Adult Children of the Deceased:
Adult Children of the Deceased:
Applicable
Not applicable, the deceased has no adult children
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ADULT CHILD #1
Full legal name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Does this person have capacity to make decisions respecting financial matters?
Yes
No
If the person lacks capacity, is this person represented by either an attorney or trustee?
Yes - by an attorney
Yes - by a trustee
No
If the answer is “yes” provide the following of the Attorney or Trustee:
Full legal name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Does this person have the legal capacity to be served?
Yes
No
Is this adult child unable to earn a livelihood? (Physical disability)
Yes
No
Is this adult child unable to earn a livelihood (Mental disability)
Yes
No
Is this adult child a full time student
Yes
No
Date of Death (if applicable)
-
Month
-
Day
Year
Date
(If Deceased, provide name, address and date of birth of all children)
Add a second adult child?
Yes
No
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ADULT CHILD #2
Full legal name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Does this person have capacity to make decisions respecting financial matters?
Yes
No
If the person lacks capacity, is this person represented by either an attorney or trustee?
Yes - by an attorney
Yes - by a trustee
No
If the answer is “yes” provide the following of the Attorney or Trustee:
Full legal name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Does this person have the legal capacity to be served?
Yes
No
Is this adult child unable to earn a livelihood? (Physical disability)
Yes
No
Is this adult child unable to earn a livelihood (Mental disability)
Yes
No
Is this adult child a full time student
Yes
No
Date of Death (if applicable)
-
Month
-
Day
Year
Date
(If Deceased, provide name, address and date of birth of all children)
Add a third adult child?
Yes
No
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Next
ADULT CHILD #3
Full legal name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Does this person have capacity to make decisions respecting financial matters?
Yes
No
If the person lacks capacity, is this person represented by either an attorney or trustee?
Yes - by an attorney
Yes - by a trustee
No
If the answer is “yes” provide the following of the Attorney or Trustee:
Full legal name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Does this person have the legal capacity to be served?
Yes
No
Is this adult child unable to earn a livelihood? (Physical disability)
Yes
No
Is this adult child unable to earn a livelihood (Mental disability)
Yes
No
Is this adult child a full time student
Yes
No
Date of Death (if applicable)
-
Month
-
Day
Year
Date
(If Deceased, provide name, address and date of birth of all children)
Add a fourth adult child?
Yes
No
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Next
ADULT CHILD #4
Full legal name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email address
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Does this person have capacity to make decisions respecting financial matters?
Yes
No
If the person lacks capacity, is this person represented by either an attorney or trustee?
Yes - by an attorney
Yes - by a trustee
No
If the answer is “yes” provide the following of the Attorney or Trustee:
Full legal name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Does this person have the legal capacity to be served?
Yes
No
Is this adult child unable to earn a livelihood? (Physical disability)
Yes
No
Is this adult child unable to earn a livelihood (Mental disability)
Yes
No
Is this adult child a full time student
Yes
No
Date of Death (if applicable)
-
Month
-
Day
Year
Date
(If Deceased, provide name, address and date of birth of all children)
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Did the deceased have any children who died before or at the same time as the deceased?
Yes
No
If yes, provide the following information about each child
Name #1
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age at date of deceased's death:
Name #2
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age at date of deceased's death:
Name #3
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age at date of deceased's death:
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Minor Children of the Deceased
Applicable
Not applicable, the deceased had no minor children on the date of his/her death
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Minor #1
Full legal name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Guardian's full legal name
First Name
Middle Name
Last Name
Guardian's complete address for service
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian's email address
example@example.com
Add a second minor child?
Yes
No
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Minor #2
Full legal name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Guardian's full legal name
First Name
Middle Name
Last Name
Guardian's complete address for service
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian's email address
example@example.com
Add a third minor child?
Yes
No
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Next
Minor #3
Full legal name
First Name
Middle Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Guardian's full legal name
First Name
Middle Name
Last Name
Guardian's complete address for service
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Guardian's email address
example@example.com
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Submit
Should be Empty: