Going Forward - Estate Planning for Your Family -

Three Documents We All Need

Dear Friend:

We all need to have a Durable Power of Attorney, an Advance Health Care Directive (Durable Power for Health) and a Will. If you are a single person that means there are three documents you need. If you are married, that means there are six documents you and your spouse need. Trusts are useful if there are minor children or real estate as a part of your estate and you want to help those left behind avoid probate. BUT, EVERYONE, even if they have not decided to get a trust just yet, needs those first three documents to be signed, dated, notarized or witnessed (by two independent [not named beneficiaries or executors] people in the case of a Will).

1. Durable Power of Attorney (General):

This is a separate document for each spouse so that in the event of the incapacity of one spouse, the other spouse (or, if not married, another named individual) can have authority to deal with property that for some reason may not be owned by the trust.

2. Advance Directive for Health Care & Durable Power of Attorney:

This is a separate document for each spouse so that in the event of the incapacity of one spouse, the other spouse (or, if not married, another named individual) or other alternate agents can have authority to make health care decisions including that "pull the plug" decision where someone is being kept alive only by artificial means.

3. Will:

This is a separate document for each spouse (just one document if you are not married) which revokes any previous will you might have made, names guardians for your minor children (if you have any), and makes your entire estate plan cohesive. You may simply indicate that you are leaving your property to your children or to others.

We want to make this easy for you to get your three documents done. Give me the information on this form. If you receive this form by email you can email it back to us. With this information we can prepare a letter of recommendation for you to take to an attorney to complete your documents.

Sincerely,
Stephen M. Drury

President

PAGE 1

Common Considerations
FOR CHARITABLE CONTRIBURTIONS

UNITED PENTECOSTAL CHURCH INTERNATIONAL

Divisions & Departments:

· Church Division

· Division of Education

· Foreign Missions Division

· Home Missions Division

· Ladies Ministries

· Media Missions

· Pentecostal Publishing House

· Stewardship Department

· Sunday School Division

· United Pentecostal Foundation

· Word Aflame

· World Network of Prayer

· Youth Division

Endorsed Ministries:

· Apostolic Bible Institute

· Centro Teologico Ministerial

· Christian Life College

· Gateway College of Evangelism

· Great Lakes University

· Indiana Bible College

· Lighthouse Ranch For Boys

· New Beginnings International Children & Family Services

· Northeast Christian College

· Pentecostal Minister Training Network

· Spirit of Freedom Ministries

· Texas Bible College

· Tupelo Children’s Mansion Ministries

· Urshan Graduate School of Theology

PAGE 2

(314) 837-7300 UNITED PENTECOSTAL FOUNDATION fax (314) 336-1830
8855 Dunn Road, Hazelwood, MO 63042
Email smdrury@upci.org

CONFIDENTIAL ESTATE PLANNING INFORMATION FORM FOR PREPARATION OF WILL OR LIVING TRUST, DURABLE POWER OF ATTAORNEY & ADVANCE HEALTH CARE DIRECTIVE

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* Married Couple

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* Have child or children

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* Blended Family

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* Single Person

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* No Children

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* Formerly Married

1. PERSONAL INFORMATION

* Last Name:

* Email Address:

* Street Address:

* City:

* County:

* State:

* Zip Code:

* If single then show how your name should be in documents:

* Date of Birth:

* If married, then show husband's full name as it is to be listed:

* Date of Birth:

* If married, then show wife's full name as it is to be listed:

* Date of Birth:

* Home #

* Cell#

* Business Tel. #

* Fax #

2. FAMILY INFORMATION

	Current name of each child:	Date of birth:	Child of "H" husband; "W" wife; "B" both
*
*
*
*
*
*
*

3. NOMINATION OF EXECUTOR FOR YOUR WILL

Note: Unless you give other instuctions, if you are married, your surviving spouse will be your first Executor in your will. The follwing nominations are for when the spouse are either deceased or incapacitated.

* FIRST CHOICE

We are married and we both choose our spouse as first Executor

* ALTERANTE CHOICES

SINGLE PERSON'S NOMINATIONS FOR EXECUTOR OF WILL

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

HUSBAND'S ALTERNATE NOMINATIONS FOR EXECUTOR IN WILL

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

WIFE'S ALTERNATE NOMINATIONS FOR EXECUTOR IN WILL

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

4. NOMINATIONS OF GUARDIAN FOR MINOR CHILDREN

Note: The Guardian of the Person is the individual who will have physical possession of and who will raise your minor child. The Guardian of the estate will be the person who will take care of the property of your child if your child is a minor. If you are divorced, of course, an actual surviving parent of your minor child has priority over any nomination you make for Guardian of the Person. You may nominate another for Guardian fo the Estate.

