Personal Affairs Record
Of
Information contained is current as of
Date
Revised on
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PURPOSES OF THIS BOOKLET
We are pleased to be able to present this booklet to selected friends of the Boy Scouts
of America as a convenient method of recording information about their personal financial
affairs. The information you record in your Confidential Record of Personal Financial Affairs can
have several very practical uses.
Determining Your Present Financial Position. The completed booklet will provide an
accurate and comprehensive summary of all your assets and liabilities. It will be a valuable
guide in your estate, retirement, and financial planning.
Assisting Your Attorney and Other Financial Advisors. The information you record
in the booklet will provide your attorney and other financial advisors with a complete picture of
your estate situation as well as the personal and family information that is generally needed to
prepare a thoughtful and effective estate plan.
Providing Practical Assistance To Family Members. The booklet will be a valuable
guide to your family in the event of you absence or incapacity. Knowing your assets and
income sources, and the location of important documents, will help them manage your financial
affairs effectively. The booklet will also be extremely valuable to the executor of your estate.
USING THE BOOKLET EFFECTIVELY
The Confidential Record of Personal Affairs is comprehensive. It will probably take
several hours to record all the detail that is needed in a complete record of financial affairs. In
addition, completing the booklet will often require searching for documents that may have been
filed away and forgotten.
We recommend that you first review the booklet to determine the information that will be
needed to complete your record of person financial affairs. Then collect the certificates,
documents, records, and other information you will need to record accurate financial data. In
many cases, you will not be able to locate certain documents, but record as much accurate data
as possible and complete the booklet as soon as the other documents and records become
available.
Preparing your Confidential Record of Personal Financial Affairs may reveal areas
where you will want to make changes or take some additional action. Make notes as to what
you want to do, and attend to it promptly. It is very easy to put off estate and financial planning.
Your completed record is valueless if the booklet cannot be found by a family member or
others who may be called on to manage your affairs. Tell those who might need the information
the exact location of the booklet. Make it a point to keep the booklet up-to-date. An annual
review of the booklet is strongly recommended.
The time you spend completing this booklet can produce major rewards for you, your
family, and all your other beneficiaries. We believe it will provide you with a great personal
satisfaction knowing that your financial affairs are in order and that you have taken steps to
assume the effective management of your finances.
If our Council, or the members of our endowment development committee, can be of
assistance in your tax, estate and financial planning, please feel free to call the Council Service
Center at your convenience.
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INDIVIDUAL AND FAMILY BACKGROUND
Residence Address
Occupation
Social Security Number
Date and Place of Birth
Location of Birth Certificate
Marital status (specify if married, single, divorced, etc.)
Maiden Name of Spouse
Date and Place of Marriage
Location of marriage certificate
If there was pre-nuptial arrangement, location of papers
Prior marriages (date and place)
Nature of termination and date
Location of termination papers
Children (if any)
Name
Address
Birthdate
Name of father
Father Address
Father’s Age
Name of Mother
Mother Address
Mother’s Age
Siblings (if any):
Name
Address
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EMPLOYMENT COMPENSATION AND BENEFITS
I am employed by
Date employed
Location of any employment agreement
Position or Title
Compensation Arrangements
Salary: $
per
Incentive Pay: Amount $
Remarks
Time of Payment
How Paid
Employment Benefits
Medical Insurance
Brief description of benefits
Location of Papers
Group life Insurance
Brief description
Owner of Policy
Primary beneficiary
Secondary beneficiary
Amount $
Disability Insurance
Brief description
Location of Papers
Pension Plan/Profit Sharing/Thrift Plan
Brief Description
Location of Papers
Death Benefits are payable to
Value of Death Benefits
Form of Payout Elected
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Keogh Plan
Amount Invested
Type of Investment
Individual Retirement Account
Amount Invested
Type of Investment
