Will request

Name*

First Last

Email*

Phone*

Will?*

Yes

No

Will type:

Single request

Joint Request

Revise my/our existing will

1. Testator

Name*

First Middle Last

Title*

ID Number*

Home Number*

Work Number*

Occupation*

Employer*

Residential Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2. Testatrix

Name*

First Middle Last

Title*

ID Number*

Home Number*

Work Number*

Occupation*

Employer*

3. Marital Status

Marital Status*

Date of marriage*

Place of marriage*

Street Address City State / Province / Region ZIP / Postal Code Country

Marriage settlements in ANC:*

4. Children

Please provided full names of all children including predeceased children and legally adopted children

Present Marriage*

Full Name

Gender

Date of Birth

Previous marriage of testator:*

Full Name

Gender

Date of Birth

Previous marriage of testatrix:*

Full Name

Gender

Date of Birth

5. Particulars of usufructs, annuities fiduciary interest

Passing or ceasing on death

Particulars of usufructs, annuities fiduciary interest*

Passing or ceasing on death

6. Predeceased spouse

Full names*

First Middle Last

Date of death*

Estate No.*

Estate administered by:*

Details of limited interests to surviving spouse:*

7. Heirs/Beneficiaries

If insufficient space attach an additional information *Full names, relationship and ratio if more than one heir

Will of Testator if first dying

Full names:

Relationship

Ratio

Testatrix sole heiress

Full names:

Relationship

Ratio

Will in event of family obliteration

Full names:

Relationship

Ratio

Inheritance of minors in trust*

Yes

No

Until age:*

Please enter a number from 0 to 150.

Executor:*

Full names

Relationship

Address

Trustee:*

Full names

Relationship

Address

Guardian:*

Full names

Relationship

Address

Signature of client:*

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Will request

1. Testator

2. Testatrix

3. Marital Status

4. Children

5. Particulars of usufructs, annuities fiduciary interest

6. Predeceased spouse

7. Heirs/Beneficiaries