PUT YOUR HOUSE IN ORDER Cetera Investment Services Susan J. Cavell, Investment Executive 200 E. Main St. Harbor Springs, MI 49740 Tel: (231) 526-3997 Fax: (231) 526-9575 Securities and insurance products are offered through Cetera Investment Services LLC, member FINRA/SIPC. Advisory services are offered through Cetera Investmetn Advisers LLC. Neither firm is affiliated with the financial institution where investmetns services are offered. Investments are: Not FDIC/NCUSIF insured May lose value Not financial institution guaranteed Not a deposit Not insured by any federal government agency.
Personal Records Full Legal Name (including maiden name) Primary Address Telephone Number State of Domicile Date of Birth Place of Birth Social Security Number Marital Status Spouse's full legal name Spouse's Date of Birth Spouse's Place of Birth Spouse's Social Security Number Date of Marriage Children's Full Legal Names (married & maiden) Children's Social Security Number & Birth Date Your Parents Full Legal Names (include maiden) Spouse's Parents Full Legal Names (include maiden) Military Service Branch of Service Dates of Service & Discharge Rank Service Number Other Important Notes
Financial Inventory Financial Assets and Loans Account Title & Number Company & Contact Information (name, phone, e-mail) Beneficiary Information Bank/Credit Union Account(s) Checking Savings Money Market, CDs, other Investment Account(s) (stocks, bonds, mutual funds) (include spouse's accounts) Retirement account(s) (include spouse's accounts) such as: pensions, 40(k), 403(b) IRA, or annuity Social Security (include spouse's accounts) Life Insurance Type of Insurance and any maturity dates (include spouse's accounts) Long-term Care Insurance (include spouse's accounts) Date Completed:
Financial Inventory Financial Assets and Loans Account Title & Number Company & Contact Information (name, phone, e-mail) Mortgage(s) (include home equity, rental property mortgages, line of credit) Credit Card(s) (include spouse's accounts) Personal Loan(s) (car, student, other) Health Insurance/ Health Savings Accounts Homeowner's Insurance Amt of Coverage: Last Review Date: Car Insurance Vehicle: Vehicle:
Financial Inventory Financial Assets and Loans Property Details: Description, Address, Use Real estate currently owed and how it is titled Date purchased and price Current Tax assessment value Mortgage held by Location of deeds, title insurance, Real Estate Leased location of lease Business Interests: Type of business (sole proprietorship, partnership, limited liability company, corp.) Type & Amount of ownership (sole owner, shares, membership interest) Estimated Value of business or share of ownership Name, address, and telephone number of business contacts (CPA, attorney, manager, president)
Financial Inventory Important Documents and Location/Where I Keep It Other Information, including Paperwork when last updated Personal Property paperwork such as: house deed, car title, ect. Safe Deposit Box Institution: Contents: Keep items that are extremely Address: difficult to replace in box Box #: Where I keep the key: Authorized signers: Military paperwork, if applicable Durable power of attorney (for financial decisions) (include spouse's information as well) Medical durable power of attorney (include spouse's information as well) Trust Document(s) Title: Last will and testament (include spouse's information as well) Burial Plot (location & deed) Details of special funeral arrangements already made and would like carried out Tax Returns Obituary
Financial Inventory Key Contacts Contact Name and Company Phone Number, E-mail, Mailing Address Employer Date of Hire: Lawyer Accountant Financial Advisor Physician(s) Clergy Family Friends
Assets, Liabilities, and Net Worth What You Own (Assets) Primary Residence - fair market value Approximate Value & Date Vacations or Rental Properties - fair market value Vehicle(s) Recreational Vehicle(s) Checking Account(s) Money Market & Savings Account(s) Certificates of Deposit(CDs) Investments (stocks, bonds, mutual funds) Retirement Savings Account(s) Savings Bonds Health Savings Account Insurance Policies (cash value) Furniture Jewelry Art, coin, sports memorabilia, or other collection(s) Time Shares Business and/or Business Interests Other: Total Assets $ Date Completed:
