Estate Planning Questionnaire
Please complete this form to help us understand your estate planning needs. Have your personal and financial details ready for a smooth process.
Client Information
Full legal name
*
First Name
Middle Name
Last Name
This is a fill in the
blanks
field. Please add appropriate
blank
fields and text.
Preferred name
Date of birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
Mobile phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
State of residence
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Marital status
Single
Married
Divorced
Widowed
Separated
Domestic partnership
Spouse/partner details
Spouse/partner full legal name
First Name
Middle Name
Last Name
Spouse full legal name
First Name
Middle Name
Last Name
Spouse address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Spouse phone
Please enter a valid phone number.
Format: (000) 000-0000.
Will your spouse also be a settlor of the trust or estate plan?
Yes
No
Will your spouse serve as a trustee?
Yes
No
Excluded person full legal name
First Name
Middle Name
Last Name
Excluded person address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Excluded person phone
Please enter a valid phone number.
Format: (000) 000-0000.
Family Information
Does the client have children?
*
Yes
No
Child details
Should a special needs trust be discussed?
Yes
No
Does the client support any dependents other than children?
*
Yes
No
Dependent details
Do any children have special needs?
Yes
No
Special needs considerations
Nature of support provided
Planning Objectives
Primary planning goals
*
Avoid probate
Minimize taxes
Protect beneficiaries
Asset protection
Incapacity planning
Charitable giving
Business succession
Provide for blended family
Special needs planning
Privacy
Other
If other, please specify
Do you currently have an estate plan?
*
None
Will only
Trust-based plan
Not sure
Existing estate plan documents and last updated date
Fiduciaries and Key Roles
Preferred Executor / Personal Representative
*
First Name
Middle Name
Last Name
Alternate Executor / Personal Representative
First Name
Middle Name
Last Name
Preferred Trustee
First Name
Middle Name
Last Name
Alternate Trustee
First Name
Middle Name
Last Name
Guardian Nominations for Minor Children
Agent Under Financial Power of Attorney
*
First Name
Middle Name
Last Name
Healthcare Agent / Medical Proxy
*
First Name
Middle Name
Last Name
Assets and Liabilities
Do you own any real estate?
*
Yes
No
Property details
Do you own any business interests?
*
Yes
No
Business interest details
Do you have retirement accounts?
*
Yes
No
Retirement account types
401(k)
403(b)
Traditional IRA
Roth IRA
Pension
SEP IRA
SIMPLE IRA
Other
Have beneficiary designations for retirement accounts been reviewed?
Yes
No
Do you have life insurance?
*
Yes
No
Approximate death benefit
Current beneficiaries
Do you have significant digital assets or online accounts that should be planned for?
*
Yes
No
Digital asset categories
Email accounts
Cloud storage
Social media
Online financial accounts
Cryptocurrency
Business accounts
Domain names
Digital media libraries
Other
Access concerns
Estimated net worth range
*
Please Select
Under $250,000
$250,000–$499,999
$500,000–$999,999
$1,000,000–$2,499,999
$2,500,000–$4,999,999
$5,000,000 or more
Prefer not to say
Beneficiary Planning
Who should receive your assets at death? Include each beneficiary’s full legal name, relationship, full mailing address, phone number, and intended share or gift.
*
Spouse
Children
Other family members
Friends
Charities
Trusts for beneficiaries
Other
Should distributions be made outright or in trust?
*
Outright
In trust
Combination
Unsure
If in trust, what distribution preferences should be included?
Distributions at certain ages or stages
HEMS standard
Trustee discretion
Incentive provisions
Spendthrift protection
Other
Do you want to intentionally exclude or disinherit any person who might otherwise expect to be a beneficiary or heir?
Yes
No
Excluded person details, explanation, or drafting instructions
Are there any beneficiary concerns that should be considered?
Creditor issues
Addiction concerns
Disability or special needs
Immaturity concerns
None
Other
If yes, please provide details about any beneficiary concerns.
Do you want to make a charitable gift as part of your estate plan?
*
Yes
No
Charitable gift details
If in trust, please describe any additional distribution instructions.
Incapacity and Healthcare Preferences
Do you want incapacity documents prepared?
*
Yes
No
Power of attorney preferences
Durable financial power of attorney
Limited power of attorney
Springing power of attorney
Co-agent designation
Alternate agent designation
Other
Healthcare directive preferences
Healthcare power of attorney
Living will
HIPAA authorization
Alternate healthcare agent designation
Organ donation authorization
Other
End-of-life and organ donation preferences
Comfort-focused care
Life-sustaining treatment preferences
Do not resuscitate preference
Organ donation
Tissue donation
Body donation for research
Other
Tax and Special Circumstances
Are you concerned about estate tax exposure?
*
Yes
No
Not sure
Are there prior marriages, prenuptial agreements, or blended family concerns?
*
Yes
No
If yes, please provide details about prior marriages, prenuptial agreements, or blended family concerns.
Are there any pending lawsuits, creditor issues, or asset protection concerns?
*
Yes
No
If yes, please provide details about lawsuits, creditor issues, or asset protection concerns.
Is anyone a non-U.S. citizen or are there any foreign assets?
*
Yes
No
If yes, please provide details about non-U.S. citizenship or foreign assets.
Documents and Follow-Up
Existing Will
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Trust Documents
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Property Deeds
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Beneficiary Designation Forms
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Prenuptial Agreement
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Business Governing Documents
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Relevant Tax Returns or Schedules
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Preferred Consultation Format
*
Phone
Video
In Person
Best Times to Contact
Morning
Afternoon
Evening
Weekdays
Weekends
Additional Notes or Questions
Date of Acknowledgement
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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