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SAMPLE
PRIVATE SPLIT DOLLAR
ECONOMIC BENEFIT
AGREEMENT
(Use with a Single Insured)
This sample agreement has been prepared as a guide to assist attorneys. This sample
agreement cannot be used as a
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How to fill out private split dollar

How to fill out private split dollar
01
Gather the necessary information: You will need the personal information of all parties involved in the split dollar agreement, including their names, addresses, and social security numbers.
02
Determine the purpose of the split dollar agreement: Understand why you are creating this agreement and what you hope to achieve through it. This will help guide the terms and conditions of the agreement.
03
Consult with legal and financial professionals: Split dollar agreements can be complex, so it's important to seek advice from experts who specialize in this area. They can help ensure that the agreement is properly structured and legally sound.
04
Draft the agreement: Using the gathered information and guidance from professionals, create a comprehensive and detailed split dollar agreement. This document should outline the responsibilities and benefits of each party involved.
05
Review and revise: Carefully review the draft agreement, making any necessary revisions or edits. It's crucial to ensure that all terms and conditions are clear and mutually agreed upon by all parties.
06
Execute the agreement: Once the final agreement is approved by all parties, sign and date the document. It's recommended to have multiple copies for each party involved.
07
Monitor and update: Keep track of any changes in circumstances that may require updates to the agreement. Regularly review the agreement with all parties involved to ensure it remains relevant and aligned with your goals.
Who needs private split dollar?
01
Business owners: Private split dollar arrangements can be beneficial for business owners who want to provide key employees with life insurance coverage while maintaining control over the policy.
02
Key employees: Executives or high-level employees may benefit from private split dollar arrangements as they can receive life insurance protection and potentially build cash value through employer-funded premiums.
03
Non-profits and charities: Private split dollar agreements can be a useful tool for non-profit organizations and charities to provide key staff members with life insurance coverage as part of their compensation package.
04
Retirees and estate planning: Individuals who want to pass on wealth to their beneficiaries while effectively managing estate tax considerations may find private split dollar arrangements helpful.
05
Families with high net worth: Private split dollar can be utilized as an estate planning strategy for families with significant assets, as it allows for the transfer of wealth while minimizing the impact of estate taxes.
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What is private split dollar?
Private split dollar is a method of sharing the costs and benefits of life insurance between an employer and an employee.
Who is required to file private split dollar?
The employer is required to file private split dollar arrangements with the IRS.
How to fill out private split dollar?
Private split dollar arrangements can be filled out by following the IRS guidelines and reporting the necessary information.
What is the purpose of private split dollar?
The purpose of private split dollar is to provide life insurance coverage for an employee while also allowing the employer to share in the benefits.
What information must be reported on private split dollar?
The information that must be reported on private split dollar includes the amount of premiums paid and the benefits received by both the employer and employee.
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