your financial and personal information document · chronicle your financial life will help you...

Your financial and personalinformation document

If you or your spouse passes awayor becomes unable to make financialdecisions, will you know:

– Where to find important financial documents?

– Whom to call to adjust taxes, claim disability benefits and execute powers of attorney?

– At what institution(s) your assets are held?

Completing this financial information booklet andkeeping it with other important documents thatchronicle your financial life will help you answer“yes” to these and other important questions.

Ask yourself some tough questions:

– This document

– Passwords and safe combinations

– Bank, brokerage and mutual fund statements

– Insurance policies

– Copies of your last will and testament, living will and healthcare proxy, power of attorney and/or trust documents

– Loan paperwork, leases, property deeds, auto titles

– Tax returns

– US savings bonds

– Copies of beneficiary designation forms for:– IRAs– Retirement plans– Insurance policies

– List of safe deposit box contents, the key or combination

Important documents to keep handy but in a safe place

Private and confidential2 of 16

Private and confidential 3 of 16

Client Spouse

Date:

Full legal name:

Social Security #:

Location of SS cards:

Phone number: Place of birth: City State City State

Country Country

Date of birth: / / / /

If citizen of foreign country, date entered USA:

Father’s name:

Mother’s maiden name:

Place of marriage/civil union:

Date married/ civil union: If widowed, date of spouse’s death:

If divorced, date of divorce:

If a veteran, branch:

Dates of service:

Personal information


Key contacts

Personal information

Financial Advisor: Name

Phone number

Address

Financial Advisor: Name

Phone number

Address

Child’s name: Date of birth Place of birth

1.

Address

2.

Address

3.

Address

4.

Address


Key contacts

Accountant:

Name Phone number

Street City State Attorneys:

Name Phone number

Street City State Banker:

Name Phone number

Street City State Physician:

Name Phone number

Street City State Specialist:

Name Phone number

Street City State

Life insurance agent: Name Phone number

Street City State

Property and casualty agent:

Name Phone number

Street City State

Other:

Name Phone number

Street City State

Name Phone number

Street City State

Name Phone number

Street City State


Personal accounts (checking, savings, etc.)

Owner Institution Account number

Contact Phone number







Retirement Accounts (pension, 401(k))









Financial information


Investment accounts (brokerage, IRA, trust)



















Credit cards

Owner Type of card Card number




Real estate/

property:

Location Deed location

Location Deed location

Rent Mortgage

Payment to:

Company or bank/branch City

Company or bank/branch City

Safety deposit

boxes located at:

Bank/branch/city Number

Address

Bank/branch/city Number

Address

Major possessions/

automobile(s):

Make Financing/ Title location

leasing company

Make Financing/ Title location

leasing company


Artwork and collectibles: Description Location

Description Location




Employment history

Most current employer: Client Phone number Spouse Phone number

Group life insurance: Yes No Yes No Client Spouse

Disability: Yes No Yes No Client Spouse

Stock options: Yes No Yes No Client Spouse

Insurance

Medical/healthcareinsurance: Primary healthcare provider Policy number

Long-term care insurance provider Policy number

Other medical insurance provider Policy number


Life insurance/V.A. benefits: Company Policy number

Company Policy number

Company Policy numberAutomobile insurance: Company Policy number

Property insurance: Company Policy number

Estate planning

Attorney: Name Phone number

Location of Original will:

Living will:

Letter of last instruction:

Personal and charitable trust documents:

HIPAA agreements:

Power of attorney

Financial : Name Phone number

Document location

Medical: Name Phone number

Document location



PersonalBirth certificate: LocationPassport/citizenshippapers: Location

Adoption papers: Location

Marriage certificate: LocationFamily death certificates: LocationPrenuptial agreement: Location

Divorce or separationagreement: LocationMilitary discharge papers: LocationAppraisal and inventory of valuable items: Location

TaxPrior years’ federal and state returns: LocationFederal/state gift tax returns: LocationProperty and school tax records: Location

Small businessIncorporation/ ownership papers: LocationBuy/sell agreements: Location

Important nonfinancial documents


Important information regardingserious illness or death

Church/temple:

Name Phone number

Personal contacts:

Name Phone number

Name Phone number

Name Phone number

Name Phone number

Name Phone number

Name Phone number

I have made funeralarrangements with:

Name Phone number

Burial plot arrangements:

Cemetery name Phone number

I have not made arrangements but would like the following:

Preferred funeral home

Address

Type of service

Type of arrangements (burial/cremation)

Cemetery


If planning a cremation, whatis your preference for the cremains?

Information I wouldlike included in my obituary:

Preferred memorialdonations:


Notes

Neither UBS Financial Services Inc. nor its employees (including its Financial Advisors) provide tax or legal advice. You should consult with your legal counsel and/or your accountant or tax professional regarding the legal or tax implications of a particular suggestion, strategy or investment, including any estate planning strategies, before you invest or implement.

As a firm providing wealth management services to clients, UBS Financial Services Inc. offers investment advisory services in its capacity as an SEC-registered investment adviser and brokerage services in its capacity as an SEC-registered broker-dealer. Investment advisory services and brokerage services are separate and distinct, differ in material ways and are governed by different laws and separate arrangements. It is important that clients understand the ways in which we conduct business, that they carefully read the agreements and disclosures that we provide to them about the products or services we offer. For more information, please review the PDF document at ubs.com/workingwithus.

© UBS 2020. All rights reserved. The key symbol and UBS are among the registered and unregistered trademarks of UBS. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC.

UBS Financial Services Inc.ubs.com/fs2020-266746Exp.: 05/31/2021, IS2002873

16 of 16

http://ubs.com/workingwithus.

your financial and personal information document · chronicle your financial life will help you...

Documents