HERITAGE ACADEMY

Trust Information & Planning Questionnaire

Revocable & Irrevocable Trust Intake

Complete the applicable sections below. Fields marked with an asterisk are required. Please do not enter Social Security numbers, passwords, PINs, private keys, seed phrases, or complete financial account numbers.

01Trust Requested

Choose one *
Primary purpose(s)

02Person(s) Creating the Trust

Grantor / Settlor #1
U.S. citizen?
Grantor / Settlor #2 (if applicable)
U.S. citizen?

03Marital & Family Information

Current marital status
First marriage for both spouses?
Existing agreements/orders

04Children & Descendants

Child #1
Child #2
Child #3
Child #4

05Trust Name

06Initial Trustee

Who will manage the trust initially?
If two trustees serve

07Successor Trustee(s)

First Successor Trustee
Second Successor Trustee
How should successors serve?

08Incapacity

How should incapacity be determined?
May trust property be used for Grantor health, care, housing, maintenance and support?

09Beneficiaries

Primary Beneficiary #1
Primary Beneficiary #2
Primary Beneficiary #3
Primary Beneficiary #4
Equal shares?

10If a Beneficiary Dies Before Distribution

Choose desired treatment

11How & When Beneficiaries Receive Property

Distribution method
Permitted earlier distributions

12Minor Beneficiaries

Funds may be used for

13Specific Gifts

14Real Estate

Property #1
Transfer to trust?
Property #2
Transfer to trust?
Property #3
Transfer to trust?

15Vehicles & Titled Property

Titled Property #1
Titled Property #2
Titled Property #3

16Bank, Investment, Insurance & Financial Assets

Check all that apply

17Business Interests

Do you own a business interest?
Transfer/address in trust?

18Other Property

Check all that apply

19Debts & Obligations

20Existing Estate-Planning Documents

Check all that apply

21Revocable Trust Questions

Grantor may amend?
Grantor may revoke?
Grantor retains lifetime use/control?
After first spouse dies

22Irrevocable Trust Questions

Additional contributions permitted?
Will Grantor be a beneficiary?
Distribution structure
Beneficiary withdrawal rights?
Intended to make gifts?
Intended to own life insurance?
Charitable giving involved?
Tax professional consulted?

23Trust Protector / Special Advisor

Trust Protector / Special Advisor?

24Trustee Compensation

Compensation
Reimburse reasonable expenses?

25Bond & Accounting

Trustee bond required?
Periodic beneficiary accounting?
Frequency

26Governing Law & Administration

27Tax & Identification Information

Separate EIN expected?
EIN already obtained?
Tax professional consulted?

28Additional Family or Financial Circumstances

29Documents Available

Check applicable documents

30Primary Objectives

31Additional Notes

✓Privacy & Submission Agreement

The information provided through this form is collected solely for the purpose of reviewing and preparing the requested trust-related documents and for related internal administrative use. Heritage Academy will not sell the information submitted through this form to third parties. The information is intended for internal use and will be treated as private and confidential, subject to applicable law, required disclosures, website hosting and technology providers necessary to operate the service, and the security limitations inherent in electronic communications and online storage.

By submitting this questionnaire, I confirm that the information I have provided is accurate to the best of my knowledge. I understand that this questionnaire is an information-gathering document and is not itself a trust agreement, deed, assignment, transfer of property, legal opinion, or tax advice.

Your submission will be assigned a confirmation number and stored for internal review.