Location of IRA and Keogh documents
Deferred Compensation Plan
Payable as a Lump Sum $
Location of Papers
or Payable $
per Month for
Stock Option
Nature of Option
Restrictions
Location of Documents
Other Employment Benefits
TAX RECORDS
Location of copies of my income tax returns
Location of copies of gift tax returns
Controversies pending with IRS, or state and local tax authorities
My tax advisors are
CLAIMS OR LAW SUITS
My assets may be affected by the following claims or lawsuits
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Years.
WILLS AND TRUSTS
Have you executed a Will?
By whom was your Will drafted?
Who were the witnesses to the Will?
Date of execution
Where is the original copy of this Will located?
Name and address of executor of the Will
Trustee
Guardian
Special Instructions to Executor or Beneficiaries
Has your spouse executed a Will?
By whom was the Will drafted?
Who were the witnesses to the Will?
Date of execution
Where is the original copy of this Will located?
Executor of the Will?
Trustee
Guardian
Have you created a living trust agreement?
How many?
Are these agreements revocable or irrevocable?
Are any of the trusts related to a Pour Over provision in you Will?
Indicated the names and addresses of the trustees
Names and addresses of the beneficiaries
Approximate value of trust
Nature of properties included in trusts
Location of these agreements
Names and addresses of the attorneys drafting these agreements
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BURIAL INSTRUCTIONS
Have you given instructions as to your funeral and burial preferences?
Are such instructions included within your Will?
Location of written instructions
Name and location of cemetery plot
Location of deed
INVENTORY OF ACCUMULATED WEALTH
Residential Real Estate:
Location
Description
Approximate Value
Mortgage
Name of Mortgagor
If the property is not in your name alone, who is the co-owner?
Is there a right of survivorship?
Location of deed and other documents
Location
Description
Approximate Value
Mortgage
Name of Mortgagor
If the property is not in your name alone, who is the co-owner?
Is there a right of survivorship?
Location of deed and other documents
Location
Description
Approximate Value
Mortgage
Name of Mortgagor
If the property is not in your name alone, who is the co-owner?
Is there a right of survivorship?
Location of deed and other documents
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Non-residential Real Estate:
Location
Description
Approximate Value
Mortgage
Name of mortgagor
Is property leased?
Name of lessee
Duration of lease
Annual rent
If the property is not in your name alone, who is the co-owner(s)?
Is ownership tenancy in common?
Community property?
Joint tenancy?
Location
Description
Approximate Value
Mortgage
Name of mortgagor
Is property leased?
Name of lessee
Duration of lease
Annual rent
If the property is not in your name alone, who is the co-owner(s)?
Is ownership tenancy in common?
Community property?
Joint tenancy?
Location
Description
Approximate Value
Mortgage
Name of mortgagor
Is property leased?
Name of lessee
Duration of lease
Annual rent
If the property is not in your name alone, who is the co-owner(s)?
Is ownership tenancy in common?
Community property?
Joint tenancy?
Location of the lease documents
Deeds to non-residential real estate are located
Comments on real estate owned
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Stock Held:
Company
Shares
Date Purchased
Cost
Value
Date Purchased
Value
Co-owner
Date Purchased
Cost
Value
Name of co-owner, if any
Special dividend arrangements are
Stock Certificates are located
Comments on stock holding
U.S. Savings Bond:
Serial No.
Type
These bonds are located at
Mutual Shares:
Company
Shares
If any shares are not solely owned by you, the co-owner(s) is
These shares are located at
If any of the above securities are pledged against loans, the name of the lender is
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Life Insurance Policies
Policies on your own life:
Policy Number
Principal Amount
Beneficiaries
Loans against the policy are
Company
Cash Value
Policy Number
Principal Amount
Beneficiaries
Loans against the policy are
Company
Cash Value
Policy Number
Company
Principal Amount
Cash Value
Beneficiaries
Loans against the policy are
Have any settlement options been elected in regard to these policies?
Location of policies
Policies you own on the life of another:
Policy Number
Company
Principal Amount
Cash Value
Beneficiaries
Loans against the policy are
Location of policies and related documents
Policies owned by others on your life:
Policy Number
Principal Amount
Beneficiaries
Loans against the policy are
Company
Cash Value
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Bank Accounts:
Checking Accounts:
Bank
Account Number
Co-Owner
Average Balance
Account Number
Co-Owner
Average Balance
Savings Accounts:
Bank
Indicate which accounts are in trust for another
Certificates of Deposit:
Institution holding
Amount
Co-Owners
Institution holding
Amount
Co-owners
Maturity Date
Maturity Date
Safety Deposit Boxes:
Box Location
Box Number
Persons having access
Person who has the power to sign checks for me
Bankbooks and bank records are located
The bank and banker I prefer to work with is
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Key Location
Business and Professional Interests
Nature of Ownership
Do you have ownership in a business or profession?
Is the business a proprietorship?
A Partnership
Corporation?
If you do not have sole interest, what is the % of your ownership?
The other owners of the business or profession are:
Name
Age
Percentage of Ownership
Sale of the Business after Death
Is your estate committed to sell the business after your death?
Indicate the parties to this agreement
Date of agreement
Sources of funds to carry out transaction
What is the value of business
Location of relevant documents
Your interest in it
Tangible Person Property
Do you maintain a list of your valuable possessions?
If so, where is this list located?
Indicate the major items of value within each category:
Automobiles
Home Furnishing(s)
Jewelry
Antiques and Art
Other Tangibles
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Intangible Personal Properties
Are you the beneficiary of a trust?
Description of the trust:
Do you own or possess a right to any other intangibles such as patents, copyrights,
trademarks and royalties:
Description of properties and their approximate values
Future or Contingent Assets
Nature of Expectancy
Approximate Value
Location of relevant papers
Liabilities
I owe money or am financially obligated to
Amount $
Location of note
Due Date
Collateral
Terms of Payment
I owe money or am financially obligated to
Amount $
Location of note
Due Date
Collateral
Terms of Payment
I owe money or am financially obligated to
Amount $
Location of note
Due Date
Collateral
Terms of Payment
Are any liabilities secured?
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CONCLUDING INFORMATION
Personal Advisors
Indicate the name, address and telephone number of your:
Physician
Clergyman
Insurance Agent
Attorney
Trust Officer
Accountant
Investment Broker
Tax Consultant
Other
Church and Educational Background
My high school alma mater is
The date of my graduation was
My college alma mater is
The date of my graduation was
My graduate or professional school
Date graduated
Religious Affiliation
Church attended
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A hundred times a day I remind myself
That my inner and outer life are based
Upon the labors of other men; living
And dead, and that I must exert myself
In order to give the same measure
As I have and still am receiving.
Albert Einstein
Ideas and Opinions
We would be happy to assist you in planning your gift trust or bequest to our Boy Scout
Council. Please feel free to call or write us at your convenience.
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CENTRAL REGION
BOY SCOUTS OF AMERICA
PERSONAL INFORMATION
Mr./Mrs./Miss/Ms./Dr.:
Address:
Married
Divorced
City:
Single
Widowed
State/Zip:
Telephone:(H)
Name of Spouse:
(B)
Birthdate (or approx. age):
Birthdate or (approx. age):
Children
Approx. Age
Income Tax Bracket:%
Special Interests of Prospect
Gift Information
BSA
Girl Scouts
Prospect is considering a gift of:
Religion
College
Cash
Stocks/Bonds
Other organizations:
Real Estate
Personal Property
Other interests:
Real Property
Bequest
Other Property (specify):
Special Concerns of Prospect
Value/amount of proposed gift $
Increase income
Cost basis of property (if known) $
Tax deduction
Does this property currently generate income for prospect?
Capital gains tax savings
Yes
Closely held corporation
No
If yes, how much? $
Children
Other information or comments about this potential gift:
Grandchildren
Condition/particular family member
Other:
Mail to Russ McNamer - Central Region (Mark Personal & Private)
230 West Diehl Road, PO Box 3085, Naperville, IL 60566
A personalized proposal will be prepared to present to this prospect.
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AN INTRODUCTION TO
PLANNED GIVING
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AN INTRODUCTION TO PLANNED GIVING
Charitable support allows institutions and organizations, such as ours, to serve people from many
walks of life with resources, services, facilities, and programs. Planned giving is, by definition,
charitable support with a pre-established plan, which benefits the donor, the donor’s family, and helps
our organization further our work.
BENEFITS OF PLANNED GIVING





