LOVE LETTER TO MY FAMILY
FROM: ______________________________________
(effective: _____________________)
Dear Loved Ones:
In an attempt to simplify matters for you, I have written this letter to provide you with information that will be necessary for you when the time arises:
ADVISORS:
Some of the people you will need to contact are listed below:
Attorney: Insurance Advisor:
Name: ________________________ Name: ________________________
Address: ________________________ Address: _________________________
Phone: ________________________ Phone: _________________________
Fax: ________________________ Fax: _________________________
Accountant: Financial Planner:
Name: ________________________ Name: _________________________
Address: ________________________ Address: _________________________
Phone: ________________________ Phone: _________________________
Fax: ________________________ Fax: _________________________
Stockbroker: Stockbroker:
Name: ________________________ Name: _________________________
Address: ________________________ Address: _________________________
Phone: ________________________ Phone: _________________________
Fax: ________________________ Fax: _________________________
Pension Benefits: Mortgage Holder:
Name: ________________________ Name: _________________________
Address: ________________________ Address: _________________________
Phone: ________________________ Phone: _________________________
Fax: ________________________ Fax: _________________________
Employer: Other:
Name: ________________________ Name: _________________________
Address: ________________________ Address: _________________________
Phone: ________________________ Phone: _________________________
Fax: ________________________ Fax: _________________________
Other: Other:
Name: ________________________ Name: _________________________
Address: ________________________ Address: _________________________
Phone: ________________________ Phone: _________________________
Fax: ________________________ Fax: _________________________
ASSETS:
Here is a list of all my stocks, bonds and other investments, including property. I have listed a contact person and telephone number for each item, as well as the location of any documents. I have ____ have not ____ attached a financial statement.
Investment: Investment:
Contact: _________________________ Contact: _________________________
Phone: _________________________ Phone: _________________________
Documents are located:
________________________________ Documents are located:
________________________________
Investment: Investment:
Contact: _________________________ Contact _________________________
Phone: _________________________ Phone: _________________________
Documents are located:
________________________________ Documents are located:
________________________________
Investment: Investment:
Contact: _________________________ Contact _________________________
Phone: _________________________ Phone: _________________________
Documents are located:
________________________________ Documents are located:
________________________________
Investment: Investment:
Contact: _________________________ Contact: _________________________
Phone: _________________________ Phone: _________________________
Documents are located:
________________________________ Documents are located:
________________________________
Money is owed to us by: Money is owed to us by:
Contact: _________________________ Contact: _________________________
Address: _________________________ Address: _________________________
Phone: _________________________ Phone: _________________________
Amount: _________________________ Amount: _________________________
Money is owed to us by: Money is owed to us by:
Name: _________________________ Name: _________________________
Address: _________________________ Address: _________________________
Phone: _________________________ Phone: _________________________
Amount: _________________________ Amount: _________________________
Deposits:
I have____ have not ____ made any substantial deposits on certain accounts. If applicable, the accounts are:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Liabilities:
Here is a list of our liabilities, including a contact name and phone number of each, as well as the location of any related documents.
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________ Documents are located:
_____________________________
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________ Documents are located:
_____________________________
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________ Documents are located:
_____________________________
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________ Documents are located:
_____________________________
I am also a guarantor of the following debt:
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________ Documents are located:
_____________________________
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________ Documents are located:
_____________________________
Liability: ___________________________ Liability: ___________________________
Contact: ___________________________ Contact: ___________________________
Phone: ___________________________ Phone: ___________________________
Documents are located:
_____________________________________ Documents are located:
_____________________________
Insurance Coverage:
I have the following life insurance policies (including company owned):
Type Owner Beneficiary Face
Amount Existing Loans Cash Value
____ ________________ ________________ $__________ $__________ $__________
____ ________________ ________________ $__________ $__________ $__________
____ ________________ ________________ $__________ $__________ $__________
____ ________________ ________________ $__________ $__________ $__________
Any of the policies can be found at _______________________________________________.
I have the following disability insurance policies:
Company Policy Located at:
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
I have the following long-term care policies:
Company Policy Located at:
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
I have the following health insurance policies:
Company Policy Located at:
____________________________ ____________________________
____________________________ ____________________________
____________________________ ____________________________
I have the following other policies:
Type Company Policy Located at:
Auto _________________ ________________________________
Umbrella _________________ ________________________________
Home _________________ ________________________________
_________ _________________ ________________________________
_________ _________________ ________________________________
_________ _________________ ________________________________
_________ _________________ ________________________________
If I become disabled, please make sure to pay the premiums on the policies, which will provide me or my family benefits.
