Confidential Estate Inventory Planning

Advance Directive for Health Care & Durable Power of Attorney: This is a separate document for each spouse so that in the event of the incapacity of one spouse, the other spouse or, if n

8855 Dunn Road, Hazelwood, Mo 63042

www.unitedpentecostalfoundation.com

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Going Forward - Estate Planning for Your Family -

Three Documents We All Need

Dear Friend:

We all need to have a Durable Power of Attorney, an Advance Health Care Directive (Durable Power for Health) and a Will If you are a single person that means there are three documents you need If you are married, that means there are six documents you and your spouse need Trusts are useful if there are minor children or real estate as a part of your estate and you want to help those left behind avoid probate BUT, EVERYONE, even if they have not decided to get a trust just yet, needs those first three documents to be signed, dated, notarized or witnessed (by two independent [not named beneficiaries or executors] people in the case of a Will)

1 Durable Power of Attorney (General):

This is a separate document for each spouse so that in the event of the incapacity of one spouse, the other spouse (or, if not married, another named individual) can have authority to deal with property that for some reason may not be owned

by the trust

2 Advance Directive for Health Care & Durable Power of Attorney:

This is a separate document for each spouse so that in the event of the incapacity of one spouse, the other spouse (or, if not married, another named individual) or other alternate agents can have authority to make health care decisions including that "pull the plug" decision where someone is being kept alive only by artificial means

3 Will:

This is a separate document for each spouse (just one document if you are not married) which revokes any previous will you might have made, names guardians for your minor children (if you have any), and makes your entire estate plan cohesive You may simply indicate that you are leaving your property to your children or to others

We want to make this easy for you to get your three documents done Give me the information on this form If you receive this form by email you can email it back to us With this information we can prepare a letter of recommendation for you to take to an attorney to complete your documents

Sincerely,

Stephen M Drury

President

3 Common Considerations

FOR CHARITABLECONTRIBUTIONS

United Pentecostal Church International

Divisions & Departments:

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 Ladies Ministries

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 Stewardship Department

 Sunday School Division

 United Pentecostal Foundation

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 Youth Division

Endorsed Ministries:

 Apostolic Bible Institute

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(314) 837-7300 UNITED PENTECOSTAL fax (314) 336-1830

FOUNDATION

8855 Dunn Road, Hazelwood, MO 63042

Email smdrury@upci.org

CONFIDENTIAL ESTATE PLANNING ON LINE INFORMATION FORM FOR PREPARATION OF WILL OR LIVING TRUST, DURABLE POWER OF ATTORNEY

& ADVANCE HEALTH CARE DIRECTIVE

Married Couple Have child or children Blended Family

Single Person No children Formerly Married

1 PERSONAL INFORMATION

Street Address:

If single then show how your

name should be in documents: Date of Birth: _

If married then show husband’s

full name as it is to be listed: Date of Birth: _

If married then show wife’s full

name as it is to be listed: Date of Birth: _

2 FAMILY INFORMATION

Current name of each child: Date of birth Child of “H” husband;“W” wife; “B” both

INSTRUCTIONS:

3 NOMINATION OF EXECUTOR FOR YOUR WILL

Note: Unless given other instructions, if you are married, your surviving spouse will be your first Executor in your will The following nominations are for when both spouses are either deceased or incapacitated

FIRST

CHOICE We are married and we both chooseour spouse as first Executor

ALTERNATE CHOICES

SINGLE PERSON’S NOMINATIONS FOR EXECUTOR OF WILL

FIRST

NOMINEE

SECOND

NOMINEE

HUSBAND’S ALTERNATE NOMINATIONS FOR EXECUTOR IN WILL

FIRST

NOMINEE

SECOND

NOMINEE

WIFE’S ALTERNATE NOMINATIONS FOR EXECUTOR IN WILL

FIRST

NOMINEE

SECOND

NOMINEE

4 NOMINATION OF GUARDIAN FOR MINOR CHILDREN

Note: The Guardian of the Person is the individual who will have physical possession of and who will raise your minor child The Guardian of the Estate will be the person who will take care of the property of your child if your

child is a minor If you are divorced, of course, an actual surviving parent of your minor child has priority over any nomination you make for Guardian of the Person You may nominate another for Guardian of the Estate

