Last Will & Testament

Last Will & Testament
1. Today's Date

MonthDayYear
Date
2. Your Legal Name*

First NameLast Name
3. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. Date of Birth*

MonthDayYear
Date
5. Place of birth*
6. Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
7. Email
example@example.com
8. If Married, please complete the following:
8A. Spouse's full name

First NameLast Name
8B. Spouse's Date of Birth

MonthDayYear
Date
8C. Spouse's Place of Birth
YesNo
- 9A. Child's Name
  
  First NameLast Name
- 9B. Date of Birth
  
  MonthDayYear
  Date
- 9C. Place of birth
- 9D.Child's Name
  
  First NameLast Name
- 9E. Child's Date of Birth
  
  MonthDayYear
  Date
- 9F. Child's Place of Birth
- *If you have more children, please add them at the end of the application.
- 10. Who do you Wish to name to be your first choice as the executor of your will?
- 10A. Full Legal Name
- 10B. City & State of Residence
- 10C. Relationship to you
- 11. Who do you want to name to be your second choice as the executor of your Will?
- 11A. Full Legal Name
- 11B. City & State of Residence
- 11C. Relationship to you
- First to my spouse, then to my children in equal portions; ORI am not married, therefore, to my children in equal portions; OR I am married but want my "residuary" estate to go to my children in equal portions.To my children in equal portions first, then to my other Beneficiaries in Equal Portions; ORI have a specific need or direction for distribution of several assets. I understand that additional fees will apply.
- 13. Do you wish to specifically Disinherit anyone from your Will?
  
  If Yes, please provide the following information.
- 13A. Full Legal Name:
- 13B. Date of Birth
- 13C. City & State of Residence
- 14. Additional Beneficiaries
- 14A. Beneficiary's Full Formal Name
- 14B. Beneficiary's Date of Birth
- 14C. Beneficiary's Place of Birth:
- 14D. Beneficiary's City & State of Residence
- 14E. Beneficiary's Relationship To you
- *Use the end of the page if necessary to add more beneficiaries
- 15. Do you have Special Requests Regarding your burial, funeral arrangements, cremation wishes, etc.. Please indicate below.
- 16. Do you wish to make any "Special Bequests" to any of your beneficiaries? Please describe below.
- *You made add the following information to your Will for an additional fee of $95.00
- YesNo
- 17A. Full legal name
- 17B. Date of Birth
  
  MonthDayYear
  Date
- 17C. City and State of Residence
- YesNo
- 18A. Full legal name
- 18B. Date of Birth
  
  MonthDayYear
  Date
- 18C. City and State of Residence
- 19. At what specific age or ages must your children reach before the assets are distributed outright to them?
  Ex. Jane Doe Age:18 , John Doe Age:21
- 20. Do you want to name a "guardian" or caretaker for your minor children, should Neither Natural Parent survive the children? If Yes, please provide the following information:
- 20A. Full Legal Name
- 20B. Date of Birth
  
  MonthDayYear
  Date
- 20C. City & Sate of Residence
- 21. Do you want to name an "alternative guardian" or caretaker for your minor children, should Neither Natural Parent survive the children? If Yes, please provide the following information:
- 21A. Full Legal Name
- 21B. Date of Birth
  
  MonthDayYear
  Date
- 21C. City & Sate of Residence
- 22. Is there any information you would like to add to your Last Will & Testament that has not been asked in any of the questions above? If "yes", please specify below:
- Should be Empty: