Estate Planning Questionnaire
Thomas J. Bouman, Attorney at Law
Bouman Law Firm
520.546.3558
Tom@TomBoumanLaw.com
Sign in to Google to save your progress. Learn more
Email *
Your Name and Birth Date *
Enter your name as you would expect it to appear on legal documents, along with informal nickname if applicable.  Also include your birth date.
Your Mailing Address & Mobile phone # *
Enter your mailing address and mobile phone number.
Your Spouse, Birth Date, Wedding Date
IF APPLICABLE, enter your spouse's name as you would expect it to appear on legal documents, along with informal nickname if applicable.  Also include your spouse's birth date and your WEDDING DATE.
Your Spouse's Mobile Phone # and Email
IF APPLICABLE, enter your spouse's mobile phone number and email.
Children
Enter the names of all your children - both adult and minor children - including birth dates.  Identify stepchildren if applicable.
Occupation
Please describe your occupation(s) and the name(s) of your employer.  If retired, please describe your primary occupation(s) prior to retirement.
Have you ever met with an estate planning lawyer before?
Do you (and your spouse) have a Will?
Do you (and your spouse) have a Revocable Living Trust?
Do you (and your spouse) have a financial power of attorney signed within the past 10 years?
Do you (and your spouse) have a health care power of attorney signed within the past 10 years?
If married, do you have a prenuptial agreement in effect?
Do you meet regularly with a professional financial advisor?
Do you ever make investments using option trading or margin accounts?
Have you ever purchased a prearranged burial or cremation plan?
Do you regularly attend a church?
Do you own any federally-regulated NFA firearms?
NFA firearms include suppressors, short barreled rifles, machine guns, etc.
Do you own the home you live in? *
Do you own any other real estate? *
Bank Accounts (cash)
Provide a list of any checking or savings accounts you own that usually have more than $10,000.  Include name of financial institution and the approximate value of each account.
Brokerage Accounts (non-retirement)
Provide a list of any brokerage accounts you own (non-retirement).  Include name of financial institution and the approximate value of each account.
Retirement Accounts (IRA, 401k, 403b, etc.)
Provide a list summarizing any retirement accounts or annuities you own (company, type of account, current value, beneficiaries)
Life Insurance
Provide a list summarizing any life insurance policies you own (company, type of policy, death benefit, beneficiaries)
Small Business Ownership
Provide a list summarizing any small business ownership interests you own.
Future Inheritance
Do you anticipate receiving a substantial inheritance within the next year?
Estate Planning Objective #1 - Fulfill Parenting Responsibilities *
The #1 objective of estate planning is to make certain that your dependent children are taken care of in the event of your death. Do we need to review this topic?
Estate Planning Objective #2 - Get Organized *
The #2 objective of estate planning is to avoid unnecessary costs, delays, and frustrations upon your incapacity or death.  Do we need to review this topic?
Estate Planning Objective #3 - Protect Inheritance for Heirs *
The #3 objective of estate planning is to protect inheritance as a precautionary measure against future threats to a beneficiary (lawsuits, divorce, debt collectors) or in response to a clear and present danger related to a beneficiary (spendthrift habits, special needs, susceptibility to undue influence, need to maintain beneficiary's qualification for government health benefits or supplemental income benefits) Do we need to review this topic?
Estate Planning Objective #4 - Model Good Stewardship *
The #4 objective of estate planning is to minimize estate, gift, and income taxes before and after your death.  Do we need to review this topic?
Estate Planning Objective #5 - Protect Assets During Lifetime *
The #5 objective of estate planning is to implement legal strategies to shield your assets during lifetime from "creditors, predators, in-laws, and out-laws."  Do we need to review this topic?
How did you hear about Bouman Law Firm?
It's helpful to know any information about how you found us.  
Signature *
Please enter your name here to sign the questionnaire:
Date *
Please enter today's date.
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Bouman Law Firm. Report Abuse