
_______________________________________________________ ___________ _____________
6. Special Family Circumstances (explain)
______________________________________________________________________________________
______________________________________________________________________________________
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Personal Information
4BNC National Bank Estate Planning Inventory
Checklist of Documentsand other Information Needed
Advisors Name Address Phone No.
Attorney _____________________________ ______________________________ _______________
Accountant ___________________________ ______________________________ _______________
Trust Officer __________________________ ______________________________ _______________
Financial Advisor ______________________ ______________________________ _______________
Life Insurance _________________________ ______________________________ _______________
Copies of your latest investment statements:
This would include retirement plans, investment accounts, IRAs, annuities, CDs (which should include rates and maturities), etc.
Copies of any insurance policies.
Details of any debt such as mortgage, student loans, credit cards, hospital bills, vehicle loans, personal loans, etc.
Copies of existing wills.
Copies of existing trusts.
Copies of last year’s tax return, preferable 2 to 3 years.
5BNC National Bank Estate Planning Inventory
Goals & Objectives
Income NeedsWhat monthly income will your family need after you retire?Enter amount in today’s dollars.
At what age would you like to retire? Your Spouse?
Is there any other source of income that you expect beyond those already mentioned?
Tax AssumptionsWhat tax bracket do you want used to tax effect growth on assets before and after retirement?
Retirement Funding
$__________________monthly amount
Client Age ______Spouse Age ______$_______________
monthly amount
Before ret ________%After ret _________%
Disability Income NeedsWhat total monthly income will your family need in the event of your total disability? Today’s dollars, pre-tax.
What total monthly income will your family need in the event of your spouse’s total disability? Today’s dollars, pre-tax.
Do you expect any other income at disability other than from insurance, social security or spouse’s continuing salary? If so, enter amount here. Source? _____________________________
Survivor Income NeedsIn the event of your death, what total amount of monthly income will your family need? Today’s dollars, pre-tax. While your children are still at home: __________________ No children (or after they are independent): _____________
In the event of your spouse’s death, what total amount of monthly income will your family need? Enter the amount in today’s dollars, pre-tax. While your children are still at home: __________________ No children (or after they are independent): _____________
What amount of emergency funds, aside from insurance, would you like to have available in the event of your death?
Do you expect any other income at your death other than from insurance, social security and spouse’s continuing salary?Enter amount here. Source? _____________________________Date of Will: _____________________ Type: ______________
Risk Protection
$_______________CLmonthly amount
$_______________CLmonthly amount
* Joint Tenancy (JT), Client (CL), Spouse (SP)
$_______________CLmonthly amount
$_______________SPmonthly amount
$_______________CLmonthly amount
$_______________SPmonthly amount
$_______________CLmonthly amount
$_______________CLmonthly amount
$_______________lump sum
$_______________CLmonthly amount
$_______________SPmonthly amount
6BNC National Bank Estate Planning Inventory
Checking and Savings Accounts, CDs, Money Markets
Assets
Description(Please be as complete as possible)
CurrentBalance
CurrentRate
MaturityDateOwner*
Cash Equivalents
Description(Please be as complete as possible)
CurrentOwner*
PurchaseValue
PurchaseCost Date
Business Interests
* Joint Tenancy (JT), Client (CL), Spouse (SP)
7BNC National Bank Estate Planning Inventory
AssetsReal Estate
Description(Please be as complete as possible) Owner* Current
ValuePurchase
CostPurchase
Date
Personal PropertyDescription
(Please be as complete as possible) Owner* CurrentValue
PurchaseCost
PurchaseDate
8BNC National Bank Estate Planning Inventory
* Joint Tenancy (JT), Client (CL), Spouse (SP)
Policy #
Life InsuranceInsurance
Carrier Type Insured Owner* FaceAmt
CashValue Prem Prem
FreqIssue Date
Fixed AnnuitiesDescription
(Please be as complete as possible)Owner* Current
ValuePurchase
CostPurchase
DateInt
RateMaturity
DateAnnuitant, if
other than owner
Disability
Policy # Carrier Type Insured Prem PremFreq
EffDate
WaitingPeriod Payor
9BNC National Bank Estate Planning Inventory
* Joint Tenancy (JT), Client (CL), Spouse (SP)
Description(Please be as specific as possible)
Mortgages/LoansLiabilities
Mortgagee/Owner*
Original Mortgage/ Loan Amt
OriginationDate
IntRate
PmtFreq
# ofPmts
Fixed AnnuitiesDescription
(Please be as specific as possible)Mortgagee/
Owner*Original Mortgage/
Loan AmtOrigination
DateInt
RatePmtFreq
# ofPmts