About You |
User Role
|
|
subscriber, attorney
|
Status
|
|
ready for consult
|
Assigned
|
|
3
|
Client ID
|
|
45
|
About You |
Your Name
|
|
Josef Z Hudak
|
Date of Birth
|
|
07/14/1989
|
Your Address
|
|
123 Main St. Anytown, California 92039 United States Map It
|
Your Phone
|
|
(323) 555-1212
|
Your Email Address
|
|
jhudak@gmail.com
|
Are you married?
|
|
Yes
|
About Your Spouse |
Spouse's Name
|
|
Jane L Hudak
|
Spouse's Date of Birth
|
|
07/25/1988
|
Children of Current Marriage |
Do you and your spouse have children together?
|
|
Yes
|
Children of Current Marriage
|
|
First Name
|
|
Betty
|
Last Name
|
|
Hudak
|
Birthdate
|
|
02/05/2025
|
Minor or Adult
|
|
Minor
|
|
|
Your Children from Previous Relationships |
Do you have children from previous relationships?
|
|
Yes
|
Children of Previous Relationships
|
|
First Name
|
|
Jessica
|
Last Name
|
|
Smith
|
Birthdate
|
|
07/24/2025
|
Minor or Adult
|
|
Adult
|
|
First Name
|
|
Bobby
|
Last Name
|
|
Smith
|
Birthdate
|
|
07/17/2004
|
Minor or Adult
|
|
Adult
|
|
|
Spouse’s Children from Previous Relationships |
Does spouse have children from previous relationships?
|
|
Yes
|
Children of Spouse's Previous Relationships
|
|
First Name
|
|
Zoey
|
Last Name
|
|
Jones
|
Birthdate
|
|
07/06/2014
|
Minor or Adult
|
|
Minor
|
|
|
Additional Heirs (Other than children listed above) |
Do you wish to designate other heirs (such as relatives, friends, or charities)?
|
|
Yes
|
Additional Heirs
|
|
Is this heir an individual or a charity?
|
|
Individual
|
Individual Heir Name
|
|
Michael Hudak
|
Distribution (%) or Specific Asset to Heir
|
|
%
|
Percentage of Estate to Heir
|
|
10
|
|
Is this heir an individual or a charity?
|
|
Charity
|
Charity Name
|
|
Boys & Girls Club
|
Distribution (%) or Specific Asset to Heir
|
|
%
|
Percentage of Estate to Heir
|
|
10
|
|
|
Real Estate |
Do you own real estate?
|
|
Yes
|
Real Property Owned
|
|
Real Estate Parcel Address
|
|
123 Main Street Anytown CA 98778
|
Parcel Classification
|
|
Primary Residence
|
Estimated Value $
|
|
$750,000.00
|
|
|
Retirement Accounts |
Do you have retirement accounts?
|
|
Yes
|
Retirement Accounts
|
|
Retirement Account Type
|
|
401k
|
Approximate Value $
|
|
$100,000.00
|
|
|
Investment Accounts / Liquid Assets |
Do you have investment accounts?
|
|
Yes
|
Investment Accounts
|
|
Investment Account Type (Brokerage, Savings, etc.)
|
|
Brokerage
|
Approximate Value $
|
|
$25,000.00
|
|
|
Insurance Policies & Annuities |
Do you have life insurance policies or annuities?
|
|
Yes
|
Insurance Policies and Annuities
|
|
Type (Life Insurance, Annuity)
|
|
Life Insurance
|
Company
|
|
MetLife
|
Approximate Death Benefit or Value $
|
|
$1,000,000.00
|
|
|
Your General Durable Power of Attorney |
Include General Durable Power of Attorney?
|
|
Yes
|
Primary Financial Agent
|
|
Jimmy James
|
Successor Financial Agent
|
|
Tommy Thomas
|
Is this General Durable Power of Attorney Springing?
|
|
Yes
|
Number of Physicians who Must Verify Incompetence or Incapacity?
|
|
2 Physicians
|
Spouse's General Durable Power of Attorney |
Include Spouse's General Durable Power of Attorney?
|
|
Yes
|
Spouse's Primary Financial Agent
|
|
Jimmy James
|
Spouse's Successor Financial Agent
|
|
Tommy Thomas
|
Is Spouse's General Durable Power of Attorney Springing?
|
|
Yes
|
Number of Physicians who Must Verify Incompetence or Incapacity of Spouse?
|
|
1 Physician Affidavit
|
Your Healthcare Power of Attorney |
Include Healthcare Power of Attorney?
|
|
Yes
|
Primary Healthcare Agent
|
|
Jimmy James
|
Successor Healthcare Agent
|
|
Tommy Thomas
|
Disposition of the Body
|
|
Cremation
|
Spouse's Healthcare Power of Attorney |
Include Spouse's Healthcare Power of Attorney?
|
|
Yes
|
Spouse's Primary Healthcare Agent
|
|
Jimmy James
|
Spouse's Successor Healthcare Agent
|
|
Tommy Thomas
|
Spouse's Disposition of the Body
|
|
Burial
|
Your Living Will / Declaration for Natural Death |
Would you like to include a Living Will?
|
|
Yes
|
Medical Preferences
|
|
No Life-Prolonging Measures
|
Spouse’s Living Will |
Include Spouse's Living Will?
|
|
Yes
|
Medical Preferences
|
|
Artificial Nutrition and Hydration
|
Your Last Will and Testament |
Would you like to include your Last Will & Testament?
|
|
Yes
|
Executor Name
|
|
Eddie Edward
|
Alternate Executor Name
|
|
Jimmy James
|
Heirs and Distribution Percentages
|
|
Heir Name |
Relationship |
Percentage % |
Billy Doe |
Son |
50 |
John W Doe |
Son |
50 |
|
Do you have specific distributions or items to list?
|
|
Yes
|
Specific Distributions or Items
|
|
Property goes to Billy. Possessions go to John.
|
Shall executor sell real estate and distribute proceeds?
|
|
No
|
Spouse's Last Will and Testament |
Would you like to include spouse's Last Will & Testament?
|
|
Yes
|
Executor Name
|
|
Eddie Edward
|
Alternate Executor Name
|
|
Jimmy James
|
Trusts |
Would you like to include a Trust?
|
|
Yes
|
Trust Name
|
|
The Hudak Family Trust
|
Trustee Name
|
|
Jimmy James
|
Successor Trustee Name
|
|
Billy Doe
|
Trust Beneficiaries and Distribution
|
|
Beneficiary Name |
Relationship |
Percentage % |
Billy Doe |
Son |
50% |
John Doe |
Son |
50% |
|
Transfer Real Estate into the Trust?
|
|
Yes
|
Properties to Transfer into Trust
|
|
- 123 Main Steet Anytown CA USA
|
Would you like to include a spouse Trust as well?
|
|
Yes
|
Trustee Name
|
|
Jimmy James
|
Ladybird Deed |
Would you like to include a Ladybird Deed?
|
|
Yes
|
Ladybird Deed Properties
|
|
Property Address |
Beneficiary |
123 Main Street Anytown CA USA |
Billy Doe |
|
Final Review & Submission |
Do you have any questions or additional information to provide?
|
|
Here are my additional notes. Please consider XYZ.
|