Personal satisfaction that comes from helping others.
Can generate more income that is spendable.
Can provide substantial tax savings.
Helps simplify estate planning.
Can be tailored to meet specific needs.
BEQUEST
Bequest through a Will is the most common way of making a planned gift. Bequests fall into three
basic categories:



Residuary Bequest
Specific Bequest
Contingent Bequest
LIFE INSURANCE
By using life insurance to make a charitable gift it is often times possible to make a gift larger than
ever thought possible. For instance, it is possible to:



Gift an existing policy that has outlived its original purpose.
Take out a new policy naming us as beneficiary or co-beneficiary.
Utilize a life insurance policy to replace another asset used to make a charitable gift.
CHARITABLE REMAINDER TRUSTS
Charitable remainder trusts make it possible for a donor to make a gift, receive a charitable
contribution deduction and receive income for life. These trusts fall into two basic categories:


Charitable Remainder Annuity Trust
Charitable Remainder Unitrust
LIFE ESTATE
A life estate is a gift of a farm or residence that allows the donor to continue to live on and use the
property until the time of death, when the property transfers to charity. The donor receives an income
tax deduction at the time the gift is made, and continues to be responsible for taxes, insurance, and
maintenance.
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CHARITABLE GIFT ANNUITY
Charitable gift annuities are among the oldest and most simplified ways to making a gift to a
charitable organization. Charitable gift annuities have several advantages:





Guaranteed income for life for one or more person.
Can provide a generous rate of return.
Actually increase current spendable income.
Help reduce estate taxes.
Provide an immediate charitable contribution deduction for federal and state income tax
purposes.
CHARITABLE LEAD TRUST
Charitable lead trusts provide the donor a way of making a charitable contribution and at the same
time pass property on to family members at the lowest possible gift tax rate.
In creating a charitable lead trust the donor:




Creates the trust and names the trustee.
Decides the length of the trust.
Names the individual(s) who will receive the proceeds from the trust upon its termination.
Has the satisfaction of knowing that he/she is helping us further our work.
If you are concerned about erosion of your estate through estate and gift taxes, a charitable lead trust
may be worthy of consideration.
POOLED INCOME FUND
The pooled income fund is a program established by Congress for the purpose of providing support to
charitable organizations and institutions. Contributions made to the pooled income fund are pooled
and invested with those of other donors in a common fund.
The pooled income fund provides the donor:




Income for life.
Potential increase in current spendable income.
Reduction or elimination of gift and estate taxes.
Avoidance of capital gains tax.
SUMMARY
Planned giving can enable you to strengthen your overall financial position. Finding the right planned
gift alternative depends on your goals and objectives. Most plans can be tailored to meet your
individual goals and needs of your family.
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WORKSHEET
The questions listed below have been designed as a first step to help you identify your needs and define
your estate planning objectives.
No
Yes
1. Do you have a Will?
2. If you have a Will, have you updated it in the past 6 years?
3. Do you feel you have a comprehensive estate plan?
4. Would you like to increase your current spendable income?
5. Would you like to add to your retirement income with a
guaranteed income for life?
6. Do you have a spouse and/or dependents that you will want to
provide for in the future?
7. Do you currently own low-yielding stocks or other securities?
8. Are you (and your spouse) covered with life insurance protection?
9. Do you have a paid up policy that has outlived its original purposes?
10 Do you have substantial assets (e.g. family business) that you
would like to pass on to family, children or grandchildren?
11 Are you concerned about gift and estate taxes eroding your estate?
12 Would you like to relieve your surviving spouse from the
management of assets?
13 Would you want the flexibility of making additions to a trust plan
at a later date?
14 Do you have an attorney or other professional advisors?
The answers that you have marked will give you an initial start with which to build a comprehensive estate
plan. You may want to explore a specific planned gift alternative to determine whether or not it is
compatible with your individual objectives. Our office is available to help you in this process.
Be assured that all inquiries are held in strictest confidence and are without obligation.
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