Financial Security Information

IMPORTANT RECORDS FOR:

(Enter Your Name Here…)

(Enter Date Here)

Prepared by:
Corbin Lindsey
Financial Services Professional

LINDSEY FINANCIAL SERVICES

2712 179th PL NE
Marysville, WA 98271
Phone: (425) 280-9169
corbin@lindseyadvisors.com
www.lindseyadvisors.com

Personal Financial Inventory 1 of 17

DISCLAIMER
Corbin Lindsey and Lindsey Financial Services
Does NOT provide legal or tax advice.

Circular 230 Disclaimer:

To ensure compliance with requirements imposed by the IRS, we inform you that
any U.S. federal tax advice contained in this communication (including any
attachments) is not intended or written to be used, and cannot be used, for the
purpose of (i) avoiding penalties under the Internal Revenue Code or (ii)
promoting, marketing or recommending to another party any transaction or
matter addressed herein.

The information contained in this document is for educational purposes only, it is

not intended to be professional tax or legal advice; consult a tax advisor about
your specific situation. Please consult your personal financial advisor if you have
any questions about this information and how it relates to your own personal
financial situation.

ADDITIONAL DISCLOSURE:
At certain places on this document it may state 'links' to Internet addresses which can
be accessed. Such external Internet addresses contain information created,
published, maintained, or otherwise posted by institutions or organizations
independent of Lindsey Financial Services. We do not endorse, approve, certify, or
control these external Internet addresses and does not guarantee or assume
responsibility for the accuracy, completeness, efficacy, timeliness, or correct
sequencing of information located at such addresses. Use of any information
obtained from such addresses is voluntary, and reliance on it should only be
undertaken after an independent review of its accuracy, completeness, efficacy, and
timeliness. Reference therein to any specific commercial product, process, or service
by trade name, trademark, service mark, manufacturer, or otherwise does not
constitute or imply endorsement, recommendation, or favoring by Lindsey Financial
Services.

Personal Financial Inventory 2 of 17

IMPORTANT NOTE:
Does your wife or husband, son or daughter, brother or sister, mother or father, executor or lawyer
know where all of your persoal papers are kept?

Maintaining a complete, up-to-date information file on the contents and location of your personal
papers can be highly useful to you. It will be invaluable to others.

Update this record periodically and whenever significant changes occur in your personal situation.

INSTRUCTIONS
1. Enter your information in the provided forms and print out.
2. Put a copy in your safe, safe deposit box and / or give a copy to the person you expect to
handle your personal matters in a crisis.
3. Schedule a financial review with each of your Financial Companies on a yearly basis or every
other year basis to make sure they are up to date.

Information for my Heirs and Executor:

Personal Details
Name: DOB: SSN#:
Name: DOB: SSN#:
Name: DOB: SSN#:
Name: DOB: SSN#:
Name: DOB: SSN#:
DOB = Date of Birth SSN = Social Security #
Current Living Information
Address
City
Zip Code

Home Phone
Cell Phone
Email
Website
WORK INFORMATION
HUSBAND
Company Name
Address
Phone
Contact

WIFE
Company Name
Address
Phone
Contact

Important Documents
Personal Financial Inventory 3 of 17
 LOCATION
• Birth Certificates
• Marriage License
• Insurance Policies
• Health Policies
• Auto Insurance
• Safety Deposit Box
• Cemetery Papers
• Other???

WILLS
Location
Date of Will
Executor’s Name
Address / Phone
Guardian’s Name
Address / Phone

Contacts: BUSINESS
Advisors & Other Professionals
INSURANCE AGENT
Contact Corbin Lindsey Work # 425-280-9169
Company Lindsey Financial Advisors Other Phone SAME
Address 2712 179th PL NE City, State / Zip Marysville, WA 98271
Email corbin@lindseyadvisors.com Website www.lindseyadvisors.com
Documents in professionals possession: Financial Needs Assessment and other documents.
Actions to be taken on survivors behalf: Help facilitate with life investment & insurance proceeds

ATTORNEY
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

DOCTOR
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

Personal Financial Inventory 4 of 17

ACCOUNTANT
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

BANKER
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

INVESTNMENT BROKER
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

PROPERTY & CASUALITY

Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

MEDICAL INSURANCE
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

OTHER
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

OTHER
Contact Work #
Company Other Phone
Address City, State / Zip
Documents in professionals possession:
Actions to be taken on survivors behalf:

