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 / PartnerTitle (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 / SolicitorContact
Company
Address
Telephone
Notes
Type / Bank / Financial Adviser
Contact
Company
Address
Telephone
HOME DETAILS
Owner of Property /Self Partner Joint Rental
If joint / Joint Tenancy Tenants in Common
Current Value
Outstanding Mortgage
OTHER PROPERTIES
Address – Property 1Owner 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 / PartnerCompany 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 / PartnerTrade
Accounting year end
Profits/losses from the last accounting period
Notes:
BUSINESS INTERESTS
Self / PartnerName 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 / PartnerCapital disposals made within the current tax year
PENSIONS
Type / Company / Ownership / Value / Written in Trust?Notes:
Foreign income
Self / PartnerForeign income
Foreign tax deducted
ANY OTHER ASSETS
Description / Ownership / ValueNotes:
LOANS/OUTSTANDING DEBTS
Description / Company / Self/Partner / AmountNotes:
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 / PartnerHas a Will been drafted?
Copy of Will attached?
Does it reflect current wishes?
Notes:
OBJECTIVES, WISHES, FUTURE PLANS
Self / PartnerOTHER INFORMATION
2011 © [AVN Member]
Page 10
Prepared by [ Ints ] [Date]
Printed 15/11/2013