THE SIDE FUND
SPLIT-DOLLAR
SOLUTION™
The Weinberg
Group
© Copyright 2004 by The Weinberg Group, Inc.
All Rights Reserved.
Q. Why the Side Fund Split-Dollar Solution™?
A. Tax Efficient Funding of:
Estate Taxes
Other Liquidity Needs
Business Continuity Plans
Buy-Sell Agreements
Charitable Bequests
Defective Grantor Trust Installment Notes
THE SIDE FUND
SPLIT-DOLLAR SOLUTION™
Two Exclusive Tax Regimes
under Final Regs. after Sept. 17, 2003
Taxation as Economic Benefit
(Endorsement) Split-Dollar
Or
Taxation as Split-Dollar Loan
THE SIDE FUND
SPLIT-DOLLAR SOLUTION™
Measuring Annual Term Cost (“ATC”)
IRS Table 2001
Life Insurance Premium Factors
Carrier Alternative Term Rates –
Open Window of Opportunity?
Goal: Preserve Favorable ATC Taxation
for as Long as Possible
THE SIDE FUND
SPLIT-DOLLAR SOLUTION™
The Side Fund Split-Dollar Solution™
Create Funded Defective Grantor Trust Using Gift Tax
Lifetime Exemptions and Annual Exclusions
Implement Nonequity Collateral Assignment Split-Dollar Plan
between Trust and Grantor (Private) or Employer (Corporate)
Repay Grantor from Trust Side Fund or Switch to a Loan
in Year in Which No Policy Equity Exists (“Rollout”)
Pay ATC or Interest from Side Fund
Pay Continuing Premiums from Side Fund or Additional Loans
Repay Loans (If Any) from Side Fund During Life or
Insurance Proceeds at Death
THE SIDE FUND
SPLIT-DOLLAR SOLUTION™
Other Options
Unfunded Collateral Endorsement
Switch-Dollar™
Nonequity Split-Dollar for Life
Split-Dollar Loans from the Outset
Premium Gifts/Bonuses
Financed Life Insurance
Death Benefit Only (DBO) Plans
DURING SPLIT-DOLLAR PERIOD
Lifetime Exemption Gifts
Annual Exclusion Gifts
ATC Contributions
Taxable Income?
(Grantor Trust)
Death Benefit =
Greater of CV or Prems.
Cash Value and
Premiums
Mort and Mollie Berg
Insurance
Company
Remaining Death
Benefit
Grantor
Trust
(Side Fund)
AT ROLLOUT
Repayment
Or
Loan(s)
Mort and Mollie Berg
Insurance
Company
Grantor
Trust
(Side Fund)
DURING LOAN PERIOD (IF ANY)
Interest and Principal Payments
Taxable Income?
(Grantor Trust)
Interest Deduction?
(Personal Interest)
Death Benefit =
Premiums
Cash Value and
Premiums
Mort and Mollie Berg
Insurance
Company
Remaining Cash Value
and Death Benefit
Grantor
Trust
(Side Fund)
AT SURVIVOR’S DEATH
Grantor
Trust
(Side Fund)
Ins. Death Benefit
and Side Fund
Estate Assets
GST Tax
Gift Tax
Income Tax
Mort and Mollie Berg
Estate Tax
Surviving
Spouse’s
Estate
I.R.S.
Other Liquidity
Needs
INSURANCE
Insureds: Mort and Mollie
Berg (Ages 65, 60, NS)
$10M Guaranteed No Lapse U.L.
(Survivorship)
Nonequity Collateral Assignment
Split-Dollar Plan
Grantor (Insurance) Trust Is
Applicant, Owner and Beneficiary
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Policy Information
(1)
H's W's
Age Age
Year
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
Grantor Outlays and Benefits
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(5)
Annual Trust
ATC/Premium
Contribution
Received (a.)
(6)
(7)
(8)
(9)
Beginning
Loan
Balance
Annual
Loan
Loan
Repayment
Ending
Loan
Balance
(Col. 6+7+8)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
248,033
$6,114,061
0
0
10,000,000
0
($1,830,279)
0
0
$0
0
$0
0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Grantor Outlays and Benefits
H's W's
Age Age
Year
(10)
(11)
(12)
Annual ATC
Received (a.)
Annual Interest
@ AFR
Received (b.)
