We drove back to Catalina State Park in Oro Valley to await the arrival of the parts to fix our hydraulic jacks. So we went back to work at my mom's. Laura tackled the garage cabinets, a big, big job. I worked on helping my mom use her new tablet and wireless printer along with a few other projects. I also updated a document called "Leaving a Trail" which she got from somewhere. I had helped her fill it out about 7 years ago but it was definitely out of date. I think this is such a good idea that I'm going to add it to the end of this log segment for anyone to copy and paste into a word processing document such as Word.
We were in Oro Valley from May 4 through May 11 before we headed back to Glendale to have the repairs done on our motorhome.
Star Date: May 4-11, 2016
Please feel free to copy and paste this document into a word processing software and use it to put your own affairs in order.
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Leaving a Trail - Putting My Affairs in Order
This document will be useful to whoever you designate to handle
your affairs should you become incapacitated, unable to handle your
financial or health affairs, or upon your death. It is important that the information be
available quickly when it is needed; therefore unless your designee has
signatory power to access your safety deposit box, do not put it in your safety deposit box.
A.
PERSONAL INFORMATION
1.
My full name:
2.
Date and place of birth:
3.
Location of my birth certificate:
4.
Marital status:
a.
Names of previous spouses:
b.
Location of marriage licenses:
c.
Location of divorce decrees:
5.
Citizenship:
6.
Father’s full name, date of
birth:
7.
Mother’s full name, date of
birth:
8.
Children’s names or next of kin and
phone numbers:
9.
How long have you lived in Pima
County:
10.
My current passport
is located:
B.
IMPORTANT ITEMS
1.
Social security number:
a.
Location of your social security card?
b.
Are your monthly social security
payments deposited directly into your checking account?
3.
Location of your apartment key(s)
(card type lock):
4.
Location of your mailbox key?
5.
If you have any locked safes or file
cabinets where are the keys?
6. If you have any money or valuables hidden in your home where is
it?
C. HEALTH
AND FUNERAL INFORMATION
1.
My Medicare number is:
2.
My secondary health insurance is
through:
3.
Location of my health insurance cards:
4.
I have prescription drug coverage
through my Medicare Complete plan (see #2 above)
5.
My physicians: name, specialty, phone number:
6. The prescriptions/medications I am currently taking:
7.
I am allergic to:
8.
My dentist’s name and phone number:
9. My Health Care Power of Attorney is located:
10.
I have a living will that is located:
11.
I have accident insurance through:
12.
I have long term care insurance
through:
13.
I do/do not have life insurance.
14.
I have plans in writing and everything
is paid for my cremation through:
15.
Name and phone number of person(s) to
be contacted upon death:
D.
FINANCIAL MATTERS
1.
I do/do not have a safety deposit box
2.
My checking account(s) is with the
following bank:
3.
Location of your check book:
4.
Location of your bank statements:
5.
I do/do not currently do any banking
online.
6.
I do/do not have a savings account.
7.
The following accounts have a “pay on
death” provision.
8.
I do/do not receive any pension income
or retirement benefits.
9.
My securities broker/financial
advisors are:
I do/do not do any investment work online.
I do/do not have securities bonds with “transfer on death”
provisions
10.
I own the following annuities:
11.
I am the beneficiary of the following
annuities:
12.
I do/do not own any IRA’s
13.
I do/do not own any Certificates of
Deposit (CDs).
14.
I do/do not own any Treasury bills.
15.
I am/am no the beneficiary of a trust.
16.
I do/do not receive any royalties or
payments for books, inventions, patents etc.
17.
The following payments are made
directly into my checking account:
18.
I do/do not belong to any
partnerships.
19.
I do.do not transact or perform any
other kind of personal, financial business.
20.
The name and phone number of my
attorney:
21.
I do/do not work with a trust officer
at a bank.
22. I have/do not have a will. It is located:
23. I have/do not have a trust. It is located:
24. I have/do not have a Financial Power of Attorney and a Health Care Power of Attorney. They are located:
My old tax returns are located:
26.
My active credit card accounts are:
I keep my active credit cards:
I do/do not have any inactive credit
cards.
Do any of your credit cards carry death benefits (accidental death or otherwise)
I pay my credit card bills by check/online
27.
Recurring bills paid directly from my
checking account are:
28.
I do/do not pay any bills in advance.
29.
I do/do not not owe anyone money.
30.
The following people owe me money.
31.
Bills, waiting to be paid, can be
found:
32.
Your estate may need to track your
assets through an Unclaimed Asset website for each state where you have
lived.
Please give your maiden name:
Please give your married name(s):
Please give your spouse(s) name(s):
Please list the states and towns where you or
your spouse(s) have lived:
33.
Is there any other financial
information that needs to be recorded here?
E. REAL
PROPERTY
Vehicles
1. The title to my car is located:
2.
Through what company do you have car
insurance?
Name and address of agent:
Policy number:
Make of car:
3.
Where do you keep the car(s):
4.
Location of the car keys:
5.
Where is your car registration?
6.
Where is your driver’s license?
7.
My car does/does not have a “transfer
on death” provision.
F. REAL
ESTATE
1.
I do/do not own any real estate (time
share, condo, house, apartment, rental property)
Give the locations of the real estate you own:
Give the locations of the real estate you own:
2.
I do/do not rent any property to
anyone.
3.
I do/do not lease property to
anyone.
4.
I do/do not lease property from
anyone.
5. I do/do not own any real estate or personal property in joint ownership with another person.
G. OTHER
1.
I do/do not have belongings stored in
a place other than my current home .
2.
My email address is:
My password for accessing my email is:
3.
The password to my Norton Identity
Safe or other password storage software is:
4.
Location of valuable jewelry and
silver.
5. I have made the following arrangements for the care of my pets.
My veterinarian
name and address:
6. Is there any other information you think would be helpful to your
personal representative? (e.g. organ
donor, etc.)
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