Client Organizer

CONGRATULATIONS on taking a wise first step in developing a plan to manage your legal and financial affairs to best protect you and your family. This Client Organizer is important to complete so that our initial meeting with you is most productive. Please complete this organizer as fully as possible so that you will gain the most advice that you can during our upcoming conference.
Legal Name*
Prefix First Middle Last Suffix
Preferred Name
First Last
Date of Birth*
Month
Day
Year
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
County of Residence*
Email*
Preferred Phone*
Secondary Phone
Employment Status*
- Employed
- Retired
Employer
Position
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Marital Status*
- Married
- Single
- Divorced
- Widowed
Date of Marriage*
MM slash DD slash YYYY
Is there a Client 2/Spouse?*
- Yes
- No

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Client 2/Spouse Legal Name*
Prefix First Middle Last Suffix
Client 2/Spouse Preferred Name
First Last
Client 2/Spouse Date of Birth*
Month
Day
Year
Home Address*
- Same as above
- Different home address
Client 2/Spouse Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Client 2/Spouse County of Residence*
Client 2/Spouse Phone
Client 2/Spouse Email
Client 2/Spouse Employment Status*
- Employed
- Retired
Client 2/Spouse Employer
Client 2/Spouse Position
Business Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Have you been diagnosed with any physical ailment that affects your life expectancy?*
- Yes
- No
If yes, please explain.*
Are you currently taking medication that might impair your mental faculties or abilities?*
- Yes
- No
If yes, please explain.*
Have you been diagnosed with dementia, Alzheimer’s disease or other mental illness?*
- Yes
- No
If yes, please explain.*

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Have you been diagnosed with any physical ailment that affects your life expectancy?*
- Yes
- No
If yes, please explain.*
Are you currently taking medication that might impair your mental faculties or abilities?*
- Yes
- No
If yes, please explain.*
Have you been diagnosed with dementia, Alzheimer’s disease or other mental illness?*
- Yes
- No
If yes, please explain.*

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How many children, grandchildren, other beneficiaries or family members do you wish to list?*

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Name
Prefix First Middle Last Suffix
Parentage
- Client 1 is parent
- Client 2/Spouse is parent
- Both clients are parents
- Grandchlid
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Spouse's Name
Prefix First Middle Last Suffix
Spouse's Occupation
Health or Other Concerns
Phone

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Name
Prefix First Middle Last Suffix
Parentage
- Client 1 is parent
- Client 2/Spouse is parent
- Both clients are parents
- Grandchild
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Spouse's Name
Prefix First Middle Last Suffix
Spouse's Occupation
Health or Other Concerns
Phone

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Name
Prefix First Middle Last Suffix
Parentage
- Client 1 is parent
- Client 2/Spouse is parent
- Both clients are parents
- Grandchild
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Spouse's Name
Prefix First Middle Last Suffix
Spouse's Occupation
Health or Other Concerns
Phone

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Name
Prefix First Middle Last Suffix
Parentage
- Client 1 is parent
- Client 2/Spouse is parent
- Both clients are parents
- Grandchild
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Spouse's Name
Prefix First Middle Last Suffix
Spouse's Occupation
Health or Other Concerns
Phone

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Name
Prefix First Middle Last Suffix
Parentage
- Client 1 is parent
- Client 2/Spouse is parent
- Both clients are parents
- Grandchild
Date of Birth
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Spouse's Name
Prefix First Middle Last Suffix
Spouse's Occupation
Health or Other Concerns
Phone

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Name
Prefix First Middle Last Suffix
Parentage
- Client 1 is parent
- Client 2/Spouse is parent
- Both clients are parents
- Grandchild
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Occupation
Spouse's Name
Prefix First Middle Last Suffix
Spouse's Occupation
Health or Other Concerns
Phone
To submit additional beneficiary information, please provide their information by attaching a supplementary document.
Accepted file types: jpg, gif, png, tiff, pdf, docx, doc, wp, xlsx, xls, pdfa, Max. file size: 256 MB.