(Col. 5 * -1)
(Col. 9 * AFR)
(13)
Annual Int.
I/T on
@ AFR and ATC
Ann. Int.
Received
and ATC Rcvd (c.)
(Col. 10+11)
(Col.12*0.00)
(14)
(15)
(16)
(17)
Annual
Insurance
Outlay
Cumulative
Insurance
Outlay
Cash Value
Recovery
Death Benefit
Recovery
(Col. 1 Until Repaymt
+5 - Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$125,310
125,025
124,745
124,325
124,719
$125,310
250,335
375,080
499,405
624,124
$67,599
171,951
281,428
396,148
516,335
$125,310
250,335
375,080
499,405
624,124
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
121,736
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
121,909
105,323
85,366
63,962
39,555
11,064
(22,371)
(1,803,452)
0
1,858,329
1,852,805
1,846,207
1,838,294
1,769,577
1,693,273
1,608,169
1,510,807
1,398,644
1,520,553
1,625,877
1,711,242
1,775,204
1,814,759
1,825,823
1,803,452
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,775,204
1,814,759
1,825,823
1,803,452
0
0
104
99
40
2043
0
$1,830,279
0
$0
0
$1,830,279
0
$0
0
0
0
0
$0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Grantor Outlays and Benefits
H's W's
Age Age
Year
(10)
(11)
(12)
Annual ATC
Received (a.)
Annual Interest
@ AFR
Received (b.)
(Col. 5 * -1)
(Col. 9 * AFR)
(13)
Annual Int.
I/T on
@ AFR and ATC
Ann. Int.
Received
and ATC Rcvd (c.)
(Col. 10+11)
(Col.12*0.00)
(14)
(15)
(16)
(17)
Annual
Insurance
Outlay
Cumulative
Insurance
Outlay
Cash Value
Recovery
Death Benefit
Recovery
(Col. 1 Until Repaymt
+5 - Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$125,310
125,025
124,745
124,325
124,719
$125,310
250,335
375,080
499,405
624,124
$67,599
171,951
281,428
396,148
516,335
$125,310
250,335
375,080
499,405
624,124
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
121,736
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
121,909
105,323
85,366
63,962
39,555
11,064
(22,371)
(1,803,452)
0
1,858,329
1,852,805
1,846,207
1,838,294
1,769,577
1,693,273
1,608,169
1,510,807
1,398,644
1,520,553
1,625,877
1,711,242
1,775,204
1,814,759
1,825,823
1,803,452
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,775,204
1,814,759
1,825,823
1,803,452
0
0
104
99
40
2043
0
$1,830,279
0
$0
0
$1,830,279
0
$0
0
0
0
0
$0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Grantor Outlays and Benefits
H's W's
Age Age
Year
(10)
(11)
(12)
Annual ATC
Received (a.)
Annual Interest
@ AFR
Received (b.)
(Col. 5 * -1)
(Col. 9 * AFR)
(13)
Annual Int.
I/T on
@ AFR and ATC
Ann. Int.
Received
and ATC Rcvd (c.)
(Col. 10+11)
(Col.12*0.00)
(14)
(15)
(16)
(17)
Annual
Insurance
Outlay
Cumulative
Insurance
Outlay
Cash Value
Recovery
Death Benefit
Recovery
(Col. 1 Until Repaymt
+5 - Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$125,310
125,025
124,745
124,325
124,719
$125,310
250,335
375,080
499,405
624,124
$67,599
171,951
281,428
396,148
516,335
$125,310
250,335
375,080
499,405
624,124
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
121,736
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
121,909
105,323
85,366
63,962
39,555
11,064
(22,371)
(1,803,452)
0
1,858,329
1,852,805
1,846,207
1,838,294
1,769,577
1,693,273
1,608,169
1,510,807
1,398,644
1,520,553
1,625,877
1,711,242
1,775,204
1,814,759
1,825,823
1,803,452
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,775,204
1,814,759
1,825,823
1,803,452
0
0
104
99
40
2043
0
$1,830,279
0
$0
0
$1,830,279
0
$0
0
0
0
0
$0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Grantor Outlays and Benefits
H's W's
Age Age
Year
(10)
(11)
(12)
Annual ATC
Received (a.)
Annual Interest
@ AFR
Received (b.)
(Col. 5 * -1)
(Col. 9 * AFR)
(13)
Annual Int.
I/T on
@ AFR and ATC
Ann. Int.
