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One sister is bi-polar and not of sound mind. She could make anything related to the trust hell if she doesn’t agree due to her mental illness. Would I be required to have her signature?

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See a Trust and Estate Attorney and know the Trust pays for this. Be advised by professional legal advice, not a Forum. That will keep everything legal and safe. Best to you.
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Seems after discussing with the bank manager who was required to review the trust as I was required to become the trustee he pointed out that I did not require any additional approval from my siblings. I am the individual sole trustee. I wanted to keep them involved and part of the decision making process, however, it turns out that including the one sibling caused me more grief than I should endure just by asking for an answer or opinion. I will consult with an attorney but it seems that I may be fine and better off not including someone who complicates care and responsibly for assets and makes it more difficult.
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You will need to read the Trust document to know what latitudes you have. There is no way anyone on this forum can answer your question with legal accuracy. Please consider consulting with an elder law attorney and use funds in the trust to pay for it (that's what we have written into our trust).
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Get that attorney to review the trust. Not enough information here even for an uneducated guess.
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Read your mother's Last Will & Testament and Power of Attorney documents carefully - and get a legal opinion before selling the home. Disclose your concerns about your sister who has a severe mental illness. As you probably know, POA is only valid while your mother is alive. Once mom is gone, the estate executor takes charge of handling estate administration, managing/protecting the estate assets, paying debts and taxes, and transferring assets to the heirs.
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Isthisrealyreal Feb 2022
Only the Trustee would be able to make decisions.
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Gnarley, there's no way anyone could tell what action you want to take need approval, as we have no way of knowing what documents are in place.  You mention a trust; who's the Settlor?   Is that person also the Trustee?  If not, who is?  

I don't quite understand your second sentence, that your sister could cause problems on Trust related issues.   What authority, if any, does she have?   What kind of problems could she cause?  Is she getting treatment for her mental illness?

Does your sister have any authority under any documents your mother executed?
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Gnarley, that is good news.

I have found my brother cannot think beyond how he can throw a wrench into business with his worthless input, so never going there with him saves my sanity. Sounds like you have similarly minded sibs.

Do what is best for the trust and ignore the babble.
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