Last Will and Testament Questionnaire

Last Will and Testament Questionnaire

Complete this form to provide the information needed to draft your Last Will and Testament. Please answer all questions as accurately as possible.
NRS240A DISCLOSURE - Read Carefully

I, DEBORAH BARNHART, DOING BUSINESS AS DPSOFNORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.
Testator's Full Name

First NameMiddle NameLast NameSuffix
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Marital Status

Other
Do you have any children or dependents?
Please list the names and dates of birth of your children or dependents.
Executor's Full Name

First NameMiddle NameLast NameSuffix
Executor's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Executor's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Executor's Full Name (optional)

First NameMiddle NameLast NameSuffix
Alternate Executor's Address (optional)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Alternate Executor's Phone Number (optional)
Please enter a valid phone number.Format: (000) 000-0000.
If you have minor children, who do you wish to appoint as guardian(s)? Please provide full name(s) and relationship(s).
Asset Inventory

List your assets in each category below. You may skip categories that do not apply.
Real Estate (address, type, estimated value)
Bank Accounts (bank name, account type, approximate balance)
Investments (type, institution, estimated value)
Personal Property (description and estimated value)
Digital Assets (e.g., email, social media, online accounts)
Debts and Liabilities (creditors, type, amount owed)
Beneficiary Designations

List the people or organizations you wish to receive your assets.
Primary Beneficiaries (name, relationship, share or specific asset)
Contingent Beneficiaries (if primary cannot inherit)
Specific Bequests (gifts of specific items or amounts)
Name

First NameMiddle NameLast NameSuffix
Charitable Donations (name of charity, amount or asset)
Funeral and Burial Preferences
Special Instructions or Requests
Witnesses (full name, address, phone)
NRS240A DISCLOSURE - Read Carefully

Please review and confirm the information below.
I, DEBORAH BARNHART, DOING BUSINESS AS DPS OF NORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.
Name

First NameMiddle NameLast NameSuffix
Date Signed

MonthDayYear
Date
Should be Empty:

Last Will and Testament Questionnaire

NRS240A DISCLOSURE - Read Carefully

Asset Inventory

Beneficiary Designations

NRS240A DISCLOSURE - Read Carefully