INHERITANCE TAX HEALTH CHECK

FACT FIND

INHERITANCE TAX HEALTH CHECK

FACT FIND

Please complete and return to


Leslie Eriera & Co

Certified Practising Accountants

23-25 Fowler Road

Ilford

Essex

IG6 3UT

0208 501 3991

0208 500 3092

www.leslieerieraandco.co.uk

Details supplied by: Date:

Details taken by:

PERSONAL DETAILS

Self / Partner
Title (Mr, Mrs, Miss, Dr etc)
Forename(s)*
Surname*
Home address*
Post Code: / Post Code:
Home Telephone Number
Mobile Number
Business Telephone Number
Fax Number
Email address
Tax Refrence
N.I number
Date of Birth*
Marital Status*
UK Domicile for Tax* / Yes / No / Yes / No
If not UK Domiciled:
No. of years living in UK* / yrs / Yrs

* must be completed

Please complete as many of the boxes as possible with the client

CHILDREN, GRANDCHILDREN OR DEPENDANTS

Name / Relationship / Date of Birth / Dependant Until (if applicable) / Private Education?
Notes:

CONTACTS AND ADVISERS

Type / Accountant / Solicitor
Contact
Company
Address
Telephone
Email
Notes
Type / Bank / Financial Adviser
Contact
Company
Address
Telephone
Email

HOME DETAILS

Owner of Property /
Self Partner Joint Rental
If joint / Joint Tenancy Tenants in Common
Current Value
Outstanding Mortgage

OTHER PROPERTIES

Address – Property 1
Owner of Property /
Self Partner Joint
If joint / Joint Tenancy Tenants in common
Current Value
Outstanding Mortgage
Address – Property 2
Owner of Property /
Self Partner Joint
If joint / Joint Tenancy Tenants in common
Current Value
Outstanding Mortgage
Notes:

Employment

Self / Partner
Company name
Name of employer
Annual salary
Benefits in kind (car)
Cost of car
List any other benefits and their costs
Mileage allowance

Notes:

Self-Employment

Self / Partner
Trade
Accounting year end
Profits/losses from the last accounting period

Notes:

BUSINESS INTERESTS

Self / Partner
Name of Business
Date interest acquired
Share of firm owned
Cost
Value
Accounting Year End
Profit/loss from last accounting period
Notes:

DEPOSITS

Banks/Building Societies, National Savings, ISA, Premium Bonds etc.
Institution / Description / Ownership / Maturity Date / Amount/Current Value
Notes:

OTHER INVESTMENTS

PEP’s, ISA’s, Bonds, Unit Trusts, Investment Trusts, Stocks & Shares etc.
Description / Company / Ownership / Value
Notes:

Capital Disposals

Self / Partner
Capital disposals made within the current tax year

PENSIONS

Type / Company / Ownership / Value / Written in Trust?
Notes:

Foreign income

Self / Partner
Foreign income
Foreign tax deducted

ANY OTHER ASSETS

Description / Ownership / Value
Notes:

LOANS/OUTSTANDING DEBTS

Description / Company / Self/Partner / Amount
Notes:

LIFETIME GIFTS

Date / By whom? / To whom? / Description / Value / Any Interest retained?
Notes:

LIFE ASSURANCE

Company / Policy No / Life Assured / Term / Sum Assured / Written in Tust?

Notes:

WILLS

Self / Partner
Has a Will been drafted?
Copy of Will attached?
Does it reflect current wishes?
Notes:

OBJECTIVES, WISHES, FUTURE PLANS

Self / Partner

OTHER INFORMATION

2011 © [AVN Member]

Page 10

Prepared by [ Ints ] [Date]

Printed 15/11/2013