| Your Name: | |
| Your Email Address (or postal address, if you prefer) please enter carefully or any response will be lost: | |
| Your State of Residence: | |
| What is your federal and state marginal income tax rate % (each, e.g., 28%, 7%): | |
| Date of Birth for 1st Income Beneficiary (MM/DD/YYYY): | |
|
Is There More Than One Income Beneficiary? (number of other people to receive income): |
|
| Is the 'Second' Income Beneficiary
a Spouse? If not, the tax benefits may differ
What's His/Her Date of Birth MM/DD/YYYY? Any Background Comments or Concerns?: |
|
| Type and Description of Asset Contributed?
Background Comments on Asset: |
|
| Asset's Fair Market Value $$: | |
| Asset's Tax Basis $$: | |
| Current Pre-Tax % Return on Contributed
Asset
(What Does it Earn and/or Appreciate Annually): |
Check
only if the asset is mortgaged or encumbered
Check
if asset is owned by an individual (not corporation or partnership)
Check
if the charitable beneficiary/ies is/are public charities or 501(c)3 organizations
OR (select either the private or public charity box, not both)
Check
if the charitable beneficiary/ies is/are private charities or family foundations
(do you want your family to control
the charitable distributions?)
Check
if a "Zero Estate Tax Plan" is a desired goal
(assets that otherwise would go to
the IRS are redirected to family philanthropies)
Check
if a retirement plan or IRA is a significant part (50%+) of the estate's
assets
Check
if the estate's assets exceed $1,500,000
Check
box if you are satisfied that your estate plan, trust or will has eliminated
all unnecessary taxes and is currently up to date
Check
box if there are family heirs to protect with a wealth replacement trust
(using insurance or other gifted assets
to replace wealth transferred to charity)
Vaughn W. Henry
Henry &
Associates
Gift and Estate
Planning Resources
22 Hyde Park Place
Springfield, IL 62703 USA
Phone: (217) 529-1958
Fax: (217) 529-1959
E-mail: VWHenry@aol.com
Last Updated: October 2, 2005 Home