Personal Affairs Record Of

Information contained is current as of

Date

Revised on

1 PURPOSES OF THIS BOOKLET

We are pleased to be able to present this booklet to selected friends of the Boy Scouts of America as a convenient method of recording information about their personal financial affairs. The information you record in your Confidential Record of Personal Financial Affairs can have several very practical uses.

Determining Your Present Financial Position. The completed booklet will provide an accurate and comprehensive summary of all your assets and liabilities. It will be a valuable guide in your estate, retirement, and financial planning.

Assisting Your Attorney and Other Financial Advisors. The information you record in the booklet will provide your attorney and other financial advisors with a complete picture of your estate situation as well as the personal and family information that is generally needed to prepare a thoughtful and effective estate plan.

Providing Practical Assistance To Family Members. The booklet will be a valuable guide to your family in the event of you absence or incapacity. Knowing your assets and income sources, and the location of important documents, will help them manage your financial affairs effectively. The booklet will also be extremely valuable to the executor of your estate.

USING THE BOOKLET EFFECTIVELY

The Confidential Record of Personal Affairs is comprehensive. It will probably take several hours to record all the detail that is needed in a complete record of financial affairs. In addition, completing the booklet will often require searching for documents that may have been filed away and forgotten.

We recommend that you first review the booklet to determine the information that will be needed to complete your record of person financial affairs. Then collect the certificates, documents, records, and other information you will need to record accurate financial data. In many cases, you will not be able to locate certain documents, but record as much accurate data as possible and complete the booklet as soon as the other documents and records become available.

Preparing your Confidential Record of Personal Financial Affairs may reveal areas where you will want to make changes or take some additional action. Make notes as to what you want to do, and attend to it promptly. It is very easy to put off estate and financial planning.

Your completed record is valueless if the booklet cannot be found by a family member or others who may be called on to manage your affairs. Tell those who might need the information the exact location of the booklet. Make it a point to keep the booklet up-to-date. An annual review of the booklet is strongly recommended.

The time you spend completing this booklet can produce major rewards for you, your family, and all your other beneficiaries. We believe it will provide you with a great personal satisfaction knowing that your financial affairs are in order and that you have taken steps to assume the effective management of your finances. If our Council, or the members of our endowment development committee, can be of assistance in your tax, estate and financial planning, please feel free to call the Council Service Center at your convenience.

2 INDIVIDUAL AND FAMILY BACKGROUND

Residence Address Occupation Social Security Number Date and Place of Birth Location of Birth Certificate Marital status (specify if married, single, divorced, etc.) Maiden Name of Spouse Date and Place of Marriage Location of marriage certificate If there was pre-nuptial arrangement, location of papers Prior marriages (date and place)

Nature of termination and date

Location of termination papers Children (if any) Name Address Birthdate

Name of father Father Address Father’s Age

Name of Mother Mother Address Mother’s Age

Siblings (if any): Name Address

3 EMPLOYMENT COMPENSATION AND BENEFITS

I am employed by Date employed Position or Title Location of any employment agreement

Compensation Arrangements

Salary: $ per Time of Payment Incentive Pay: Amount $ How Paid Remarks

Employment Benefits

Medical Insurance Brief description of benefits

Location of Papers

Group life Insurance Brief description

Owner of Policy Primary beneficiary Secondary beneficiary Amount $

Disability Insurance Brief description

Location of Papers

Pension Plan/Profit Sharing/Thrift Plan Brief Description

Location of Papers Death Benefits are payable to Value of Death Benefits Form of Payout Elected

4 Keogh Plan Amount Invested Type of Investment

Individual Retirement Account Amount Invested Type of Investment

Location of IRA and Keogh documents

Deferred Compensation Plan Payable as a Lump Sum $ or Payable $ per Month for Years. Location of Papers

Stock Option Nature of Option Restrictions Location of Documents

Other Employment Benefits

TAX RECORDS

Location of copies of my income tax returns

Location of copies of gift tax returns

Controversies pending with IRS, or state and local tax authorities

My tax advisors are

CLAIMS OR LAW SUITS

My assets may be affected by the following claims or lawsuits

5 WILLS AND TRUSTS

Have you executed a Will? Date of execution By whom was your Will drafted? Who were the witnesses to the Will?

