Trustee Accounting Services Intake Form

Trustee Accounting Services Intake Form

*Note: Questions with an asterisk (*) are required.

Name

First NameMiddle NameLast Name

Cell Phone Number

Area CodePhone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Full Name of Trust:

Date Trust established:

Date

State governing the Trust:

Please select Trust type:

Tax ID Number (EIN):

Does the Trust have a sole Trustee or Co-Trustees serving?

Identification of Trustee/Co-Trustees:

Rows	Trustee or Co-Trustee	Name	Address	Phone Number	Date Assumed Trustee Role or Not Currently Serving
1
2
3
4
5

Identification of all Trust Beneficiaries:

Rows	Name	Address	Phone Number
1
2
3
4
5

Please provide an overview of the assets held in the Trust:

Rows	Description	Approximate Value	Notes
Real Estate
Bank Account
Investment Account
Life Insurance Policy
Business Interest
Personal Property
Other

Please list all Trust expenses:

Rows	Description	Approximate Cost of Expense	Frequency Expense Incurred (monthly, quarterly, yearly)	Notes
Taxes
Insurance
Maintenance
Distribution
Professional Fees
Other

Please list all Trust sources of income:

Rows	Description	Approximate Income Value	Frequency Income Incurred (monthly, quarterly, yearly)	Notes
Interest
Dividends
Rental Income
Business Income
Other

Please select reason for accounting:

Accounting period requested (start date / end date):

Has a prior accounting been completed?

If yes, provide the preparer's contact information:

Has the Trust filed tax returns:

If yes, please list CPA/Tax Preparer's name and contact information:

Please describe any outstanding tax issues:

Is there ongoing litigation involving the Trust?

If yes, please provide attorney's contact information and court jurisdiction:

Please list all emergency/professional contacts:

Rows	Name	Phone Number	Email
Primary Contact
Trusted Family Member
Attorney
Financial Advisor
CPA

Please upload Trust documents, amendments, prior accountings, financial statements, tax returns, bank records, brokerage statements and any other available records:

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Sheri L. Montecalvo, Esq.

272 West Exchange Street, Suite 001

Providence, RI 02903

401-600-0157 (office)

401-300-1429 (cell)

401-453-0073 (fax)

sheri.montecalvo@elderlawcollaborative.com