Received
and ATC Rcvd (c.)
(Col. 10+11)
(Col.12*0.00)
(14)
(15)
(16)
(17)
Annual
Insurance
Outlay
Cumulative
Insurance
Outlay
Cash Value
Recovery
Death Benefit
Recovery
(Col. 1 Until Repaymt
+5 - Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$125,310
125,025
124,745
124,325
124,719
$125,310
250,335
375,080
499,405
624,124
$67,599
171,951
281,428
396,148
516,335
$125,310
250,335
375,080
499,405
624,124
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
121,736
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
121,909
105,323
85,366
63,962
39,555
11,064
(22,371)
(1,803,452)
0
1,858,329
1,852,805
1,846,207
1,838,294
1,769,577
1,693,273
1,608,169
1,510,807
1,398,644
1,520,553
1,625,877
1,711,242
1,775,204
1,814,759
1,825,823
1,803,452
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,775,204
1,814,759
1,825,823
1,803,452
0
0
104
99
40
2043
0
$1,830,279
0
$0
0
$1,830,279
0
$0
0
0
0
0
$0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Grantor Outlays and Benefits
H's W's
Age Age
Year
(10)
(11)
(12)
Annual ATC
Received (a.)
Annual Interest
@ AFR
Received (b.)
(Col. 5 * -1)
(Col. 9 * AFR)
(13)
Annual Int.
I/T on
@ AFR and ATC
Ann. Int.
Received
and ATC Rcvd (c.)
(Col. 10+11)
(Col.12*0.00)
(14)
(15)
(16)
(17)
Annual
Insurance
Outlay
Cumulative
Insurance
Outlay
Cash Value
Recovery
Death Benefit
Recovery
(Col. 1 Until Repaymt
+5 - Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$125,310
125,025
124,745
124,325
124,719
$125,310
250,335
375,080
499,405
624,124
$67,599
171,951
281,428
396,148
516,335
$125,310
250,335
375,080
499,405
624,124
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
121,736
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
121,909
105,323
85,366
63,962
39,555
11,064
(22,371)
(1,803,452)
0
1,858,329
1,852,805
1,846,207
1,838,294
1,769,577
1,693,273
1,608,169
1,510,807
1,398,644
1,520,553
1,625,877
1,711,242
1,775,204
1,814,759
1,825,823
1,803,452
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,775,204
1,814,759
1,825,823
1,803,452
0
0
104
99
40
2043
0
$1,830,279
0
$0
0
$1,830,279
0
$0
0
0
0
0
$0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Grantor Outlays and Benefits
H's W's
Age Age
Year
(10)
(11)
(12)
Annual ATC
Received (a.)
Annual Interest
@ AFR
Received (b.)
(Col. 5 * -1)
(Col. 9 * AFR)
(13)
Annual Int.
I/T on
@ AFR and ATC
Ann. Int.
Received
and ATC Rcvd (c.)
(Col. 10+11)
(Col.12*0.00)
(14)
(15)
(16)
(17)
Annual
Insurance
Outlay
Cumulative
Insurance
Outlay
Cash Value
Recovery
Death Benefit
Recovery
(Col. 1 Until Repaymt
+5 - Repayment)
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$1,190
1,475
1,755
2,175
1,781
$0
0
0
0
0
$125,310
125,025
124,745
124,325
124,719
$125,310
250,335
375,080
499,405
624,124
$67,599
171,951
281,428
396,148
516,335
$125,310
250,335
375,080
499,405
624,124
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,764
5,524
6,598
7,914
68,717
76,304
85,104
97,362
112,163
126,124
142,710
162,667
184,071
208,478
236,969
270,404
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
121,736
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
121,909
105,323
85,366
63,962
39,555
11,064
(22,371)
(1,803,452)
0
1,858,329
1,852,805
1,846,207
1,838,294
1,769,577
1,693,273
1,608,169
1,510,807
1,398,644
1,520,553
1,625,877
1,711,242
1,775,204
1,814,759
1,825,823
1,803,452
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
0
0
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,775,204
1,814,759
1,825,823
1,803,452
0
0
104
99
40
2043
0
$1,830,279
0
$0
0
$1,830,279
0
$0
0
0
0
REPAYMENT
65
66
67
68
69
0
$0
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY Trust Outlays and Benefits
(18)
H's W's
Age Age
Year
(19)
(20)
(21)
(22)
(23)
Taxable
Lifetime
Annual
Annual ATC/
Policy
Exemption/
Total
Interest Gift
Premium Gift
Equity Gift Annual Excl. Annual Gifts Annual G/T
To Trust (d.) To Trust (a.) (e.) To Trust (f.) Gift to Trust
To Trust
Cost (g.)
