legacy planning - just in case!

Written and published by Investors Group as a general source of information only. It is not intended as a solicitation to buy or

sell specific investments, nor is it intended to provide tax, legal or investment advice. Readers should seek advice on their

specific circumstances from an Investors Group Consultant.

™ Trademark owned by IGM Financial Inc. and licensed to its subsidiary corporations.

“Legacy Planning - Your Personal Records Organizer” © Investors Group Inc. 2011 MP1157 (11/2011)

Head Office:447 Portage AvenueWinnipeg, Manitoba R3C 3B6

Québec Office:2001 University StreetSuite 2000Montréal, Québec H3A 2A6

For information, call toll-free 1 888 746-6344, or fax (204) 956-7688.In Quebec, 1 800 661-4578, or fax (514) 843-5205.

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Legacy Planning3 Your Personal Records OrganizerYour Name

Date Completed/Last Updated

15

Personal RecordsMY NET WORTH STATEMENT

Assets (What you own) Current amount

Liquid assets Cash on hand $ _______________________________

Chequing/savings/broker accounts $ _______________________________

Canada Savings Bonds $ _______________________________

Term deposits/investment certificates $ _______________________________

Other $ _______________________________

Marketable assets Government/corporate bonds $ _______________________________

Common shares $ _______________________________

Preferred shares $ _______________________________

Mutual funds $ _______________________________

Real estate investments $ _______________________________

Other (business interest, farm, etc.) $ _______________________________

$ _______________________________

$ _______________________________

$ _______________________________

$ _______________________________

Long-term assets Cash value of life insurance (also indicate amounts to be received as death benefit by your estate upon your death) $ _______________________________

Registered Retirement Savings/Income Plans $ _______________________________

Other (pensions/profit sharing plans, etc.) $ _______________________________

Personal assets Personal residence $ _______________________________

Recreation property $ _______________________________

Vehicles $ _______________________________

Household furnishings/equipment $ _______________________________

Other (art, coins, jewelry, etc.) $ _______________________________

Total assets $

Liabilities (What you owe) Current amount

Short-term debt Charge accounts/credit cards $ _______________________________

Loans/Lines of credit $ _______________________________

$ _______________________________

Taxes (income/property tax owing) $ _______________________________

Other (life insurance loans, etc.) $ _______________________________

Unpaid bills $ _______________________________

Long-term debt Home mortgage $ _______________________________

Other property mortgage $ _______________________________

Other (line of credit, margin account, etc.) $ _______________________________

Total liabilities $

NET WORTH:Total assets minus total liabilities $

This booklet isdesigned to help youorganize, in one handylocation, importantinformation about yourpersonal and financialaffairs. You’ll find itprovides a convenientrecord and will be easyto update. As well, itwill help your survivorswind up your personalaffairs after yourdeath. Keep thisrecord in a safe placealong with your otherimportant papers. Let your family know where it’s kept.

14

Debtors and CreditorsPeople who owe you money

Name:

Amount: Date:

Demand/Maturity date:

Address:

Name:

Amount: Date:


Address:

People to whom you owe money (other than previously listed)

Name:

Amount: Date:


Address:

Name:

Amount: Date:


Address:

Loan Agreements or promissory notes are located:

Trust FundsAre you a beneficiary of any trusts?

❑ Yes ❑ No

Purpose:

Trustees are:

Trust papers are located:

Amount $:

Are you a trustee of any trusts?

❑ Yes ❑ No

Purpose:

Trust papers are located:

Income TaxYour tax advisor is:

Telephone:

Address:

Your tax records and supporting data are located:

4 3

People To Be Contacted

Next of kin

Name:

Relationship to you:

Telephone:

Address:

Name:


Telephone:

Address:

Name:


Telephone:

Address:

Name:


Telephone:

Address:

13

Residence & Real EstateBuilding cost figures (December 31, 1971 valueplus capital improvements to date):

Mortgage insurance policy:

Personal PropertyList all vehicles you own:

Vehicle registrations are located:

Bill of sale and insurance papers are located:

Are household furnishings insured?

❑ Yes ❑ No

Bills of sale, an inventory of and insurancepolicies for household furnishings are located:

Jewelry, stamp collections, coin collections,appraisal documents, etc. are located:

Collections/heirlooms/items of special value:

Where are the following located?

Certificates of title:

Copy of mortgages:

Property insurance policies:

Land surveys:

Property tax receipts:

Leases:

Type of real estate(e.g. house, condo, etc.)

Title is held by

(circle one)

Is there amortgage?

(circle one)

Mortgage is held by

you

spouse

joint

you

spouse

joint

you

spouse

joint

you

spouse

joint

yes

no

yes

no

yes

no

yes

no

4

Other People To Be ContactedExecutor or Liquidator (in Quebec):

Telephone:

Address:

Employer/Business Office:

Telephone:

Address:

Lawyer:

Telephone:

Address:

Notary (for Quebec residents):

Telephone:

Address:

Accountant:

Telephone:

Address:

Banking Institution:

Telephone:

Address:

Banking Institution:

Telephone:

Address:

Investors Group Consultant:

Telephone:

Address:

Person(s) to whom you have granted power of attorney:

Telephone:

Address:

Others

Name:

Telephone:

Address:

Name:

Telephone:

Address:

12

Bank AccountsBe sure to list all your bank accounts, soyour Executor, Liquidator or family canfind the money you have in theseaccounts.

Banking InstitutionBranch:

Account #:

❑ Savings ❑ Chequing ❑ Joint

If joint, who is joint owner?

Branch:

Account #:



Branch:

Account #:



Safety Deposit BoxDo you have a safety deposit box?