Where is the original copy of this Will located? Name and address of executor of the Will

Trustee Guardian Special Instructions to Executor or Beneficiaries

Has your spouse executed a Will? Date of execution By whom was the Will drafted? Who were the witnesses to the Will?

Where is the original copy of this Will located?

Executor of the Will? Trustee Guardian

Have you created a living trust agreement? How many? Are these agreements revocable or irrevocable? Are any of the trusts related to a Pour Over provision in you Will? Indicated the names and addresses of the trustees

Names and addresses of the beneficiaries

Approximate value of trust Nature of properties included in trusts

Location of these agreements Names and addresses of the attorneys drafting these agreements

6 BURIAL INSTRUCTIONS

Have you given instructions as to your funeral and burial preferences? Are such instructions included within your Will? Location of written instructions Name and location of cemetery plot Location of deed

INVENTORY OF ACCUMULATED WEALTH

Residential Real Estate:

Location Description Approximate Value Mortgage Name of Mortgagor If the property is not in your name alone, who is the co-owner? Is there a right of survivorship? Location of deed and other documents

Location Description Approximate Value Mortgage Name of Mortgagor If the property is not in your name alone, who is the co-owner? Is there a right of survivorship? Location of deed and other documents

Location Description Approximate Value Mortgage Name of Mortgagor If the property is not in your name alone, who is the co-owner? Is there a right of survivorship? Location of deed and other documents

7 Non-residential Real Estate:

Location Description Approximate Value Mortgage Name of mortgagor Is property leased? Name of lessee Duration of lease Annual rent If the property is not in your name alone, who is the co-owner(s)?

Is ownership tenancy in common? Joint tenancy? Community property?

Location Description Approximate Value Mortgage Name of mortgagor Is property leased? Name of lessee Duration of lease Annual rent If the property is not in your name alone, who is the co-owner(s)?

Is ownership tenancy in common? Joint tenancy? Community property?

Location Description Approximate Value Mortgage Name of mortgagor Is property leased? Name of lessee Duration of lease Annual rent If the property is not in your name alone, who is the co-owner(s)?

Is ownership tenancy in common? Joint tenancy? Community property?

Location of the lease documents

Deeds to non-residential real estate are located

Comments on real estate owned

8 Stock Held:

Company Shares Date Purchased Cost Value

Name of co-owner, if any Special dividend arrangements are Stock Certificates are located Comments on stock holding

U.S. Savings Bond:

Serial No. Type Date Purchased Value Co-owner

These bonds are located at

Mutual Shares:

Company Shares Date Purchased Cost Value

If any shares are not solely owned by you, the co-owner(s) is

These shares are located at

If any of the above securities are pledged against loans, the name of the lender is

9 Life Insurance Policies

Policies on your own life:

Policy Number Company Principal Amount Cash Value Beneficiaries Loans against the policy are

Policy Number Company Principal Amount Cash Value Beneficiaries Loans against the policy are

Policy Number Company Principal Amount Cash Value Beneficiaries Loans against the policy are Have any settlement options been elected in regard to these policies?