1st Nom

GDN OF Person

ALTERNATE

GDN OF Person

1st Nom

GDN OF Estate

ALTERNATE

GDN OF Estate

Other

Instructions:

5 NOMINATION OF TRUSTEE TO TAKE CARE OF FUNDS FOR MINOR

Note: If you die, and a minor is a beneficiary of your will, then after a probate is finished, the funds are will not be turned over to the minor beneficiary The law does not allow a minor to receive these funds Instead a separate petition must be filed in court and someone will be appointed (usually your nominated Guardian) as the Guardian of the Estate

of a minor person to provide healthcare, education, welfare and benefits Sometimes to avoid conflict of interest it is best to choose a trustee other than Guardian of the Minor, which could be a trust department at a bank

When the minor beneficiary reaches age 18, the funds and all accumulated interest will then be turned over to the beneficiary In most cases this is not a good idea If, instead of having a guardian of an estate (with significant court involvement) you would like funds to be held by a Trustee until the beneficiary reaches some later age (usually 25) then

you need to nominate a Trustee

FIRST

TRUSTEE/

Bank

ALTERNATE

TRUSTEE/

Bank

Final

Distribution Age for Distribution: 21; 25

Special

Instructions

6 NOMINATION OF AGENT IN DURABLE POWER OF ATTORNEY

Note: Unless given other instructions, if you are married, your spouse will be your first agent in your Durable Power

of Attorney The following nominations are for when both spouses are either deceased or incapacitated This choice many times is the same persons you have picked in #3 above to be the Trustee

FIRST

CHOICE We are married and we both choose ourspouse as first Agent

ALTERNATE CHOICES

For Alternates: Use Same Nominations as are set forth in

#3 above

SINGLE PERSON’S NOMINATIONS FOR AGENT (ATTORNEY-IN-FACT)

FIRST

NOMINEE

SECOND

NOMINEE

HUSBAND’S ALTERNATE NOMINATIONS FOR AGENT (ATTORNEY-IN-FACT)

FIRST

NOMINEE

SECOND

NOMINEE

WIFE’S ALTERNATE NOMINATIONS FOR AGENT (ATTORNEY-IN-FACT)

FIRST

NOMINEE

SECOND

NOMINEE

7 NOMINATION OF AGENT IN ADVANCE HEALTH CARE DIRECTIVE

Note: This is the form where you indicate that you do not wish to be kept alive artificially if the only result will be an artificial delay in the moment of your death under certain circumstances Unless given other instructions, if you are married, your surviving spouse will be your first agent to make health care decisions If married, the following nominations are for when the spouse is deceased or incapacitated If single you may choose your agents

FIRST

CHOICE

We are married and we both choose our spouse as first agent to make health

care decisisons

ALTERNATE CHOICE

For Alternates: Use Same Nominations as are set forth in #3

above

SINGLE PERSON’S NOMINATIONS FOR AGENT IN ADVANCE HEALTH CARE DIRECTIVE

FIRST

NOMINEE

SECOND

NOMINEE

HUSBAND’S ALTERNATE NOMINATIONS FOR AGENT IN ADVANCE HEALTH CARE DIRECTIVE

FIRST

NOMINEE

SECOND

NOMINEE

WIFE’S ALTERNATE NOMINATIONS FOR AGENT IN ADVANCE HEALTH CARE DIRECTIVE

FIRST

NOMINEE

SECOND

NOMINEE

8 SPECIFIC DISTRIBUTIONS TO INDIVIDUALS OR MINISTIRES

Note: Usually people have certain things or certain dollar amounts of the estate that they wish to leave to special people

or organizations You may set forth these special distributions and then the bulk of the estate will be distributed as set forth in Section 9 below Unless otherwise stated, and if you are married, these gifts will be made only at the death of

the Surviving Spouse

SPECIFIC GIFTS OF SPECIFIC ITEMS (GIFT IN KIND) TO INDIVIDUALS OR MINISTRIES

*Items such as coins, baseball cards, collections, antiques, heirlooms, tools, etc *

Name of Individual/Ministry Relationship toYou Description of Item If the beneficiary dies beforeyou do where does gift go?

