<p> Document Fact Finder Estate Planning (also for all Testamentary, Special Disability and All Needs Protective Trusts and Life Interests)</p><p>This document fact finder (for use by Moores clients and their advisors) is designed to help ensure that as much as possible of the necessary background information to review needs, provide instructions and prepare estate planning documentation can be ascertained at the initial estate planning meeting. For background reading, see under Wealth Management at www.moores.com.au/expertise Please complete if a particular person at Moores needs to receive this document fact finder (otherwise leave blank) Attention:</p><p>S Surname(s) L I Given Names A T</p><p>E Residential </p><p>D Address</p><p>L Postal Address A (if different) N</p><p>O Contact Nos (Business) (Home) S</p><p>R (Fax) (Mobile) E P Email address</p><p>Documents to be sent to As above Advisor (see below) Other (please advise)</p><p>Document storage Moores to hold Own arrangements To be discussed</p><p>Referring advisor (if not set out above) Personal Circumstances</p><p>Status of domestic relationship  Married  Partnered  Marriage Contemplated  Single</p><p> Widowed  Separated  Separation contemplated  Divorced  Divorce contemplated</p><p>Name of spouse or partner (if estate planning is being done separately): ______</p><p>Names, Ages & Addresses of Children/Intended Beneficiaries</p><p>Possibility of children/more children Control age______years (for younger beneficiaries)</p><p>Details of stepchildren (if any): ______</p><p>Details of any other financial dependants (if any): ______</p><p>Moores 9 Prospect Street, Box Hill 3128 City appointments: 1/488 Bourke Street Melbourne Tel: (03) 9898 0000 Fax: (03) 9898 0333 www.moores.com.au - 1 - Document Fact Finder</p><p>Proposed exclusion of, or reduced benefit for, a spouse, partner or child from benefit from the Will, superannuation fund or family trust  No  Yes – reason: ______</p><p>Specific Objectives and Concerns re Intended Beneficiaries (to be discussed at initial meeting)</p><p>Risk of relationship breakdown Risk of challenge to Wills and superannuation benefits</p><p>Education of children/grandchildren Risk of bankruptcy Financial susceptibility</p><p>Benevolent giving – on death Benevolent giving – during lifetime</p><p>Vulnerability or Disability of an Intended Beneficiary (if any – to be discussed at initial meeting)</p><p>Intellectual disability Acquired illness or injury Other ______</p><p>Does the intended beneficiary have, or is likely to have, dependants? Yes No</p><p>Likelihood of assessment as having a severe disability for Govt means testing purposes? High Low</p><p>Guardians of Young Children (if applicable)</p><p>Full Names, Addresses & Relationship (if any)</p><p>Initial Guardians Reserve Guardian</p><p>Documents and Information to be brought to Initial Meeting (if applicable)</p><p>Summary of ownership of key assets (see next page) and CGT register (if any)</p><p>Financial estate plans (if any – including details of particular objectives to be achieved)</p><p>Self managed super fund and family trust Deeds</p><p>Copies of any superannuation death benefit nominations – binding or non-binding</p><p>Most recent statements of financial position for trusts/companies (including loan accounts) & SMSFs</p><p>Life and other insurance policy statements Details of existing or anticipated personal executorships</p><p>Existing Will(s), power(s) of attorney and any binding or non-binding relationship agreements</p><p>Details of any sureties/personal guarantees Shareholder/other and intra business agreements</p><p>Pricing: Following an initial meeting to identify estate planning objectives and options, Moores will provide one or more costed options in relation to the completion of estate planning documentation and the preparation of any strategic advice. (Choices and options for executors, as well as financial and other attorneys will also be discussed at the initial meeting.) Payment terms will be 21 days from the date of Moores’ invoice, with interest payable in the event of late payment.</p><p>- 2 - Document Fact Finder</p><p>Ownership of Investment Assets (attach a diagram or flow chart for “tiered’ structures)</p><p>Significant “Non-Super” Assets Owner, eg joint, Estimated Associated Pre/Post eg family home, shares portfolio, business family trust Value Debt 1985 (CGT)</p><p>Name(s) of Superannuation Fund(s) Member Membership Phase, ie benefit Current If an SMSF, show all member (pension) or investment Bal balances (growth) an ce</p><p>Life Insurance Type of cover, eg Nominated Beneficiary Level of Insured Insurance Co death, TPD, trauma eg super fund, self owned Cover</p><p>Any asset transfers that need (or may need) to be anticipated/taken into account (if any) eg anticipated non-concessional contributions to superannuation; lifetime gifts; future inheritances; transfers to SMSFs of business proceeds or commercial premises; transfers to a private ancillary fund/other charitable trust</p><p>Ownership of Business Assets (if any – attach a diagram or flow chart for tiered structures, as well as copies of all intra business agreements, eg shareholder and funded “buy-sell” agreements)</p><p>Business Owner, eg trustee Estimated Associated Pre/Post of family trust Value Debt CGT</p><p>Statement of Advice: This document is for Moores’ information gathering purposes only and should not be regarded as being comprehensive nor be relied on as (or in substitution for) legal, personal financial or other professional advice. See under Wealth Management at www.moores.com.au/expertise for the latest version of this and other Moores document fact finders.</p><p>© Moores Legal Pty Ltd ACN 005 412 868</p><p>- 3 - Document Fact Finder</p><p>July 2013</p><p>- 4 -</p>