• Consumers


  • Producers/Agents


  • Companies


After Policyholder's Death

Estimate of Family Resources and Expenses

ASSETS

Survivor's salary __________

Interest __________

Dividends __________

Rent received __________

Annuity income __________

Benefits __________

Social Security __________
Veterans __________
Life insurance __________
Pension __________
Trust income __________

Investment income __________

Other income __________

SUBTOTALS

TOTAL $ __________

EXPENSES

Housing __________
Rent __________
Mortgage __________
Utilities __________
Other __________

Food __________

Home __________
Away __________

Clothing/upkeep __________

Transportation __________

Education __________

Entertainment and recreation __________

Medical and dental expenses __________

Child care expenses __________

Insurance premiums __________

Life __________
Health __________
Disability __________
Auto __________
Other __________

Payments __________

Loan __________
Installment __________

Taxes __________

Local __________
State __________
Property __________
Income __________
Other __________

SUBTOTALS

TOTAL $ __________

TOTALS

TOTAL INCOME $ __________

TOTAL EXPENSES $ __________

You should now have a better grasp of your income, assets, expenses and liabilities. This will help you determine the financial resources available to your family and the amount of income that would be needed in the event of the policyholder's death. You should adjust these figures periodically to take into account changes in family circumstances, new living arrangements, inflation and other variables.