ESTATE PLANNING WORKSHEET Prepared on May 14, 2012 for Dorian Mayhew Rothschild

1. PERSONAL INFORMATION: The person preparing the Will needs to know some personal information about you, including your marital status and whether you have children. Will writer Address Phone SSN Birthdate Employer Phone Dorian Mayhew Rothschild 60 Arthur St. San Rafael, CA 94901 (415) 354-1631 August 20, 1946 Schilling Robotics (4150 745-1005 Ext. 1434

Marital Status: I am married. Spouse SSN Birthdate Employer Phone Mary Rothschild March 13, 1945 San Rafael High School (415) 998-1175 Ext. 53

Prior Marriages: I have no prior marriages. Children: My children (including adopted children and stepchildren) are: Child City, State Other Parent Legal Status Birthdate Jacob G. Rothschild San Rafael, CA _________________ Natural Child April 20, 1995

2. THE VALUE OF YOUR ESTATE: The value of estate assets is needed to determine whether "estate taxes" may be an important consideration in the preparation of a will (or living trust). Although federal estate taxes are not usually a factor in estates of less than $5,120,000 as of 2012, it may become important to consider more complex estate planning techniques in estates of $4,000,000 which could grow to those levels. The manner in which assets are held (e.g., "jointly" or "in one name only") is also important in determining who will receive certain property (i.e.,

generally, "joint" property goes to the "surviving" joint tenant regardless of what the will may provide). The combined estimated "net estate value" for you and your spouse is $637,500.00, based on your estimates of your total assets and liabilities. Joint with Spouse
$920,000.00 $344,000.00 $576,000.00

You Total Assets $55,000.00 Total Liabilities $18,000.00 Net Estate Value $37,000.00

Your Spouse
$34,000.00 $9,500.00 $24,500.00

Total
$1,009,000.00 $371,500.00 $637,500.00

3. DISTRIBUTION OF THE ESTATE ASSETS: The persons or organizations (beneficiaries) who will receive the assets of the estate must be identified. Distribution Summary: In general terms, I would like to have the residuary assets of my estate distributed to my spouse if alive, otherwise to my children (in a trust if they are minors).

4. PROVIDING FOR MINOR CHILDREN: I wish to include Will provisions that will create a "trust for minor children". This trust should be activated only if my spouse does not survive my death. I understand that this type of trust manages all or a portion of my assets for the benefit of my children, until the youngest child attains age 30. When the youngest child reaches the target age, the Trustee begins an outright distribution of the trust assets to the children. The trust assets should be distributed outright to my children when my youngest living child has reached the age of 30 years. Trustee: A trustee is the person or organization named in a Will who has the responsibility to manage the trust assets and to make distributions as required by the terms of the trust. First Choice: Name Ryan B. Jagger City, State Mill Valley, CA

5. GUARDIAN: A guardian is a person named in a Will who has the legal responsibility to take care of minor children until the children reach the age of "majority", usually age 18 years. (The Guardian cares for the "person," while the Trustee manages the property of the minor.)

First Choice: Name Linda F. Farino and Robert R. Farino City, State San Rafael, CA

6. EXECUTOR: An executor is the person or organization named in a Will who has the responsibility to carry out the terms of the Will (i.e., collect the assets, pay the debts, and distribute the remaining assets to the beneficiaries). In some states, the executor is also known as a "personal representative". First Choice: Name Ryan B. Jagger City, State Mill Valley, CA

7. ESTATE PLANNING QUESTIONS: I would like for my estate planner to provide more information and/or explanation regarding the topics listed below. - "Living trust" -- a trust created during a person's lifetime that can act as a Will substitute. - "Marital deduction" -- a tax law provision that allows an unlimited amount to be distributed under a Will (or Living Trust) to a spouse, without being subject to federal estate taxes. - "Generation skipping transfer tax" -- a tax on transfers to grandchildren and other "skip persons" after the aggregate amount of such gifts and bequests exceeds $5,000,000 in 2012 or $1,000,000 after 2012.