Personal Financial Inventory 5 of 17

Checklist: Things to have done…
TO DO DATE
EXECUTOR DUTIES
DONE
Notify children, family, close friends
Notify State University Medical School about body
Notify accountant, get guidance
Clip stock market report from paper on day of death
Notify attorney / Insurance Agent / Others…
Notify my business associates
Finalize funeral arrangements
Complete and send obituary report to newspaper(s)
Obtain 10-20 copies of death certificate and letters of testamentary
Notify banks
Call Social Security Administration
Write Veterans Administration or Civil Service Administration
regarding pension and monument
Pay debts/cancel credit card accounts and others
Notify alumni association, clubs, and associations

POLICY RECORDS
Life Insurance Policies
Insured/ Company and Policy Issue Type of Face Cash Premium
Owner Phone # Number Age Insurance Amount Value & mode

Disability Income Policies

Mo. Max
Insured/ Company and Policy Eliminatio Premium
Benefi Benefit
Owner Phone # Number n Period Riders & mode
t Period

Personal Financial Inventory 6 of 17

Health Insurance Policies
Insured/ Company and Policy Effectiv Type of Max Premium
Deductible
Owner Phone # Number e Date Coverage Benefit & mode

Property and Causality (Auto) Policies

Insured/ Company and Policy Effective Coverage Premium &
Details
Owner Phone # Number Date Amount mode

INVESTMENTS
Qualified Plan
Plan Investment Contributions
Owner
Type* Type** Owner Value Shares Yield & Frequency

* IRA, 401(k), TSA, Pension Keogh, SEP, SIMPLE ETC

Non-Qualified Plan
Plan Investment Contributions
Owner
Type* Type** Owner Value Shares Yield & Frequency

** Stocks, Bonds, Mutual Funds, Annuities, etc.

Personal Financial Inventory 7 of 17

Other Investments
Policy Type of
Owner Company and Balance Details Premium
Number Investments
Phone # & mode

Auto / School / Credit Cards / Other Loans

Company Phone # Type of Loan Card # Balance

Veteran’s Records
Veteran’s
Branch of Service Dates Served Service #
Claim Phone #

Other Policies
Type
Policy
Owner Company and of Details Premium
Number
Phone # Policy & mode

Personal Financial Inventory 8 of 17

 BANK INFORMATION
BANK #1
Bank: Banker:
Address: Phone:
Account Name: Account #
Type of Acct: Card #

Actions to be taken on Survivor’s Behalf:

BANK #2
Bank: Banker:
Address: Phone:
Account Name: Account #
Type of Acct: Card #

Actions to be taken on Survivor’s Behalf:

BANK #3
Bank: Banker:
Address: Phone:
Account Name: Account #
Type of Acct: Card #

Actions to be taken on Survivor’s Behalf:

BANK #4
Bank: Banker:
Address: Phone:
Account Name: Account #
Type of Acct: Card #

Actions to be taken on Survivor’s Behalf:

Personal Financial Inventory 9 of 17

LIFE INSURANCE PLANNING
(Check this plan out yearly)
Client Spouse

How much life insurance do you personally own? $ $

How much life insurance do you have through work? $ $

Liquid Assets and Investments $ $

TOTAL: $ $

What do you want your life insurance to accomplish?

Final Expenses (Burial) =

Home Mortgage / Rent (10years) =

Education Fund =

Miscellaneous Debt =

Other =

Other =

Lump Sum Capitol Needs upon death (listed above) =

Capitol needed to meet annual income needs =

TOTAL Capitol Needed upon Death: =

Total Needed to Meet Current Needs =

Personal Financial Inventory 10 of 17

Contacts: PERSONAL
Family, Friends, Neighbors, Church, and Organizations…

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Contact
Address
HOME # Cell #
Documents in possession:
Actions to be taken on survivors behalf:

Personal Financial Inventory 11 of 17

 Obituary Report for Publication---Husband
Funeral Home:       Telephone: (     )     
Deceased’s Name: (Mrs.-Miss-Ms.-Dr.-Rev-Other):
Photo: Yes No Age:       Date of Death:      
Address:      
Died Where:       Cause of Death:      
Funeral--Place:       Time:       Date:      
Memorial--Place:       Time:       Date:      
Visitation--Place:       Time:       Date:      
Burial/Entombment:       City:      
Biography:
Birthplace: Years locally:      
Retired: Yes No If yes, when?      
Profession or Trade:
Last Employer:
Schools, Colleges, Special Training:
Memberships (Church, Organizations:
Military (Branch, Rank, and War Service:
Survivors:
See Contacts for publication names and addresses.

