FORMS AND BROCHURES

Distribution Plan

CLIENT DISTRIBUTION PLAN FORM

A clearly-drawn-out spending plan provides the beneficiary with stability and assurance that their needs will be met. Our trust officers will work together with the trust beneficiary and their families to create a monthly spending plan that addresses how much will be necessary for shelter, transportation and other personal expenses. The plan is reviewed periodically and can be adjusted as the beneficiary’s needs change. 

BASIC INFORMATION

DISTRIBUTION PLAN EXPENSES

FILL OUT BUDGET FORM

PERSONAL AND FAMILY EXPENSES
ATTENDANT CARE
$
$
BOOKS / MAGAZINES / VIDEO / GAMING
$
$
CELL PHONE
$
$
CLOTHING
$
$
CREDIT CARD DEBT PAYMENT
$
$
Education
$
$
Entertainment / Shopping
$
$
Hobbies (Camps, Memberships)
$
$
Household Items / Cleaning
$
$
Laundry / Dry Cleaning
$
$
Personal Care / Grooming
$
$
Pet Care / Food & Vet
$
$
Special Diet (Supplements, Probiotics, etc)
$
$
SUBSCRIPTIONS
$
$
Vacation / Travel
$
$
PERSONAL AND FAMILY EXPENSES SUBTOTAL
MONTHLY
$
ANNUAL
$
VEHICLE EXPENSES
FUEL
$
$
INSURANCE
$
$
PARKING
$
$
PUBLIC TRANSPORTATION
$
$
REPAIRS
$
$
VEHICLE EXPENSES SUBTOTAL
MONTHLY
$
ANNUAL
$
Home Expenses
Association Fees
$
$
Furniture
$
$
Homeowner's Insurance / Umbrella Liability
$
$
Home Security
$
$
Lawn Care
$
$
Maintenance - Major Repair
$
$
Maintenance - Regular
$
$
MORTGAGE / RENT
$
$
Real Estate Tax
$
$
Telephone - land line
$
$
TV SUBSCRIPTIONS
$
$
Home EXPENSES SUBTOTAL
MONTHLY
$
ANNUAL
$
Medical Expenses
Benefits Specialist
$
$
Botox / Acupuncture
$
$
Equipment
$
$
Feeding / Formula (Gtube)
$
$
Nurse Case Manager
$
$
Over-The-Counter Meds
$
$
Prescription / Pharmacy
$
$
Vitamins
$
$
Counseling Therapy
$
$
Horse / Aqua Therapy
$
$
Occupational Therapy
$
$
Physical Therapy
$
$
Speech Therapy
$
$
Vision Therapy
$
$
Other Therapy
$
$
Medical EXPENSES SUBTOTAL
MONTHLY
$
ANNUAL
$
Medical Insurance EXPENSES
Dental Premium
$
$
Medical Premium
$
$
Vision Premium
$
$
Out-Of-Pocket Medical
$
$
Other
$
$
Medical Insurance EXPENSES SUBTOTAL
MONTHLY
$
ANNUAL
$
TOTAL EXPENSES
$

INCOME

Investment Income
$
$
Social Security Disability Income (SSDI)
$
$
Structured Settlement
$
$
Supplemental Security Income (SSI)
$
$
Other Income
$
$
INCOME SUBTOTAL
MONTHLY
$
ANNUAL
$
TOTAL INCOME
$

DISTRIBUTION PLAN INCOME & EXPENSE TOTALS

TOTAL EXPENSES
$
TOTAL INCOME
$
ANNUAL SURPLUS / DEFICIT
$

NON-RECURRURING EXPENSES

HOME
$
VEHICLE
$
OTHER
$
OTHER
$
OTHER
$
OTHER
$

* Item Examples: Roof Repair, New Tires, Computer, etc.

TOTAL NON-RECURRURING EXPENSES
$

Contact

Select Trust officer (REQUIRED)

Approval of the distribution plan is subject to the terms and conditions of the trust document.