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SAMPLE
PRIVATE SPLIT DOLLAR
ECONOMIC BENEFIT
AGREEMENT
(Use with a Survivorship
Life Insurance Policy)This sample agreement has been prepared as a guide to assist attorneys. This sample agreement
cannot
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Who needs economic benefit?
01
Individuals or households facing financial hardship or economic difficulties.
02
Unemployed individuals seeking temporary financial assistance.
03
Low-income individuals or families struggling to make ends meet.
04
Businesses or organizations affected by economic downturns or unexpected circumstances.
05
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06
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07
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Seniors or retirees who require additional financial support for living expenses.
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Individuals or families affected by natural disasters, emergencies, or other unfortunate events.
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Anyone eligible for government or private sector economic benefit programs.
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What is economic benefit?
Economic benefit refers to the financial gain or advantage that an individual or organization receives as a result of a particular action or decision.
Who is required to file economic benefit?
Individuals or organizations who have received financial gain or advantage that meets specific reporting thresholds are required to file economic benefit.
How to fill out economic benefit?
To fill out economic benefit, individuals or organizations must provide detailed information about the financial gain or advantage they have received.
What is the purpose of economic benefit?
The purpose of economic benefit reporting is to promote transparency and accountability in financial transactions and prevent conflicts of interest.
What information must be reported on economic benefit?
Information such as the amount of financial gain, the source of the benefit, and any potential conflicts of interest must be reported on economic benefit.
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