(Col. 12 if Int.) (Annual ATC + Pg. 1,
Col. 1 if Gifted)
(Col. 18+19
+20+21)
(24)
(25)
Repayment
of Grantor
During Life (h.)
((Col. 22-21)
(Col. 8) + (Col. 14
*0.45)
In Year of Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
0
$0
0
$0
0
$0
55,000
$3,190,000
55,000
$3,190,000
0
$0
$0
0
0
0
0
Net Cash
Value After
GR Recovery
(26)
Net Cash
Surrender
Value After
GR Recovery
(27)
Net Ins. Death
Benefit After
GR Recovery
(Col. 2-16)
(Col. 3-16) if > 0
(Col. 4-17)
$0
0
0
0
0
$0
0
0
0
0
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
0
($1,803,452)
0
0
10,000,000
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY Trust Outlays and Benefits
(18)
H's W's
Age Age
Year
(19)
(20)
(21)
(22)
(23)
Taxable
Lifetime
Annual
Annual ATC/
Policy
Exemption/
Total
Interest Gift
Premium Gift
Equity Gift Annual Excl. Annual Gifts Annual G/T
To Trust (d.) To Trust (a.) (e.) To Trust (f.) Gift to Trust
To Trust
Cost (g.)
(Col. 12 if Int.) (Annual ATC + Pg. 1,
Col. 1 if Gifted)
(Col. 18+19
+20+21)
(24)
(25)
Repayment
of Grantor
During Life (h.)
((Col. 22-21)
(Col. 8) + (Col. 14
*0.45)
In Year of Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
0
$0
0
$0
0
$0
55,000
$3,190,000
55,000
$3,190,000
0
$0
$0
0
0
0
0
Net Cash
Value After
GR Recovery
(26)
Net Cash
Surrender
Value After
GR Recovery
(27)
Net Ins. Death
Benefit After
GR Recovery
(Col. 2-16)
(Col. 3-16) if > 0
(Col. 4-17)
$0
0
0
0
0
$0
0
0
0
0
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
0
($1,803,452)
0
0
10,000,000
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY Trust Outlays and Benefits
(18)
H's W's
Age Age
Year
(19)
(20)
(21)
(22)
(23)
Taxable
Lifetime
Annual
Annual ATC/
Policy
Exemption/
Total
Interest Gift
Premium Gift
Equity Gift Annual Excl. Annual Gifts Annual G/T
To Trust (d.) To Trust (a.) (e.) To Trust (f.) Gift to Trust
To Trust
Cost (g.)
(Col. 12 if Int.) (Annual ATC + Pg. 1,
Col. 1 if Gifted)
(Col. 18+19
+20+21)
(24)
(25)
Repayment
of Grantor
During Life (h.)
((Col. 22-21)
(Col. 8) + (Col. 14
*0.45)
In Year of Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
0
$0
0
$0
0
$0
55,000
$3,190,000
55,000
$3,190,000
0
$0
$0
0
0
0
0
Net Cash
Value After
GR Recovery
(26)
Net Cash
Surrender
Value After
GR Recovery
(27)
Net Ins. Death
Benefit After
GR Recovery
(Col. 2-16)
(Col. 3-16) if > 0
(Col. 4-17)
$0
0
0
0
0
$0
0
0
0
0
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
0
($1,803,452)
0
0
10,000,000
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY Trust Outlays and Benefits
(18)
H's W's
Age Age
Year
(19)
(20)
(21)
(22)
(23)
Taxable
Lifetime
Annual
Annual ATC/
Policy
Exemption/
Total
Interest Gift
Premium Gift
Equity Gift Annual Excl. Annual Gifts Annual G/T
To Trust (d.) To Trust (a.) (e.) To Trust (f.) Gift to Trust
To Trust
Cost (g.)
(Col. 12 if Int.) (Annual ATC + Pg. 1,
Col. 1 if Gifted)
(Col. 18+19
+20+21)
(24)
(25)
Repayment
of Grantor
During Life (h.)
