Lighthouse
Appendices · Appendix F

Forms

Lighthouse on Asset Protection · ¶ F01 to ¶ F40 · 5 sections

F01

Using the Forms

The four forms. This appendix contains four model forms: a solvency affidavit (Form 1), a schedule of assets and liabilities to accompany it (Form 2), an engagement letter for an asset protection engagement (Form 3) and a client intake questionnaire (Form 4). The forms are original to the treatise and are drafted to illustrate the practice described in chapters 3 and 52 to 54. They are not the forms of any firm or trust company and must be adapted to the governing law, the applicable rules of professional conduct and the facts of each engagement.

Order of use. The forms are used in the reverse of their numbering. The intake questionnaire (Form 4) comes first, before the engagement is accepted. The engagement letter (Form 3) follows once the planner has decided the engagement can proceed (see supra ¶ 5270.03). The schedule (Form 2) and the affidavit (Form 1) are completed before each transfer.

FormSigned byWhenText
4. Intake questionnaireClientBefore engagement; updated before each transfer¶ F40
3. Engagement letterPlanner and clientOn acceptance of the engagement¶ F30
2. Schedule of assets and liabilitiesClientBefore each transfer¶ F20
1. Solvency affidavitClient, under oathAt each transfer¶ F10
Figure F.1: Order of Use. The forms are used in reverse order of their numbering.
Figure F.1 Order of Use. The forms are used in reverse order of their numbering.

Statutory forms. Several domestic trust statutes prescribe the contents of a settlor's affidavit: Alaska Stat. § 34.40.110(j); Wyo. Stat. Ann. §§ 4-10-512(b), -523; Ohio Rev. Code Ann. § 5816.06; Tenn. Code Ann. § 35-16-103; W. Va. Code § 44D-5-503b; and, as an option, Utah Code Ann. § 75B-1-306 (see supra ¶ 5260.01). Where a statute applies, its wording controls and Form 1 is conformed to it. Wyoming's affidavit adds a continuing covenant to maintain liability insurance (see supra ¶ 5260.02).

The forms as evidence. Each form will be read, if the plan is challenged, by the creditor's counsel and the court. A true affidavit does not prevent avoidance of a transfer made with actual intent to hinder creditors, see Battley v. Mortensen (In re Mortensen), No. A09-00565-DMD, Adv. No. A09-90036-DMD (Bankr. D. Alaska May 26, 2011) (see supra ¶ 5260.04), and a false one is evidence of intent and may be a crime (see infra app. D, ¶ D60). The forms therefore ask for facts the client can verify and avoid conclusions of law the client cannot make.

End of the free overview

The rest of Appendix F is for subscribers.

The opening overview of every chapter is free to read. A subscription opens the full text of every chapter and appendix, with search, the index and the tables of cases and statutes linked to the text.

The sections that follow

  1. F10 Form 1: Solvency Affidavit
  2. F20 Form 2: Schedule of Assets and Liabilities
  3. F30 Form 3: Engagement Letter
  4. F40 Form 4: Intake Questionnaire

First Edition · © 2026 Lighthouse Group, LLC