	NAME	CITY/STATE	RELATIONSHIP TO CHILD
FIRST NOMINEE/GUARDIAN OF PERSON
ALTERNATE GUARDIAN OF PERSON
FIRST NOMINEE/GUARDIAN OF ESTATE
ALTERNATE GUARDIAN OF ESTATE

* OTHER INSTRUCTIONS:

5. NOMINATION OF TRUSTEE TO TAKE CARE OF FUNDS FOR MINOR

Note: If you die, and a minor is a beneficiary of your will, then after a probate is finished, the funds will not be turned over to the minor beneficiary. The law does not allow a minor to receive these funds. Instead a separate petition must be filed in court and someone will be appointed (usually your nominate Guardian) as the Guardian of the Estate for a minor person to provide healthcare, education, welfare and benefits.

Sometimes to avoid conlfilct of interest, it is best to choose a trustee other than Guardian of the minor. Which could be a trust department at a bank. When the minor beneficiary reaches age 18, the funds and all accumulated interest will then be turned over to the beneficiary. In most instances, this is not a good idea. If, instead of having a guardian of an estate (with significant court involvement) you would like funds to be held by a Trustee until the beneficiary reaches some later age (usually 25) then you need to nominate a Trustee.

	NAME	CITY/STAE	RELATIONSHIP TO YOU
FIRST TRUSTEE/BANK
ALTERNATE TRUSTEE/BANK

Final Distribution Options:

* Age For Distribution:

21

25

1/3's at 25,28 & 30

1/3's at 25,30 & 35

* Special Instructions:

6. NOMINATION OF AGENT IN DURABLE POWER OF ATTORNEY

Note: Unless you give other instructions, if you are married, your spouse will be your first agent in your Durable Power of Attorney. The following nominations are for when both spouses are either deceased or incapacitated. This choice many time is the same person you have picked in #3 above to be the Trustee.

* FIRST CHOICE

We are married and we both choose our spouse as first Agent.

* ALTERNATE CHOICES

For Alternates: Use Same Nominations as are set forth in #3 above

SINGLE PERSON'S NOMINATIONS FOR AGENT (ATTORNEY-IN-FACT)

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

HUSBAND'S ALTERNATE NOMINATIONS FOR AGENT (ATTORNEY-IN-FACT)

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

WIFE'S ALTERNATE NOMINATIONS FOR AGENT (ATTORNEY-IN-FACT)

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

7. NOMINATION OF AGENT IN ADVANCE HEALTH CARE DIRECTIVE

Note: This is the form where you indicate that you do not wich to be kept alive artificially if the only result will be an artificial delay in the moment of your death under certain circumstances. Unless you give other instructions, if you are married, your surviving spouse will be your first agent to make health care decisions. If married, the following nominations are for when the spouse is deceased or incapacitated. If single,you may choose your agents.

* FIRST CHOICE

We are married and we both choose our spouse as first agent to make health care decisions.

* ALTERNATE CHOICES

For Alternates: Use Same Nominations as are set forth in #3 above

SINGLE PERSON'S NOMINATIONS FOR AGENT IN ADVANCE HEALTH CARE DIRECTIVE

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

HUSBAND'S ALTERNATE NOMINATIONS FOR AGENT IN ADVANCE HEALTH CARE DIRECTIVE

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

WIFE'S ALTERNATE NOMINATIONS FOR AGENT IN ADVANCE HEALTH CARE DIRECTIVE

	NAME	CITY/STATE	RELATIONSHIP TO YOU
FIRST NOMINEE
SECOND NOMINEE

8. SPECIFIC DISTRIBUTIONS TO INDIVIDUALS OR MINISTRIES

Note: Ususally people have certain things or certian dollar amounts of the estate that they wich to leave to special people or organizations. You may set forth these special distributions and then the bulk of the estate will be distributed as set forth in Section 9 below. Unless other wise stated, and if you are married, these gifts will be made only at the death of the Surviving Spouse.

SPECIFIC GIFTS OF SPECIFIC ITEMS (GIFT IN KIND) TO INDIVIDUALS OR MINISTRIES
*Items such as coins, baseball cards, collections, antiques, heirlooms, tools, etc...*

	Name of Individual/Ministry	Relationship to you	Description of Item	If the benediciary dies before you do where does gift go?
*
*
*

SPECIFIC GIFTS OF DOLLAR AMOUNTS TO INDIVIDUALS OR MINISTRIES

	Name of Individual/Ministry	Relationship to you	Dollar amount	If the benediciary dies before you do where does gift go?
*
*
*

SPECIFIC CONTRIBUTIONS TO CHARITABLE ORGANIZATIONS OR MINISTRIES
NOTE: COMMON CONSIDERATIONS FOR MINISTRIES LISTED ON PAGE 2.