((Col. 22-21)
(Col. 8) + (Col. 14
*0.45)
In Year of Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
0
$0
0
$0
0
$0
55,000
$3,190,000
55,000
$3,190,000
0
$0
$0
0
0
0
0
Net Cash
Value After
GR Recovery
(26)
Net Cash
Surrender
Value After
GR Recovery
(27)
Net Ins. Death
Benefit After
GR Recovery
(Col. 2-16)
(Col. 3-16) if > 0
(Col. 4-17)
$0
0
0
0
0
$0
0
0
0
0
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
0
($1,803,452)
0
0
10,000,000
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY Trust Outlays and Benefits
(18)
H's W's
Age Age
Year
(19)
(20)
(21)
(22)
(23)
Taxable
Lifetime
Annual
Annual ATC/
Policy
Exemption/
Total
Interest Gift
Premium Gift
Equity Gift Annual Excl. Annual Gifts Annual G/T
To Trust (d.) To Trust (a.) (e.) To Trust (f.) Gift to Trust
To Trust
Cost (g.)
(Col. 12 if Int.) (Annual ATC + Pg. 1,
Col. 1 if Gifted)
(Col. 18+19
+20+21)
(24)
(25)
Repayment
of Grantor
During Life (h.)
((Col. 22-21)
(Col. 8) + (Col. 14
*0.45)
In Year of Repayment)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
104
99
40
2043
0
$0
0
$0
0
$0
55,000
$3,190,000
55,000
$3,190,000
0
$0
$0
0
0
0
0
Net Cash
Value After
GR Recovery
(26)
Net Cash
Surrender
Value After
GR Recovery
(27)
Net Ins. Death
Benefit After
GR Recovery
(Col. 2-16)
(Col. 3-16) if > 0
(Col. 4-17)
$0
0
0
0
0
$0
0
0
0
0
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
446,003
13,514
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
0
($1,803,452)
0
0
10,000,000
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Assets
Assets Including
IncludingSide
SideFund
Fund
Trust
(28)
H's W's
Age Age
Year
(29)
(30)
Net A/T Value of
Side Fund After
Total Annual Gifts,
Annual
Total Annual GR Repaymt. &
Income
Gifts to Trust Trust Pmts. (BOY) on Side Fund
(Pg. 3, Col. 22)
(Col. 36 in Prior Year
+ Col. 28)
(31)
(32)
Annual
I/T on
Income (c.)
Net
Annual
Income
After I/T
(Col. 29 * 0.06) -(Col. 30* (0.00))
(Col. 30+31)
(33)
(36)
(37)
Net A/T Value of
Annual ATC/ Side Fund After
Net Value of Repayment
Interest/ Total Annual Gifts, Net Ins. Death
Side Fund
of Grantor
Premium GR Repayment & Benefit After
After I/T During Life (h.) Payments Trust Pmts. (EOY)Grantor Recovery
(Col. 29+32)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$110,000
110,000
110,000
110,000
110,000
$110,000
225,410
347,460
476,552
612,970
$6,600
13,525
20,848
28,593
36,778
$0
0
0
0
0
$6,600
13,525
20,848
28,593
36,778
$116,600
238,935
368,307
505,145
649,749
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
2,512,531
2,768,519
3,039,106
3,324,855
3,571,433
3,772,002
3,977,018
4,185,535
4,394,305
4,600,801
4,805,725
5,006,359
5,199,073
5,381,946
5,551,385
5,702,498
5,829,244
4,182,514
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
150,752
166,111
182,346
199,491
214,286
226,320
238,621
251,132
263,658
276,048
288,343
300,382
311,944
322,917
333,083
342,150
349,755
250,951
2,663,283
2,934,630
3,221,453
3,524,346
3,785,719
3,998,322
4,215,639
4,436,667
4,657,964
4,876,849
5,094,068
5,306,740
5,511,017
5,704,863
5,884,468
6,044,648
6,178,999
4,433,465
104
99
40
2043
55,000
$3,190,000
4,755,754
285,345
$7,717,127
0
$0
285,345
$7,717,127
5,041,099
(34)
(35)
(Col. 24)
(Col. 12
(Col. 33+34+35)
+ Trust Prem. Pmts.)