Location of policies

Policies you own on the life of another:

Policy Number Company Principal Amount Cash Value Beneficiaries Loans against the policy are Location of policies and related documents

Policies owned by others on your life: Policy Number Company Principal Amount Cash Value Beneficiaries Loans against the policy are

10 Bank Accounts:

Checking Accounts:

Bank Account Number Co-Owner Average Balance

Savings Accounts: Bank Account Number Co-Owner Average Balance

Indicate which accounts are in trust for another

Certificates of Deposit:

Institution holding Amount Maturity Date Co-Owners Institution holding Amount Maturity Date Co-owners

Safety Deposit Boxes:

Box Location Box Number Key Location

Persons having access

Person who has the power to sign checks for me Bankbooks and bank records are located The bank and banker I prefer to work with is

11 Business and Professional Interests

Nature of Ownership

Do you have ownership in a business or profession? Is the business a proprietorship? A Partnership Corporation? If you do not have sole interest, what is the % of your ownership?

The other owners of the business or profession are:

Name Age Percentage of Ownership

Sale of the Business after Death Is your estate committed to sell the business after your death? Indicate the parties to this agreement

Date of agreement Sources of funds to carry out transaction

What is the value of business Your interest in it Location of relevant documents

Tangible Person Property

Do you maintain a list of your valuable possessions? If so, where is this list located?

Indicate the major items of value within each category: Automobiles

Home Furnishing(s)

Jewelry

Antiques and Art

Other Tangibles

12 Intangible Personal Properties

Are you the beneficiary of a trust? Description of the trust:

Do you own or possess a right to any other intangibles such as patents, copyrights, trademarks and royalties: Description of properties and their approximate values

Future or Contingent Assets

Nature of Expectancy Approximate Value

Location of relevant papers

Liabilities

I owe money or am financially obligated to Amount $ Location of note Due Date Collateral Terms of Payment

I owe money or am financially obligated to Amount $ Location of note Due Date Collateral Terms of Payment

I owe money or am financially obligated to Amount $ Location of note Due Date Collateral Terms of Payment

Are any liabilities secured?

13 CONCLUDING INFORMATION

Personal Advisors

Indicate the name, address and telephone number of your: Physician

Clergyman

Insurance Agent

Attorney

Trust Officer

Accountant

Investment Broker

Tax Consultant

Other

Church and Educational Background

My high school alma mater is The date of my graduation was My college alma mater is The date of my graduation was My graduate or professional school Date graduated Religious Affiliation Church attended

14 A hundred times a day I remind myself That my inner and outer life are based Upon the labors of other men; living And dead, and that I must exert myself In order to give the same measure As I have and still am receiving.

Albert Einstein Ideas and Opinions

We would be happy to assist you in planning your gift trust or bequest to our Boy Scout Council. Please feel free to call or write us at your convenience.

15 CENTRAL REGION BOY SCOUTS OF AMERICA

PERSONAL INFORMATION

Mr./Mrs./Miss/Ms./Dr.: Address: Married Divorced City: Single Widowed State/Zip:

Telephone:(H) Name of Spouse: (B) Birthdate (or approx. age): Birthdate or (approx. age): Children Approx. Age

Income Tax Bracket:%

Special Interests of Prospect Gift Information BSA Girl Scouts Prospect is considering a gift of: Religion College Cash Stocks/Bonds Other organizations: Real Estate Personal Property Other interests: Real Property Bequest Other Property (specify):

Special Concerns of Prospect Value/amount of proposed gift $ Increase income Cost basis of property (if known) $ Tax deduction Capital gains tax savings Does this property currently generate income for prospect? Closely held corporation Yes No Children If yes, how much? $ Other information or comments about this potential gift: Grandchildren

Condition/particular family member Other:

Mail to Russ McNamer - Central Region (Mark Personal & Private) 230 West Diehl Road, PO Box 3085, Naperville, IL 60566 A personalized proposal will be prepared to present to this prospect.

16 AN INTRODUCTION TO

PLANNED GIVING

18 AN INTRODUCTION TO PLANNED GIVING

Charitable support allows institutions and organizations, such as ours, to serve people from many walks of life with resources, services, facilities, and programs. Planned giving is, by definition, charitable support with a pre-established plan, which benefits the donor, the donor’s family, and helps our organization further our work.