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Personal Attorney
First Name Last Name
Personal Attorney Phone
Financial Advisor
First Name Last Name
Financial Advisor Phone
CPA
First Name Last Name
CPA Phone
Life Insurance Advisor
First Name Last Name
Life Insurance Advisor Phone
Additional Notes

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Client 1 Tax Concerns

	None	Low	Medium	High
Estate Taxes. I’ve heard that estate taxes can be as high as 50% of the value of my assets. I’d like to know how to reduce or eliminate an estate tax liability I might have.
Capital Gains Taxes. I have an asset that I’m thinking about selling and I’d like to know how I might reduce or eliminate any capital gains taxes that I might owe.
Income Taxes. We have assets such as IRA, 401(k) and ESOP accounts that still have significant income tax liability.

Client 2/Spouse Tax Concerns

	None	Low	Medium	High
Estate Taxes. I’ve heard that estate taxes can be as high as 50% of the value of my assets. I’d like to know how to reduce or eliminate an estate tax liability I might have.
Capital Gains Taxes. I have an asset that I’m thinking about selling and I’d like to know how I might reduce or eliminate any capital gains taxes that I might owe.
Income Taxes. We have assets such as IRA, 401(k) and ESOP accounts that still have significant income tax liability.

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Client 1 Family Concerns

	None	Low	Medium	High
Comprehensive Plan. I desire to get my affairs in order and create a comprehensive plan for my family to manage my affairs in case of my death or disability.
Spousal Protection if I Pass First. I would like to know that if I were to die first, my wife is protected and that my assets are available to my wife but that upon my wife’s death, my assets pass to our children or other beneficiaries. I would not, for example, want my assets to pass to my wife’s next husband or to any other individual who might influence my wife.
Disinheriting Beneficiaries. I would like to know how I can disinherit a beneficiary and/or any children he or she may have.
Custodian of Minor Children. I’m concerned that, if I and my wife were to die, our children will be placed in the custody of someone other than whom we select.
Fiscal Immaturity. I’m concerned that our children or other beneficiaries will lose any inheritance we might leave to them due to their mismanagement of the money.
Children-In-Law. I’m concerned about what might happen if a son-in-law or daughter-in-law ever got control over any inheritance we might leave to our children.
Failed Marriages. I’m concerned about what might happen to a beneficiary’s inheritance if he or she ever gets a divorce from his or her current or future spouse.
Grandchildren’s Education. I’m concerned that my children might not provide for my grandchildren’s education which is very important to me.
Special Needs Beneficiary. I have an individual whom I’d like to benefit in my estate planning who has “special needs” and who is currently receiving or may in the future receive governmental benefits but who might lose eligibility if they inherit assets.
Family Disputes. I am concerned about my beneficiaries commencing lawsuits (i.e., will contest) against each other because they feel that they’ve received less than they should have received.
Hard-to-Divide Assets. My assets are comprised significantly of one or more assets that are not easily divisible (such as an operating business) and I’m concerned that disputes will arise relating to how the assets might be divided.

Client 2/Spouse Family Concerns

	None	Low	Medium	High
Comprehensive Plan. I desire to get my affairs in order and create a comprehensive plan for my family to manage my affairs in case of my death or disability.
Spousal Protection if I Pass First. I would like to know that if I were to die first, my wife is protected and that my assets are available to my wife but that upon my wife’s death, my assets pass to our children or other beneficiaries. I would not, for example, want my assets to pass to my wife’s next husband or to any other individual who might influence my wife.
Disinheriting Beneficiaries. I would like to know how I can disinherit a beneficiary and/or any children he or she may have.
Custodian of Minor Children. I’m concerned that, if I and my wife were to die, our children will be placed in the custody of someone other than whom we select.
Fiscal Immaturity. I’m concerned that our children or other beneficiaries will lose any inheritance we might leave to them due to their mismanagement of the money.
Children-In-Law. I’m concerned about what might happen if a son-in-law or daughter-in-law ever got control over any inheritance we might leave to our children.
Failed Marriages. I’m concerned about what might happen to a beneficiary’s inheritance if he or she ever gets a divorce from his or her current or future spouse.
Grandchildren’s Education. I’m concerned that my children might not provide for my grandchildren’s education which is very important to me.
Special Needs Beneficiary. I have an individual whom I’d like to benefit in my estate planning who has “special needs” and who is currently receiving or may in the future receive governmental benefits but who might lose eligibility if they inherit assets.
Family Disputes. I am concerned about my beneficiaries commencing lawsuits (i.e., will contest) against each other because they feel that they’ve received less than they should have received.
Hard-to-Divide Assets. My assets are comprised significantly of one or more assets that are not easily divisible (such as an operating business) and I’m concerned that disputes will arise relating to how the assets might be divided.