$0
0
0
0
0
(Pg. 3, Col. 27)
(38)
Net
Trust
Assets
(Col. 36+37)
($1,190)
(1,475)
(1,755)
(2,175)
(1,781)
$115,410
237,460
366,552
502,970
647,967
$14,874,690
14,749,665
14,624,920
14,500,595
9,375,876
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1,803,452)
0
(4,764)
(5,524)
(6,598)
(7,914)
(68,717)
(76,304)
(85,104)
(97,362)
(112,163)
(126,124)
(142,710)
(162,667)
(184,071)
(208,478)
(236,969)
(270,404)
(248,033)
(248,033)
2,658,519
2,929,106
3,214,855
3,516,433
3,717,002
3,922,018
4,130,535
4,339,305
4,545,801
4,750,725
4,951,359
5,144,073
5,326,946
5,496,385
5,647,498
5,774,244
4,127,514
4,185,432
7,939,778
7,890,928
7,854,338
7,835,261
7,835,423
7,866,422
7,938,778
8,046,442
8,205,041
8,173,949
8,192,285
8,269,823
8,224,796
8,185,241
8,174,177
8,196,548
10,000,000
10,000,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
0
($1,803,452)
(248,033)
($4,310,609)
4,793,066
10,000,000
14,793,066
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
Trust Outlays and Benefits
(18)
H's W's
Age Age
Year
Policy Information
(19)
(20)
(21)
(22)
Taxable
Lifetime
Annual
Annual ATC/
Policy
Exemption/
Total
Interest Gift
Premium Gift
Equity Gift Annual Excl. Annual Gifts
To Trust (d.) To Trust (a.) (e.) To Trust (f.) Gift to Trust
To Trust
(Col. 12 if Int.) (Annual ATC + Pg. 1,
Col. 1 if Gifted)
(1)
Annual
Policy
Premium
(2)
(3)
Policy
Policy Cash
Cash Value
Surr. Value
(Net of
(Net of
Policy Loans) Policy Loans)
(4)
Policy
Death Benefit
(Net of
Policy Loans)
(Col. 18+19
+20+21)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$110,000
110,000
110,000
110,000
110,000
$126,500
126,500
126,500
126,500
126,500
$67,599
171,951
281,428
396,148
516,335
$0
0
0
102,779
249,635
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
2,060,222
2,109,072
2,145,662
2,164,739
2,164,577
2,133,578
2,061,222
1,953,558
1,794,959
1,826,051
1,807,715
1,730,177
1,601,263
1,394,981
1,142,726
825,819
446,003
13,514
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
104
99
40
2043
0
$0
0
$0
0
$0
55,000
$3,190,000
55,000
$3,190,000
248,033
$6,114,061
0
0
10,000,000
LE/AE GIFT
PREMIUM GIFT
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TOTAL RETURN ON INSURANCE DEATH BENEFIT
H's W's
Age Age
Year
(1)
Cumulative Outlay
Prior to Current
Plan Year
(2)
(3)
Annual
Policy
Premium
(4)
(5)
Repayment
of Grantor (h.)
Annual
Insurance
Outlay
Policy
Death
Benefit
(Col. 1 + 2 - 3)
(Pg. 1, Col. 4)
(Pg. 1, Col. 1)
(Pg. 4, Col. 34)*-1
- 1035 Amount (if any)
If Paid From Policy Values
(6)
A/T ROR on
Policy Death
Benefit
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$126,500
126,500
126,500
126,500
126,500
$0
0
0
0
0
$126,500
126,500
126,500
126,500
126,500
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
11757.71%
940.08%
353.79%
198.99%
111.93%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
19.03%
17.29%
15.82%
14.56%
13.48%
12.53%
11.71%
10.98%
10.33%
9.59%
8.91%
8.28%
7.70%
7.16%
6.65%
6.17%
5.73%
5.31%
104
99
40
2043
0
$0
248,033
$6,114,061
0
$0
248,033
$6,114,061
10,000,000
2.70%
Projected Jt. L.E.
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TOTAL RETURN ON INSURANCE DEATH BENEFIT
H's W's
Age Age
Year
(1)
Cumulative Outlay
Prior to Current
Plan Year
(2)
(3)
Annual
Policy
Premium
(4)
(5)
Repayment
of Grantor (h.)
