Love Letter To My Family

From: ______________________________
(effective: ____________________)

Dear Loved Ones:
In an attempt to simplify matter 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:
Name:____________________Name:____________________
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):
TypeOwnerBeneficiaryFace AmountExisting LoansCash Value
__________________________________________$__________$__________$__________
__________________________________________$__________$__________$__________
__________________________________________$__________$__________$__________
__________________________________________$__________$__________$__________
Any of the policies can be found at: ________________________________________.
I have the following disability insurance policies:
CompanyPolicy Located at:
____________________________________________________________
____________________________________________________________
____________________________________________________________
I have the following long-term care policies:
CompanyPolicy Located at:
____________________________________________________________
____________________________________________________________
____________________________________________________________
I have the following health insurance policies:
CompanyPolicy Located at:
____________________________________________________________
____________________________________________________________
____________________________________________________________
I have the following other policies:
TypeCompanyPolicy 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):

Documents:
I have executed each of the following documents and you can find them where noted:
DocumentDate SignedLocation
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 safty 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: ___________________________________.
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 intendedto 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:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________