❑ Yes ❑ No

Location:

Names of others who have access to it:

Location of the keys:

List of contents is located:

Location:

Names of others who have access to it:

Location of the keys:

List of contents is located:

5

Living WillDo you have a “Living Will” (if allowed in your province)?

❑ Yes ❑ No

If so, where is your Living Will kept?

For Quebec residents: Do you have a“Mandate in Anticipation of Incapacity”

❑ Yes ❑ No

If so, where is such a document kept?

To whom have you given authority to make medical decisions on your behalf?

Organ DonationDo you want to donate your organs orbody for transplant, medical research or education?

❑ Yes ❑ No

If yes, explain:

Have you explained this in your

❑ Will and/or Living Will

❑ Organ donor card

❑ Driver’s license/Provincial Health Card

Have you informed your

❑ Doctor

❑ Next of kin

❑ Living Will representative

❑ Mandatary or representative (for residents of Quebec)

Funeral ArrangementsHave you made funeral arrangements?

❑ Yes ❑ No

Funeral home & address:

Telephone:

Have you set out instructions in yourWill?

❑ Yes ❑ No

In a letter?

❑ Yes ❑ No

They are located:

Do you own a cemetery plot?

❑ Yes ❑ No

Have you provided for its ongoing care?

❑ Yes ❑ No

The plot is located:

The deed to it is kept:

Pension PlansAre you a member of a Registered Pension Plan?

❑ Yes ❑ No

Account #:

Carrier name & address:

Beneficiary:

Account #:


Beneficiary:

Do you have a Registered RetirementSavings Plan (RRSP)?

❑ Yes ❑ No

Account #:


Beneficiary:

Account #:


Beneficiary:

Are you a subscriber to a RegisteredEducation Savings Plan (RESP)?

❑ Yes ❑ No

Account #:


Beneficiary:

Do you have a Registered RetirementIncome Fund (RRIF)?

❑ Yes ❑ No

Account #:


Beneficiary:

Are you a member of a Deferred ProfitSharing Plan (DPSP)?

❑ Yes ❑ No

Account #:


Beneficiary:

Information about this plan is located:

Your WillDo you have a Will? ❑ Yes ❑ No

The original is located:

A copy is located:

The Will was dated/last updated:

Personal RecordsDate of Birth:

Place of Birth:

Birth certificate is located:

Social Insurance/Social Security Number:

Citizenship PapersPassport ❑ Yes ❑ No

They are located:

Marriage / Divorce Certificates

Marriage certificate ❑ Yes ❑ No

Divorce certificate ❑ Yes ❑ No

Located:

Current Military Service ❑ Yes ❑ No

Discharge Papers are located:

Country of enlistment:

Veteran’s Number:

Do you leave a military pension? ❑ Yes ❑ No

6 11

InvestmentsInvestment Funds

❑ Yes ❑ No ❑ Acquired by gift or inheritance

Name of fund:

Account #:

Advisor’s name & address:

Registered owner(s):

Name of fund:

Account #:



Name of fund:

Account #:



Annuity Contracts

❑ Yes ❑ No❑ Acquired by gift or inheritance

Policy Number:


Policy Number:


Do you receive income from them?

❑ Yes ❑ No

Information about these annuities is located:

Bonds & Government investments


The form is:

Registered to:

Bearer:

or co-registered with:

Serial numbers:

The bonds are located:

Securities

Do you own any stocks or bonds?


Information about them is located:

Are any of your securities pledged forloans?

❑ Yes ❑ No

With whom:

7

Previous EmployersStart with the first and put the current ormost recent employer last

Employer:

Year:

Address/Location:

Employer:

Year:

Address/Location:

Employer:

Year:

Address/Location:

Employer:

Year:

Address/Location:

MembershipsList all memberships in clubs,associations, subscriptions

Name:

Address:

Name:

Address:

Name:

Address:

Name:

Address:

Domestic ContractsDo you have a:

Co-habitation agreement? ❑ Yes ❑ No

Pre-nupital agreement? ❑ Yes ❑ No

Marriage Contract? ❑ Yes ❑ No

Separation Agreement? ❑ Yes ❑ No

Divorce Order? ❑ Yes ❑ No

The original is located:

10

Life InsurancePolicies you own on your life:

Company:

Policy Number:

Policy is located:

Beneficiary:

Company:

Policy Number:

Policy is located:

Beneficiary:

Policies you own on others:

Company:

Policy Number:

Policy is located:

Name of Insured:

Company:

Policy Number:

Policy is located:

Name of Insured:

Policies others own on your life:

Company:

Policy Number:

Policy is located:

Owner of Policy:

Disability Insurance

Company:

Policy Number:

Policy is located:

Company:

Policy Number:

Policy is located:

Company:

Policy Number:

Policy is located:

Hospital & Medical Insurance

Company:

Policy Number:

Policy is located:

Company:

Policy Number:

Policy is located:

Out of Province Travel Insurance

Company:

Policy Number:

Policy is located:

Financial CommitmentsRent or Mortgage Payments

Amount $

Due Date:

Lender/Address:

Outstanding loans/lines of credit/creditor charge cards/businessloans/guarantees

Amount $

Due Date:

Lender/Address:

Amount $

Due Date:

Lender/Address:

Amount $

Due Date:

Lender/Address:

Amount $

Due Date:

Lender/Address:

Charitable Gift

For:

Address:

For:

Address:

Contractual Obligations

For:

Located:

For:

Located:

For:

Located:

For:

Located:

Other financial obligations or commitments (auto lease,support/maintenance obligations)

For:

Located:

For:

Located:

8 9

legacy planning - just in case!

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