Assets, Liabilities, and Net Worth Home Mortgage What You Owe (Liabilities) Amount Owed Second Mortgage/Other Mortgages Car Loan(s) Credit Card Debt Business Loan(s) Other Loans, such as home equity, student, or personal loans Other Debt Total Liabilities $ My Net Worth (assets minus liabilities) $
Financial Goals What I Want Priority When I Want Actions I Need to Accomplish Level to Accomplish It to Take Date Completed: First Update: Second Update:
After - Death Family Follow-Up Check List Notify funeral home Survivors checklist Person(s) Date Responsible Completed Death Certificates - request (10-15) Ask relative or friend for assistance Submit obituary notices to newpaper(s) Designate someone to collect mail Make sure all bills are paid on time Send acknowledgment/thank you cards for: -Flowers, memorial donations, food, spiritual remembrances Notify Attorney -To receive assistance with Will and/or Trust -If several assets are in deceased's name only -If your will needs to be revised Notify Accountant or tax consultant Notify Financial Advisor -Change ownership of joint or solely owned stocks -IRA and retirement accounts -Transfer Savings Bonds -Mutual or other funds Notify Bank/Credit Union -Change all jointly held accounts -Cancel direct deposit benefit payments -Re-establish safe deposit box -Re-establish all outstanding mortgages, personal notes, etc. -Apply for credit life insurance, which may exist on loans, credit cards, and mortgages -Certificates of Deposits -IRA -Verify if there is a insurance policy in the name of the deceased
After - Death Family Follow-Up Check List Survivors checklist Person(s) Date Responsible Completed Apply for appropriate benefits -Social Security survivor s benefits -Veteran s burial and survivor benefits (800)827-1000 -Pension benefits -Workmen s Compensation benefits -Civil Service Notify Insurance Companies and file claims -Life Insurance -Medical, health, disability, travel and accident -Retirement benefits and annuities -Homeowners -Car Insurance -Change survivor s beneficiary Notify all credit card account companies -Apply for credit life insurance -Cancel all individual credit card accounts of the deceased -Change all jointly held accounts Notify the Secretary of State -Transfer titles of all registered vehicles, mobile homes, boats, Motor homes, motorcycles registered in deceased s name -Cancel driver s license Cancel deceased s voter registration Transfer of Real Estate Properties -Apply for Widowed Person Exemption -Apply for Homestead and Disability Exemption -File death certificate at courthouse
Points of Interest and Additional Notes Safe Deposit Box Items that are extremely difficult to replace Birth Certificates Death Certificates Marriage Certificates Divorce Decree Copy of will/trust Letter of instructions Record of household valuables Stock certificates Real estate deeds Military discharge papers Car titles Collectibles Valuable possessions Making a record of household valuables List items, value, which family member you want to give the items too Hold a Family Meeting Use a camera or camcorder to document Share this information with your loved ones Surviving Spouse Obituary notices include time and date Special Notes from you (spouse): Do not immediately remove deceased spouse's name from your credit card accounts, suggest waiting 6 months to open account in your name only If the deceased home will be vacant consider getting a house sitter
Medical and Prescription Records Medical Information Mine Spouse Allergies and drug sensitivities Blood Type Medical Conditions Doctors/Treating for: (include specialty, contact info) Hospital Information Name: Emergency Number Pharmacy Name: Location: Telephone: Dentist Name: Telephone:
Medical and Prescription Records Prescription Information Mine Spouse Name of Drug Date prescribed Doctor's Name Prescribed for what? Color/Shape/Strength Directions/Cautions Name of Drug Date prescribed Doctor's Name Prescribed for what? Color/Shape/Strength Directions/Cautions Name of Drug Date prescribed Doctor's Name Prescribed for what? Color/Shape/Strength Directions/Cautions Name of Drug Date prescribed Doctor's Name Prescribed for what? Color/Shape/Strength Directions/Cautions Name of Drug Date prescribed Doctor's Name Prescribed for what? Color/Shape/Strength Directions/Cautions