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Client 1 Disability Concerns

	None	Low	Medium	High
Planning for Parents. I’m concerned that my parents or my wife’s parents will need financial assistance if we were to die prematurely.
Avoid Terri Schiavo Situation. I would like to provide that my death shall not be unnecessarily prolonged by artificial means or measures.
HIPAA. My current planning does not reflect the HIPAA privacy rules and I’m concerned that if something happened to me, health care personnel might not disclose information about me to my loved ones.

Client 2/Spouse Disability Concerns

	None	Low	Medium	High
Planning for Parents. I’m concerned that my parents or my wife’s parents will need financial assistance if we were to die prematurely.
Avoid Terri Schiavo Situation. I would like to provide that my death shall not be unnecessarily prolonged by artificial means or measures.
HIPAA. My current planning does not reflect the HIPAA privacy rules and I’m concerned that if something happened to me, health care personnel might not disclose information about me to my loved ones.

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Client 1 Creditor Concerns

	None	Low	Medium	High
Beneficiaries’ Creditors. I’m concerned that our children or other beneficiaries will lose any inheritance we might leave to them to their creditors, lawsuits, or divorcing spouses.
Creditors of Jointly Owned Property. I have property owned as joint tenants with someone other than my wife and I’m concerned that a creditor of that other person could take the entire property.

Client 2/Spouse Creditor Concerns

	None	Low	Medium	High
Beneficiaries’ Creditors. I’m concerned that our children or other beneficiaries will lose any inheritance we might leave to them to their creditors, lawsuits, or divorcing spouses.
Creditors of Jointly Owned Property. I have property owned as joint tenants with someone other than my wife and I’m concerned that a creditor of that other person could take the entire property.

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Client 1 Post Death Concerns

	None	Low	Medium	High
Avoid Probate. I’m concerned about the unnecessary delays and costs that my estate will incur if my assets pass via a probate proceeding.
Fire Sale. I’m concerned about my assets having to be sold in a “fire sale” to pay estate taxes or to pay debts that I owe.
Privacy. I’m concerned that personal matters involving family or finance will become public knowledge available to my business competitors, predators, dishonest persons and curiosity seekers.

Client 2/Spouse Post Death Concerns

	None	Low	Medium	High
Avoid Probate. I’m concerned about the unnecessary delays and costs that my estate will incur if my assets pass via a probate proceeding.
Fire Sale. I’m concerned about my assets having to be sold in a “fire sale” to pay estate taxes or to pay debts that I owe.
Privacy. I’m concerned that personal matters involving family or finance will become public knowledge available to my business competitors, predators, dishonest persons and curiosity seekers.

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Client 1 Business Concerns

	None	Low	Medium	High
Validity of Corporate Shield. I own a corporation or limited liability company and I’m concerned that my personal assets may still be exposed to liabilities of the company because I’ve not held company meetings annually, kept minutes from those meetings, elected officers, etc.
Business Succession Plan #1. I have a company and I’m concerned that the company might falter if I were to die unexpectedly because I don’t currently have a business succession plan.
Business Succession Plan #2. I have a company and I’m concerned that I may pay too much tax when I ultimately sell or transfer ownership.
Out-of-Date Buy-Sell Agreement. I have a buy-sell agreement with the other owners of the company in which I’m involved but I have no idea if it’s up-to-date or if the company will have to funds to buy out my interest if I were to die.