If I am disabled, my life insurance policy allows ___ does not allow ___ for pre-payment of death benefits to support me.
If I am disabled, my life insurance policy allows ___ does not allow ___ you to stop making premium payments.
If I am disabled, my disability insurance policy allows ___ does not allow ___ you to stop making premium payments.
Employment:
I have the following disability and/or death benefits where I work (briefly describe):
• Retirement Plans:________________________________________________________
• Life Insurance:__________________________________________________________
• Health Insurance:________________________________________________________
• Long Term Care Insurance:________________________________________________
• Disability Insurance:______________________________________________________
• Deferred Compensations:__________________________________________________
• Stock Ownership:_______________________________________________________
• Stock Options:_________________________________________________________
• Cafeteria Plan:__________________________________________________________
• Other:________________________________________________________________
Documents:
I have executed each of the following documents and you can find them where noted:
Document Date Signed Location
Will __________ _____________________________
Living Will __________ _____________________________
Medical Power of Attorney __________ _____________________________
Medical Directive __________ _____________________________
General Power of Attorney __________ _____________________________
Living Trust __________ _____________________________
Insurance Trust __________ _____________________________
Charitable Trust __________ _____________________________
Minor’s Trust __________ _____________________________
Custodial Account __________ _____________________________
Organ Donation __________ _____________________________
Pre-Nuptial Agreement __________ _____________________________
Post-Nuptial Agreement __________ _____________________________
Divorce Decree __________ _____________________________
Citizenship Papers __________ _____________________________
Burial Agreement __________ _____________________________
Retirement Plan Beneficiary Designation __________ _____________________________
Insurance Beneficiary Designation __________ _____________________________
I have appointed (in the above documents) the following persons to act in my behalf if I become disabled:
Power of Attorney over my Assets: 1st:_______________ 2nd:_________________
Power of Attorney – Medical: 1st:_______________ 2nd:_________________
Guardian over my Property: 1st:_______________ 2nd:_________________
Guardian over my Person: 1st:_______________ 2nd:_________________
It is my desire that the persons having the above powers act on my behalf rather than a guardian being appointed, unless my family believes guardianship is necessary.
In the event of my incapacity, I do ___ do not ___ want to be kept home as long as possible, taking into account the cost.
I have___ do not have___ a divorce decree which may require that certain payments be made after I am disabled or after my death.
General Information:
I do___ do not ___ have a safety deposit box. It can be found at ___________________ and the key can be found ___________________________________.
I do___ do not___ have a personal safe. The combination is ___________________
The safe can be found:________________________________________________.
I have ___ have not ___ attached a list of the persons I want to receive my personal property when I die.
I may receive an inheritance from:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Upon my death, my heirs will ___ will not ___ receive a distribution or benefits from a trust. If yes, the trust instrument was created by:_____________________________________________________.
The Trust instrument can be found:____________________________________.
I am ___ am not ___ currently the Trustee for a trust. If I am a Trustee, the trust document is located at:
___________________________________________________________
I am ___ am not ___ a beneficiary of a trust. If I am a beneficiary, the trust document is located at:
____________________________________________________________
My social security number is: _______________________________
My driver’s license number is:_______________________________
My passport number is:___________________________________
I am ___ am not ___ entitled to military benefits. List the benefits:
_____________________________________________________
_____________________________________________________
_____________________________________________________
I am ___ am not ___ entitled to other benefits. List the benefits:
_____________________________________________________
_____________________________________________________
_____________________________________________________
In the Event of My Death:
I have the following wishes:
Funeral Home:_________________________________________
Cemetery:_____________________________________________
Plot/Drawer#:__________________________________________
I have___ have not___ prepaid my burial cost _________, for my burial plot _______, for my casket _______. Information can be found at:______________________________________________________
I do ___ do not ____ want to be cremated. Crematory:_________________
Minister/Rabbi to perform service: ________________________________
Pallbearers:
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
Special Requests:
Obituary Reading:____________________________________________
Tombstone Engraving:_________________________________________
Organs for Donation:__________________________________________
In lieu of flowers, please ask for donations to:
_______________________________________________________________
Other special requests:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
I have signed this family love letter this ______day of _________________________, __________(yr). This document is not intended to replace my will or other estate planning documents signed by me. However, it is my express desire that each family member, Executor, Trustee and Guardian will use this love letter and the other documents signed by me in making any discretionary decisions for me and my family.
_________________________________________________(sign)
_________________________________________________(print)
Copies of this document were delivered to:
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
_____________________________ _____________________________
