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T H E C A R E G I V E R ’ S T O O L K I T

33

CHAPTER 3

LEGAL & FINANCIAL CONCERNS

FINANCIAL DOCUMENTS

(to apply for long-term care medical assistance, you will need 5 years of bank

statements at a minimum along with the other documents listed below.)

DOCUMENT

LOCATION

Financial Power of Attorney

BANK ACCOUNT NUMBER:

BANK ACCOUNT NUMBER:

BANK ACCOUNT NUMBER:

Bank Statements

Mortgage Documents

Vehicle /Mobile Home Titles

Safe Deposit Box- Bank & Key Location

Most Recent Tax Return

List of Assets

LOCATION

Savings

Life Insurance Info/Contacts

Stocks

Sources of Income

Retirement Accounts

Property Owned/Deeds

Pension Documents

Investments/Annuities

Trusts

OTHER:

List of Debts

LOCATION

LOANS:

CREDIT CARDS:

OTHER:

My Checklist

(continued)

Harford County Department

of Community Services

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