SPECIFIC GIFTS OF DOLLAR AMOUNTS TO INDIVIDUALS OR MINISTREIS

Name of Individual/Ministry Relationship toYou Dollar Amount If the beneficiary dies beforeyou do where does gift go?

SPECIFIC CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS OR MINISTRIES

Note: Common considerations for Ministries listed on page 2.

Name of Organization Address Dollar Amount of Estate Any specific designated use?

9 GIFTS OF PERCENTAGES

Note: After any special distributions above then the remainder will be distributed to your indicated remainder beneficiaries Unless otherwise stated, and if you are married, these gifts will be made only at the death of the Surviving

Spouse

HANDLE THEIR SHARE

I leave the remainder of my estate in equal shares to my children [Simple Will]

I leave the remainder of my estate not in equal shares to my children but in the following percentages and to the

following beneficiaries/Ministries:

NOTE: COMMONON CONSIDERATIONS FOR MINISTEIS LISTED ON PAGE 2

Percentage Name of Beneficiary the share shall be distributed as follows:And if that Beneficiary predecease then

Other instructions

or concerns:

HANDLE THEIR SHARE Note: During any period of time when a Trustee is taking care of the property which is

being held for a beneficiary, the Trustee may make distributions for health, education (Trustee makes distribution for college expenses), maintenance, and support as determined in the sole and absolute discretion of the Trustee Trustee then can take care of wedding expenses, assisting with a down-payment on a home, obtaining reasonable transportation, etc

I leave the remainder of my estate in equal shares to my children but a child shall receive principal as follows: 1/3 of remainder at earlier date of when the youngest child either graduates from college or reaches the age of 25, then

½ of remainder when child reaches age 27; then all of remainder when child reaches the age of 30

I want to design my own distribution scheme as follows:

I leave the remainder of my estate not in equal shares to my children but in the following percentages and to the following beneficiaries/Ministries:

NOTE: COMMONON CONSIDERATIONS FOR MINISTEIS LISTED ON PAGE 2

Percentage Name of Beneficiary the share shall be distributed as follows:And if that Beneficiary predecease then

Other instructions

or concerns:

C IF YOU DO NOT HAVE SURVIVING CHILDREN OR IF ALL CHILDREN AND GRANDCHILDREN PREDECEASE YOU WHAT IS YOUR ALTERNATE DISTRIBUTION INSTRUCTIONS:

Name of Individual/Ministry Relationship toYou Percentage of RemainderDollar Amount or

of Estate

If the beneficiary dies before you do and any other instructions…

10 INVENTORY OF PROPERTY INCLUDED IN YOUR ESTATE

Note: When you are making a listing of your property, it is important that you clearly convey to your planners how your property is held The five basic types of property ownership are:

1) Individual ownership

2) Tenants in common

3) Joint tenants with rights of survivorship

4) Tenants by the entirety

5) Community property

The success or failure of tax planning and the final distribution of your estate are often dependent upon the coordination of property ownership with legal instruments in effect.

REAL ESTATE – List each parcel by

address

Owned Jointly, Husband or Wife?

Fair Market Value (approx) Equity (approx)

LIFE INSURANCE – List each

policy by name of company

Payable on life of Husband or Wife?

Any loans against? If Yes how much?

Face amount to be paid (approx)

RETIREMENT PLANS – List each

by name of administrator Husband’s or Wife’s

401K, Keogh, IRA, TSA ? Total current value (approx)

INVESTMENT ACCOUNTS – List

each by Broker Husband’s or Wife’s Type of Account Total current value (approx)

OTHER BANK ACCOUNTS – List

each by bank Husband’s or Wife’s Type of Account Total current value (approx)

OTHER MAJOR ASSETS – value

greater than $10,000.00 Husband’s or Wife’s Type of Asset Total current value (approx)

TOTAL ASSETT VALUE (APPROX)

11 LIABILITIES

$

$

$

$

Total $

10 INVENTORY OF PROPERTY INCLUDED IN YOUR ESTATE

how your property is

12 FUTURE INHERITANCE

held The five basic types of property ownership are:

1) Individual ownership 2) Tenants in common 3) Joint tenants with rights of survivorship

4) Tenants by the entirety 5) Community property

The success or failure of tax planning and the final distribution of your estate are often dependent upon the

coordination of property ownership with legal instruments in effect.