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OUR GOAL—YOUR Complete Satisfaction and UnderstandingShould you order this document from Spiegel & Utrera, P.A., Spiegel & Utrera, P.A., will incorporate your basic information into a draft document that will be conveyed to you for your review and make reasonable changes upon request. |
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Please complete where applicable |
Name: | *required |
City: | |
State: | |
Phone Number: | *required |
Cellular Phone: | |
Email: | *required |
| Please verify that you entered a correct address. |
Fax: | |
What do some of these terms mean? Click here for a Glossary. |
Name of Trust: | |
Type of Trust: | Individual Revocable Living Trust |
| A/B (Marital Exemption) Trust |
| Irrevocable Living Trust |
| Irrevocable Life Insurance Trust |
| Special Needs Trust |
Settlor: | |
Co-Settlor: | |
Trustee: | |
Co-Trustee: | |
Successor Trustee: | |
Successor Co-Trustee: | |
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Specific Gifts or Bequests from the Trust |
Name of Gift or Bequest Recipient (1) | |
Optional Address of Gift or Bequest Recipient (1) | |
Gift Recipient 1's Relationship to Settlor | |
Describe Gift | |
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Name of Gift or Bequest Recipient (2) | |
Optional Address of Gift or Bequest Recipient (2) | |
Gift Recipient 2's Relationship to Settlor | |
Describe Gift | |
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Name of Gift or Bequest Recipient (3) | |
Optional Address of Gift or Bequest Recipient (3) | |
Gift Recipient 3's Relationship to Settlor | |
Describe Gift | |
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Name of Gift or Bequest Recipient (4) | |
Optional Address of Gift or Bequest Recipient (4) | |
Gift Recipient 4's Relationship to Settlor | |
Describe Gift | |
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Beneficiaries from the Trust |
Name of Beneficiary 1 of Trust | |
Optional Address of Beneficiary 1 of Trust | |
Beneficiary 1's Relationship to Settlor | |
Beneficiary 1's Percentage of Residual of Trust (after Bequests, if any) | |
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Name of Beneficiary 2 of Trust | |
Optional Address of Beneficiary 2 of Trust | |
Beneficiary 2's Relationship to Settlor | |
Beneficiary 2's Percentage of Residual of Trust (after Bequests, if any) | |
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Name of Beneficiary 3 of Trust | |
Optional Address of Beneficiary 3 of Trust | |
Beneficiary 3's Relationship to Settlor | |
Beneficiary 3's Percentage of Residual of Trust (after Bequests, if any) | |
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Name of Beneficiary 4 of Trust | |
Optional Address of Beneficiary 4 of Trust | |
Beneficiary 4's Relationship to Settlor | |
Beneficiary 4's Percentage of Residual of Trust (after Bequests, if any) | |
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ASSETS - Please indicate the assets held by the testator or testatrix below and describe as applicable. |
Residence/Home (Please provide a short description including the name(s) or the owner(s) that hold title, mortgage(s), (quantity and amount(s)), and approximate value). | |
City of Residence/Home | |
State of Residence/Home | |
Other Real Estate (Please provide a short description including the name(s) of the owner(s) that hold title, mortgage(s), (quantity and amount(s)), and approximate value). | |
City of Other Real Estate | |
State of Other Real Estate | |
Cash and cash equivalents (Please provide a short description including the name(s) of the account owner(s) and approximate value). | |
City where Cash and Cash Equivalents Located | |
State where Cash and Cash Equivalents Located | |
Investments | |
City where Investments Located | |
State where Investments Located | |
Life Insurance | |
City where Life Insurance negotiated/entered into | |
State where Life Insurance negotiated/entered into | |
IRA Accounts | |
City where IRA Account services negotiated/entered into | |
State where IRA Account services negotiated/entered into | |
Notes, Mortgages and Obligations | |
City where Notes, Mortgages and Obligations negotiated/executed | |
State where Notes, Mortgages and Obligations negotiated/executed | |
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I have questions, please don't initiate the ordering process without speaking with me. |
I understand the process and I acknowledge the payments are non-refundable, please charge my card and begin the order. |
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