Body Organ Donations -- Husband

Authorization (attach a photocopy)

Specify which organ(s):

Recipient organization:

Address:      

Phone:     

Local physician:       Telephone: (     )     

Burial or disposition procedures:

Funeral Arrangements ---Husband

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Funeral Home to Contact:
Name      
Street:       City:       State:       Zip:      
Name of Funeral Director:      
Location of pre-arrangement contract:      
Religious services:
Officiating Clergy:       Telephone:      
Military Services:
Fraternal Services:      
Contact Person       Telephone:      
Viewing Preference: Open Casket Closed Casket No preference

Notes:      

Pallbearers:
                 
                 

Honorary Pallbearers:
                 
                 

Music: Cemetery Arrangements:

      Name of Cemetery:      
      City, State, Zip:      
Telephone:      
Flowers: Location of Deed:      
      Plot in Name of:      
      Section:      
Plot Number:      
Memorials: Block:      
     
      Special Instructions:
     
Other:
     

Personal Financial Inventory 13 of 17

Obituary Report for PublicationWife
Funeral Home:       Telephone: (     )     
Deceased’s Name: (Mrs.-Miss-Ms.-Dr.-Rev-Other)      
Photo: Yes No Age:       Date of Death:      
Address:      
Died Where:       Cause of Death:      
Funeral--Place:       Time:       Date:      
Memorial--Place:       Time:       Date:      
Visitation--Place:       Time:       Date:      
Burial/Entombment:       City:      
Biography:      
Birthplace:       Years locally:      
Retired: Yes No If yes, when?      
Profession or Trade:      
Last Employer:      
Schools, Colleges, Special Training:      
Memberships (Church, Organizations:      
Military (Branch, Rank, and War Service:      
Survivors:      
See Contacts for publication names and addresses.

Body Organ Donations -- Wife

Authorization (attach a photocopy)

Specify which organ(s):

Recipient organization:

Address:      

Phone:      

Local physician:       Telephone: (     )     

Procedures:      

Burial or disposition procedures:      

Personal Financial Inventory 14 of 17

Funeral Arrangements --- Wife
Funeral Home to Contact:
Name      
Street:       City:       State:       Zip:      
Name of Funeral Director:      
Location of pre-arrangement contract:      
Religious services:
Officiating Clergy:       Telephone:      
Military Services:
Fraternal Services:      
Contact Person       Telephone:      
Viewing Preference: Open Casket Closed Casket No preference

Notes:      

Pallbearers:
                 
                 

Honorary Pallbearers:
                 
                 

Music: Cemetery Arrangements:

      Name of Cemetery:      
      City, State, Zip:      
Telephone:      
Flowers: Location of Deed:      
      Plot in Name of:      
      Section:      
Plot Number:      
Memorials: Block:      
     
      Special Instructions:
     
Other:
     

Personal Financial Inventory 15 of 17

 Check list of Financial Documents

1. Copy of will. (see next page)

2. Life insurance policies (personal policies and/or through employment).

3. Health insurance policies (personal policies and/or through your employment).

4. Disability insurance policies (personal policies and/or through your employment).

5. Property and Casualty policies.

6. Current investment statements – IRA’s, mutual funds, CD’s, annuities, stocks, bonds, etc.

7. Employee benefit statements – 401(k), pensions, SEP’s, Keoghs.

8. Copy of deeds

9. Long term care or Medicare Supplement policies.

Personal Financial Inventory 16 of 17

 Some Suggestions about Wills
Your Will usually will be the “hub” of your estate plan. Therefore a great deal of thought should go into
planning and drafting this document.

Executing a Will does not mean that it can be filed and forgotten. Quite the contrary, changing
circumstances require review of a Will’s provisions. Many problems befall heirs of individuals who fail to
put their estates in order.

1. If you do not have a Will

What happens when you do not have a Will? The state steps in and your property will be
distributed according to the law of intestacy. Usually you will have denied yourself the privilege
of determining who succeeds to your own property and the opportunity to nominate the guardian
of your children. Unfortunately, your failure to exercise that privilege may well result in
hardship to your family.

Only through a Will can you express your exact wishes as to the way you want your property
distributed and your children cared for. No matter how much or how little you own, it is likely
that you will need a Will. Will draftsmanship requires a thorough knowledge of the law
governing Wills and should be left to your lawyer.

2. If you have a Will

Even if you have a Will, changes in tax laws or in family situations may render it obsolete. It is
important that a Will be up-to-date. Changed conditions require a change in a Will. For example
- if you have any of these situations, then the chances are that your Will may need reviewing.

a. Bought or sold property?

b. Moved into a different county or state?
c. Planned your retirement?
d. Taken a new dependent - a widowed parent, a sick relative?
e. Incurred new obligations chargeable against your estate?
f. Has the law change since your last revision?
g. The nominated guardian of your children needs reviewing.

It is wise, therefore, to review your Will from time to time with your

lawyer.

Personal Financial Inventory 17 of 17