Will Questionnaire

Testator's Information

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Marital Status*

Spouse's Name*

Do you want to leave your entire estate to your spouse?*

Child(ren)'s Information

Do you have any children?*

How many children do you have?*

First Child Name*

First Child Age*

Second Child Name*

Second Child Age*

Third Child Name*

Third Child Age*

Fourth Child Name*

Fourth Child Age*

Fifth Child Name*

Fifth Child Age*

Sixth Child Name

Sixth Child Age

Seventh Child Name

Seventh Child Age

Eighth Child Name

Eighth Child Age

Ninth Child Name

Ninth Child Age

Tenth Child Name

Tenth Child Age

You are receiving this message because you have selected "More than 10 children" from the dropdown list. If you have done this in error, please select the correct number of children. If this is true, please fill out the information for the 10 children on this form and then list the remaining children's full names and ages, separated by commas, into the field below.

Additional Children*

Example: John David Smith - 20, Mary Louise Smith - 23

Executor Information

The executor is the person that you would like to be your Personal Representative in time of death.

Executor's Name*

First Middle Last

Executor's Address*

Street Address Address Line 2 City State ZIP Code

Back Up Executor

The back up executor is the person that you would like to be the secondary Personal Representative in the case that the first executor cannot full fill their duties.

Do you wish to list a back up executor?*

Yes

No

Back Up Executor's Name*

First Middle Last

Back Up Executors Address*

Street Address Address Line 2 City State ZIP Code

Do you wish to relieve your Executor of the duties to file an Inventory and annual reports with the Probate Court and the heirs and beneficiaries?*

Yes

No

Unless relieved, your executor must prepare an inventory of all the property of your estate and will be required to file the inventory with the probate court every year and deliver a copy of the inventory to the heirs and beneficiaries of the estate by first class mail. The executor will also be required to file an annual report of all receipts and expenditures of the estate with the Probate Court and the heirs and beneficiaries.

Special Bequests

Do you wish to leave a certain item to someone as a special bequest? For instance, a diamond ring, coin collection, or antiques.*

Yes

No

I Leave my

(ring, coin collection, antiques, etc.)

To

(name)

Who is my

(son, daughter, friend, etc.)

I Leave my

(ring, coin collection, antiques, etc.)

To

(name)

Who is my

(son, daughter, friend, etc.)

I Leave my

(ring, coin collection, antiques, etc.)

To

(name)

Who is my

(son, daughter, friend, etc.)