Your Name
*Last Name
*First Name
*Middle Initial
Your Home Address
*Street Address
*City
*State
*Zipcode
Contact Information
*Email
*Phone Number
Enter Other Here
Your Spouse's Name
Last Name
First Name
Middle Initial
Full legal names & current ages of all children born or adopted by you:
Name
Last Name
First Name
Middle Initial
Age
Name
Last Name
First Name
Middle Initial
Age
Name
Last Name
First Name
Middle Initial
Age
Name
Last Name
First Name
Middle Initial
Age
Name
Last Name
First Name
Middle Initial
Age
Name
Last Name
First Name
Middle Initial
Age
What does your estate consist of? For example: real property/house/land; personal property/cars/guns/other items of value; bank accounts/retirement accounts/other financial assets/stocks/bonds
Describe Those Items
*Last Name
*First Name
*Middle Initial
If that person is unable to carry out your wishes, state the name and relationship of your next choice? (Alternate)
Last Name
First Name
Middle Initial
D. If your children are minors (under 19 years), then please state the name of the individual(s) you would like to appoint as Trustee and (to care for your children’s inheritance):
Last Name
First Name
Middle Initial
If that person is unable to carry out your wishes, state the name and relationship of your next choice? (Alternate)
Last Name
First Name
Middle Initial
If your children are minors (under 19 years), then please state the name of the individual(s) you would like to recommend for guardianship (to care for your children):
Last Name
First Name
Middle Initial
If that person is unable to carry out your wishes, state the name and relationship of your next choice? (Alternate)
Last Name
First Name
Middle Initial
Excluded/Omitted:
If yes, then state Full Name of Each Person(s) to be excluded/omitted:
Last Name
First Name
Middle Initial
Last Name
First Name
Middle Initial
Specific Bequests: Do you want to make any specific bequests?
Item (example: watch, ring, etc.)
Last Name
First Name
Middle Initial
Item (example: watch, ring, etc.)
Last Name
First Name
Middle Initial
Item (example: watch, ring, etc.)
Last Name
First Name
Middle Initial
Item (example: watch, ring, etc.)
Last Name
First Name
Middle Initial
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