TEST – Forms Request #2

Name

Your Name *

Your Address *

Contact Phone Number *

Your Email Address *

City *

State *

Your Zipcode *

Who Will be Executor?

Backup Executor?

Name of Spouse *

Will Any Prior Spouse NOT be Excluded? *

Yes

No

Will Spouse be Excluded *

Yes

No

Spouse’s Address *

State

Zipcode

Any Children? *

Yes

No

Name and Address of Child #1

Will Any Child be Excluded? *

Yes

No

Name and Address of Child #2

Name(s) of Child(ren) to be Excluded

Will Each Beneficiary Get Equal Share? *

Yes

No

If NO, Please Breakdown Each Beneficiary and % Share They Should Receive.

Are There Any Special Bequests? *

Yes

No

To Whom?

Describe the Bequest in as Much Detail as Possible

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