Annual
Insurance
Outlay
Policy
Death
Benefit
(Col. 1 + 2 - 3)
(Pg. 1, Col. 4)
(Pg. 1, Col. 1)
(Pg. 4, Col. 31)*-1
- 1035 Amount (if any)
If Paid From Policy Values
(6)
A/T ROR on
Policy Death
Benefit
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$126,500
126,500
126,500
126,500
126,500
$0
0
0
0
0
$126,500
126,500
126,500
126,500
126,500
$15,000,000
15,000,000
15,000,000
15,000,000
10,000,000
11757.71%
940.08%
353.79%
198.99%
111.93%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
126,500
0
0
0
0
0
0
0
0
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
248,033
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
10,000,000
19.03%
17.29%
15.82%
14.56%
13.48%
12.53%
11.71%
10.98%
10.33%
9.59%
8.91%
8.28%
7.70%
7.16%
6.65%
6.17%
5.73%
5.31%
104
99
40
2043
0
$0
248,033
$6,114,061
0
$0
248,033
$6,114,061
10,000,000
2.70%
Projected Jt. L.E.
TOTAL ROR
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
Projected
Jt. L.E.
(5)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
Projected
Jt. L.E.
(5)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
Projected
Jt. L.E.
(5)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
Projected
Jt. L.E.
(5)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
TRUST A/T ROR
Projected
Jt. L.E.
(5)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
Projected
Jt. L.E.
(5)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY TRUST-ONLY RETURN ON NET TRUST ASSETS AT DEATH
(1)
H's W's
Age Age
Year
Cumulative
Gifts to Trust
Prior to
Current Plan Year
(2)
(3)
(4)
Total Annual
Gifts to Trust
Cumulative
Gift Tax Cost
Prior to
Current Plan Year
(Pg. 3, Col. 22)
(6)
(7)
(8)
Annual
G/T Cost
Total
Outlay
Net
Trust
Assets
A/T ROR on
Net Trust
Assets
Equivalent
B/T ROR on
Net Trust
Assets (a.)
(Pg. 3, Col. 23)
(Col. 1+2+3+4)
(Page 4, Col. 38)
TRUST B/T ROR
Projected
Jt. L.E.
(5)
65
66
67
68
69
60
61
62
63
64
1
2
3
4
5
2004
2005
2006
2007
2008
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$0
0
0
0
0
$0
0
0
0
0
$110,000
110,000
110,000
110,000
110,000
$14,990,100
14,987,125
14,991,472
15,003,565
10,023,844
13527.36%
1018.32%
377.29%
210.99%
119.15%
40992.01%
3085.81%
1143.32%
639.36%
361.05%
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
110,000
110,000
110,000
110,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
55,000
10,598,297
10,820,034
11,069,193
11,351,694
11,552,425
11,788,440
12,069,313
12,385,747
12,750,842
12,924,674
13,143,644
13,413,896
13,551,742
13,681,625
13,821,676
13,970,792
14,127,514
14,185,432
21.18%
19.35%
17.80%
16.49%
15.33%
14.34%
13.50%
12.76%
12.13%
11.47%
10.90%
10.40%
9.89%
9.42%
9.00%
8.61%
8.26%
7.90%
64.18%
58.63%
53.95%
49.98%
46.47%
43.47%
40.90%
38.68%
36.77%
34.76%
33.02%
31.50%
29.96%
28.55%
27.26%
26.09%
25.02%
23.94%
104
99
40
2043
0
$0
55,000
$3,190,000
0
$0
0
$0
55,000
$3,190,000
14,793,066
5.83%
17.67%
$0
$1,666,011
NPV @5.00% a/t:
$1,666,011
PRIVATE SIDE FUND SPLIT-DOLLAR SOLUTION™ MODEL USING SURVIVORSHIP LIFE INSURANCE
Insureds: Mort & Mollie Berg, XYZ Insurance Company Policy #0123456
- THIS IS A SAMPLE CASE TO BE USED FOR EDUCATIONAL PURPOSES ONLY -
7 0 .0 0 %
Trust A/T
RO R
64.18%
6 0 .0 0 %
Trust Equiv.
B/T RO R
5 0 .0 0 %
4 0 .0 0 %
31.50%
3 0 .0 0 %
2 0 .0 0 %
21.18%
17.67%
10.40%
10 .0 0 %
5.83%
0 .0 0 %
Y e a r 15
Y e a r 2 6 ( P ro j. J t .
L.E .)
Year 40
THE END