BENEFITS OF PLANNED GIVING

 Personal satisfaction that comes from helping others.  Can generate more income that is spendable.  Can provide substantial tax savings.  Helps simplify estate planning.  Can be tailored to meet specific needs.

BEQUEST

Bequest through a Will is the most common way of making a planned gift. Bequests fall into three basic categories:

 Residuary Bequest  Specific Bequest  Contingent Bequest

LIFE INSURANCE

By using life insurance to make a charitable gift it is often times possible to make a gift larger than ever thought possible. For instance, it is possible to:

 Gift an existing policy that has outlived its original purpose.  Take out a new policy naming us as beneficiary or co-beneficiary.  Utilize a life insurance policy to replace another asset used to make a charitable gift.

CHARITABLE REMAINDER TRUSTS

Charitable remainder trusts make it possible for a donor to make a gift, receive a charitable contribution deduction and receive income for life. These trusts fall into two basic categories:

 Charitable Remainder Annuity Trust  Charitable Remainder Unitrust

LIFE ESTATE

A life estate is a gift of a farm or residence that allows the donor to continue to live on and use the property until the time of death, when the property transfers to charity. The donor receives an income tax deduction at the time the gift is made, and continues to be responsible for taxes, insurance, and maintenance. 18 CHARITABLE GIFT ANNUITY

Charitable gift annuities are among the oldest and most simplified ways to making a gift to a charitable organization. Charitable gift annuities have several advantages:

 Guaranteed income for life for one or more person.  Can provide a generous rate of return.  Actually increase current spendable income.  Help reduce estate taxes.  Provide an immediate charitable contribution deduction for federal and state income tax purposes.

CHARITABLE LEAD TRUST

Charitable lead trusts provide the donor a way of making a charitable contribution and at the same time pass property on to family members at the lowest possible gift tax rate.

In creating a charitable lead trust the donor:

 Creates the trust and names the trustee.  Decides the length of the trust.  Names the individual(s) who will receive the proceeds from the trust upon its termination.  Has the satisfaction of knowing that he/she is helping us further our work.

If you are concerned about erosion of your estate through estate and gift taxes, a charitable lead trust may be worthy of consideration.

POOLED INCOME FUND

The pooled income fund is a program established by Congress for the purpose of providing support to charitable organizations and institutions. Contributions made to the pooled income fund are pooled and invested with those of other donors in a common fund.

The pooled income fund provides the donor:

 Income for life.  Potential increase in current spendable income.  Reduction or elimination of gift and estate taxes.  Avoidance of capital gains tax.

SUMMARY

Planned giving can enable you to strengthen your overall financial position. Finding the right planned gift alternative depends on your goals and objectives. Most plans can be tailored to meet your individual goals and needs of your family.

19 WORKSHEET

The questions listed below have been designed as a first step to help you identify your needs and define your estate planning objectives.

No Yes

1. Do you have a Will? 2. If you have a Will, have you updated it in the past 6 years? 3. Do you feel you have a comprehensive estate plan? 4. Would you like to increase your current spendable income? 5. Would you like to add to your retirement income with a guaranteed income for life? 6. Do you have a spouse and/or dependents that you will want to provide for in the future? 7. Do you currently own low-yielding stocks or other securities? 8. Are you (and your spouse) covered with life insurance protection? 9. Do you have a paid up policy that has outlived its original purposes? 10 Do you have substantial assets (e.g. family business) that you would like to pass on to family, children or grandchildren? 11 Are you concerned about gift and estate taxes eroding your estate? 12 Would you like to relieve your surviving spouse from the management of assets? 13 Would you want the flexibility of making additions to a trust plan at a later date? 14 Do you have an attorney or other professional advisors?

The answers that you have marked will give you an initial start with which to build a comprehensive estate plan. You may want to explore a specific planned gift alternative to determine whether or not it is compatible with your individual objectives. Our office is available to help you in this process.

Be assured that all inquiries are held in strictest confidence and are without obligation.

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