Irrevocable Life Insurance Trust Questionnaire Template - Law Office Of Mili Patel

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_____________________________________________________________________________________________
IRREVOCABLE LIFE INSURANCE TRUST QUESTIONAIRRE
Date: _______________________________________
Full Legal Name:
Please begin filling out this questionnaire. It is important that you answer each applicable question fully
and legibly, as your answers will help to expedite the creation of your will documents.
You should answer all questions relevant to your case. If a question does not apply to your particular
situation, please indicate by marking the question “N/A”. If the answer to any question requires more space than
has been provided on the form, please complete your answer on a separate sheet.
In addition, you should consider obtaining professional assistance in valuing assets such, without
limitation, as pensions, employment benefit plans, and profit sharing rights.
THIS FORM DOES NOT CREATE AN ATTORNEY-CLIENT RELATIONSHIP. AN
ATTORNEY CLIENT RELATIONSHIP IS FORMED ONLY AFTER A RETAINER
HAS BEEN SIGNED AND THE REQUISITE RETAINER FEE HAS BEEN PAID.
Marital Status:
Full Legal Name:
DOB:
Spouse’s Full Legal Name:
DOB:
Date of Marriage:
_________________________________________________________________
Principal Address:
County of Residence:
Telephone Numbers:
Home:
Office:
Mobile:
E-Mail:
Other residence(s):
Nationality:
□ US Citizen
□ Permanent Resident
□ Non-US Citizen
Spouse’s Nationality:
□ US Citizen
□ Permanent Resident
□ Non-US Citizen
_____________________________________________________________________________________________
15400 Knoll Trail Drive, Ste. 220, Dallas, Texas 75248
P
: 972-332-3484
F: 972-332-3976
E
:
W
:

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