Client 2/Spouse Buisness Concerns

	None	Low	Medium	High
Validity of Corporate Shield. I own a corporation or limited liability company and I’m concerned that my personal assets may still be exposed to liabilities of the company because I’ve not held company meetings annually, kept minutes from those meetings, elected officers, etc.
Business Succession Plan #1. I have a company and I’m concerned that the company might falter if I were to die unexpectedly because I don’t currently have a business succession plan.
Business Succession Plan #2. I have a company and I’m concerned that I may pay too much tax when I ultimately sell or transfer ownership.
Out-of-Date Buy-Sell Agreement. I have a buy-sell agreement with the other owners of the company in which I’m involved but I have no idea if it’s up-to-date or if the company will have to funds to buy out my interest if I were to die.

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Client 1 Giving Concerns

	None	Low	Medium	High
Charitable Planning. I would like to know my options for naming a charity both during my lifetime and at my death. I would like to learn the most tax advantageous way to give to my preferred charitable causes.

Client 2/Spouse Giving Concerns

	None	Low	Medium	High
Charitable Planning. I would like to know my options for naming a charity both during my lifetime and at my death. I would like to learn the most tax advantageous way to give to my preferred charitable causes.

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Real Property

List any interest in real estate including your family residence, vacation home, commercial property, vacant land, time share, etc.

General Description	Owner	Fair Market Value	Loan Balance

Furniture and Personal Effects

List separately only major personal effects such as jewelry, collections, antiques, furs, and other valuable non-business personal property below and give a lump sum for miscellaneous, less valuable items.

General Description	Owner	Fair Market Value	Loan Balance

Automobiles, Boats and RV’s

For every vehicle please list the description, how titled, market value and outstanding encumbrance.

General Description	Owner	Fair Market Value	Loan Balance

Cash Accounts (Bank, Savings, CD & Money Market)

List each bank and savings account, including the institution and account number. For “type” use the following abbreviations: Checking Account “CA”: Savings Account “SA”: Certificates of Deposit “CD”: Money Market “MM”. Do NOT include IRA’s, 401(k) or Retirement Accounts.

Name of Institution	Type	Owner	Balance

Stocks, Bonds & Brokerage Accounts

List any and all stocks, bonds & brokerage accounts you own. Lump all of the assets in each brokerage account into one line item. Only list individual stocks and bonds that you actually hold in certificate form. Do NOT include IRAs, 401(k) or Retirement Accounts.

Name of Institution	Type	Owner	Balance

IRA, 401(k) and Other Retirement Accounts

This is where you list your IRA, 401(k), SEP, HR10, Pension and Retirement Plan Accounts. Lump account balances together. Give both the Owner and the named Primary Beneficiary of each Account. Provide any pertinent information that may not be asked.

Retirement Account Institution	Type	Owner	Beneficiary	Balance

Life Insurance Policies & Annuities

List all life insurance, indicate whether whole life, split dollar, group life or annuity. List the insurance company, type of policy, owner of the policy, beneficiary of the policy, who pays premiums, cash value and death benefit.

Institution	Who Is Insured?	Type	Owner	Beneficiary	Cash Value	Death Benefit

Closely Held Business Interests

Type: General and Limited Partnerships, LLCs, S Corporations, Sole Proprietorships, Privately owned companies, oil interests, land trusts, gas and oil interests. Additional Information: Give a description of the interests, who has the interest, other owners and estimated values.

Name of Business	State Organized	Type	Ownership %	Fair Market Value

Money Owed to You

List any mortgages or promissory notes where someone owes you money.

Name of Debtor	Date of Note	Maturity Date	Owed to	Current Balance

Anticipated Inheritance, Gift or Lawsuit Judgments
Type: Gift or inheritances that you expect to receive at some time in the future; or moneys that you anticipate receiving through a judgment in a lawsuit.

Other Assets Not Otherwise Mentioned

List any other assets that do not fit into any other listed category.

Description	Owner	Current Value

Additional Notes
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Client Organizer

Step 1 of 21 - Client General Information

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Client Organizer

Step 1 of 21 - Client General Information

CLAIM YOUR FREE GUIDE TODAY...

Call: 239-334-1141Email: info@floridaestateplanning.com9100 College Pointe Court Fort Myers, FL 33919Naples and Sanibel by AppointmentClick Here for Directions & Parking

Call: 239-334-1141
Email: info@floridaestateplanning.com
9100 College Pointe Court Fort Myers, FL 33919
Naples and Sanibel by Appointment
Click Here for Directions & Parking