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Quest Couple

Spouse A

Home Address
Parents’ Name/Ages
Name
Age
 

Spouse B

Home Address
Parents' Names/Ages
Name
Age
 

Children

Children
Name
Address
Date of Birth
Spouse’s Name
 

Selecting the People Who Will Carry Out Your Estate Plan

In general, spouses select each other as the first person to serve and then they agree on a backup.

Executor: Person who “executes” your plan.

Guardian: Person responsible for minor children’s physical custody.

Trustee: Person responsible for any part of your estate left in trust.

Durable Power of Attorney: Your attorney-in-fact may act for you in your absence or inability.

Living Will (Health Care Directive): Authorizes removal of life support.

Financial Background

The requested information will allow us to calculate potential estate tax liability. Please be as accurate as possible, but figures do not need to be accurate to the penny. If calculations are necessary, show them on the back of this page. Please round to the nearest thousand.

IRAs, 401K, 403bs, etc.

Spouse A
Where (asset location)
Approximate Current Value
Spouse B
Where (asset location)
Approximate Current Value
Jointly
Where (asset location)
Approximate Current Value

Checking + Savings Accounts

Spouse A
Where (asset location)
Approximate Current Value
Spouse B
Where (asset location)
Approximate Current Value
Jointly
Where (asset location)
Approximate Current Value

Investments

Spouse A
Where (asset location)
Approximate Current Value
Spouse B
Where (asset location)
Approximate Current Value
Jointly
Where (asset location)
Approximate Current Value

Business you own (Please list)

Spouse A
Spouse B
Jointly Owned

Home (Please list)

Spouse A
Spouse B
Jointly Owned

Other real estate (Please list)

Spouse A
Spouse B
Jointly Owned

Life insurance (Please list)

Spouse A
Spouse B
Jointly Owned

Furniture & furnishings (approx. value)

Spouse A
Spouse B
Jointly Owned

Vehicles (approx. value)

Spouse A
Spouse B
Jointly Owned

Collections

Spouse A
Spouse B
Jointly Owned

Anything else of value

Spouse A
Spouse B
Jointly Owned
Total Assets

Liabilities

Anything else of value

Other mortgages

Loans

Other debts (credit cards, loans, etc.)

Total Liabilities
*(If you sold everything for cash, paid off your bills, this is the amount you would have left over)

Death Benefits

List all life insurance policies that you own, that you are a beneficiary of, or other plans that pay out at your death.
Death Benefits
Name of Policy or Plan
Death Benefit
Present Value
Beneficiary
 

Please provide the following information.

What Our clients are saying

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Chris Benson

My family and I was pleased with the service, and insight of Klenk Law. All of our questions and concerns were patiently answered. I will be referring this firm to many family and friends to assist with real estate planning etc. Thank Klenk Law

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Jeff Bretz

Both Melissa and I thank Jackie and Daniella, and your firm for excellence in the handling of Mary's estate!!!

We look forward to working with you in the future on other family estate matters.

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Denise Lowmaster

Our experience with Klenk Law has been exceptional. We’ve had help with estate planning and pre-nuptial agreements. They really take the time to explain everything and let us know our options. All of the staff are very professional, courteous and knowledgeable. They are very prompt with responding to calls and messages. We will continue to use them and recommend to friends and family.

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Michelle Schamis

Peter explains things in a practical way to help guide you through a rather daunting process. We have been using Klenk Law for years. Highly recommend.

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Marc Lezzi

Klenk Law was professional in every way. I have already recommended your services to a couple of friends and business associates. I want to personally say "thank you" to the entire staff at Klenk Law.

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