	Name of Organization/Ministry	Address	Dollar amount of Estate	Any specific designated use?
*
*
*

9.GIFTS OF PERCENTAGES

Note: After any special distributions above then the remainder will be distributed to your indicated reaminder beneficiaries. Unless otherwise stated, and if you are married these gifts will be made only at the death of the Surviving Spouse.

*

A. (Simple Will) IF YOU HAVE CHILDREN AND ALL ARE ADULTS, MATURE ENOUGH TO HANDLE THEIR SHARE

I Leave the remainder of my estate in equal shares to my children. (Simple Will)

I leave the remainder of my estate not in equal chares to my children but in the follwing percentages and to the follwoing beneficaries/ministries:

Note: Common Considerations for ministries listed on page 2

	Percentage	Name of Benediciary	And if that Beneficiary predeceases then the share shall be distributed as follows:
*
*
*
*
*
*
*
*

* Other insturctions or concerns:

* B. (Complex Will) IF YOU HAVE CHILDREN BUT SOME OR ALL ARE NOT MATURE ENOUGH TO HANDLE THEIR SHARE Note: During any period of time when a trustee is taking care of the property which is beign held for a beneficiary, the Trustee may make distributions for health, educatin (Trustee makes distribution for college expenses), maintenance, and support as determined in the sole and absolute discretion of the trustee. Trustee then can take care of wedding expensed, assisting with down-payment on a home, obtaining reasonable transportiaion, then can take care fo wedding expenses, assisitng with a down-payment on a home, obtaining reasonable transportation, etc .

I leave the remainder of my estate in equal shares to my children but a child shall receive principal as follows: 1/3 of reminder at earlier date of when the youngest child either graduates from college or reaches the age of 25, then 1/2 of remainder when child reaches age 27; then all of remainder when child reaches the age of 30.

I want to design my own distribution scheme as follows:

*

I leave the remainder of my estate not in equal shares to my children but in the following percentages and to the following beneficiaries:

	Percentage	Name of Beneficiary	And if that Beneficiary predeceases then the share shall be distributed as follows:
*
*
*
*
*
*

* Other instruction or concerns:

C. IF YOU DO NOT HAVE SURVIVING CHILDREN OR IF ALL CHILDREN AND GRANDCHILDREN PREDECEASE YOU WHAT IS YOUR ALTERNATE DISTRIBUTION INSTRUCTIONS.

	Name of Individual	Relationship to YOu	Dollar amount or Percentage of Remainder of Estate	If the beneficiary dies before you do and any other instrucitons...
*
*
*
*
*

10. INVENTORY OF PROPERTY INCLUDED IN YOUR ESTATE

When you are making a listing of your property, it is important that you clearly convey to your planners how your property is held. The five basic types of property ownership are:

1) Individual ownership
2) Tenants in common
3) Joint tenants with rights of survivorship
4) Tenants by the entirety
5) Community property

The success or failure of tax planning and the final distribuion of your estate are often dependent upon the coordination of property ownership with legal instruments in effect.

	REAL ESTATE - List each parcel by address	Owned Jointly, Husband or Wife?	Fair Market Value (approx)	Equity (approx)
*
*
*
*

	LIFE INSURANCE - List each policy by name of compay	Payable on life of Husband or Wife?	Any loans against? If Yes how much?	Face amount to be paid (approx)
*
*
*
*
*
*

	RETIREMENT PLANS - List each by name of administrator	Husband's or Wife's	401K, Keogh, IRA, TSA?	Total current value (approx)
*
*
*
*
*

*

	INVESTMENT ACCOUNTS - List each by Broker	Husband's or Wife's	Type of Account	Total current value (approx)
*
*
*
*
*

	OTHER BANK ACCOUNTS - List each by bank	Husband's or Wife's	Type of Account	Total current value (approx)
*
*
*
*
*

	OTHER MAJOR ASSETS - VALUE GREATER THAN $10,000.00	Husband's or Wife's	Type of Asset	Total curernt value (approx)
*
*
*
*

* TOTAL ASSETT VALUE (APPROX)

11. LIABILITES

	Owed on What Property?	Amount
Current Bills
Bank Loans
Notes Payable
Other
Other
Other

* Total Amount Owed

12. FUTURE INHERITANCES

	From Whom?	Age:	Amount
Husband:
Wife:

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