SHOARNS SOLICITORS

WILL QUESTIONNAIRE FOR A SINGLE PERSON (SHORT FORM)

(Designed to be printed out and completed by hand) 

A. PERSONAL INFORMATION ABOUT YOU

First name(s):__________________________________________________

Surname: _____________________________________________________

Address: _____________________________________________________

Occupation: __________________________________________________

Formal title: ___________________________________________________

Are you? MALE/FEMALE  

Are you? MARRIED/SINGLE/DIVORCED/WIDOW/WIDOWER/LIVING WITH A PARTNER  

Date of Birth: _______________ (Essential for Enduring Powers of Attorney)

Are you domiciled in England & Wales NO/YES

Do you have property or assets outside U.K.? NO/YES __________________

_________________________________________________________________________

Have you made a will before?: NO/YES [please supply a copy or original]. If so where is it? ________________________________________________

Do you wish to express any wishes concerning the use of your body:-

(i) For medical research purposes YES/NO

(ii) For transplants of parts of your body for the benefit of others YES/NO

(iii) For corneal grafting from your eyes YES/NO

Do you wish to be BURIED/CREMATED/DO NOT MENTION

Do you wish to make a direction concerning your funeral arrangements NO/YES

____________________________________________________________

Do you wish to make a direction as to disposal of your ashes or burial of your body: NO/YES ________________________________________________

Do you also require an Enduring Power of Attorney to apply in the event of becoming incapable of managing affairs? YES/NO

B. GENERAL QUESTIONS ABOUT YOU

Do you wish me to retain final will(s) for safe-keeping? NO/YES [A copy will be supplied]

Do you have an Accountant?: NO/YES __________________________________________________________

Do you have your own business NO/YES ____________________________________________________________

Legal aid required? NO/YES/ WEEKLY INCOME £ ____________________

Are you making this will expecting shortly to get married? NO/YES

Details of your children:-

FULL NAME 1 _______________________________________________

AGE: 0-17 18+ MALE/FEMALE

ADDRESS: ___________________________________________________

FULL NAME 2 ______________________________________________

AGE: 0-17 18+ MALE/FEMALE

ADDRESS: ___________________________________________________

FULL NAME 3 _______________________________________________

AGE: 0-17 18+ MALE/FEMALE

ADDRESS:____________________________________________________

FULL NAME 4 _______________________________________________

AGE: 0-17 18+ MALE/FEMALE

ADDRESS: __________________________________________________

FULL NAME 5 ________________________________________________

AGE: 0-17 18+ MALE/FEMALE

ADDRESS: ___________________________________________________

Ownership of main private house address:-

House in name of? ______________________________________________

Who is the co-owner of house : ___________________________________

Is the house jointly owned on deeds as: JOINT TENANTS/TENANTS IN COMMON/NOT KNOWN ________________________________________

Please give details of any other freehold or leasehold property you own  or co-own:-

_____________________________________________________________

_____________________________________________________________

Have you or your Partner made any substantial lifetime gifts of property or money? NO/YES/DETAILS:-

_____________________________________________________________

____________________________________________________________

Are you interested in advice on Inheritance Tax (assets over say £250,000) NO/YES

If you require advice on Inheritance Tax please give approximate details of major current asset values:-

ASSETS

£                            Main private house residence

                             Other assets:-

£                                 Life Insurance

£

£

--------------------

£                          APPROXIMATE GROSS VALUE OF ALL YOUR ASSETS

                            LESS POTENTIAL LIABILITIES:-

£                          Mortgage on house

£                        

£

£

===========

£                      APPROXIMATE NET VALUE OF ALL YOUR ASSETS

===========

C. DISTRIBUTION OF YOUR ESTATE

GIFT/LEGACY TO THIRD PARTY (OPTIONAL):

Full name of your beneficiary 1 ____________________________________

Age: 0-17 18+

Address: ____________________________________________________

Any Relationship: _____________________________________________

Gift/legacy(£):_________________________________________________

Additional wording for Gift/Legacy: ________________________________

Full name of your beneficiary 2 __________________________________

Age: 0-17 18+

Address: ____________________________________________________

Relationship:__________________________________________________

Gift/legacy(£):_________________________________________________

Additional wording for Gift/Legacy: _______________________________

___________________________________________________________

Full name of your beneficiary 3 ____________________________________

Age: 0-17 18+

Address: ____________________________________________________________

Relationship:_________________________________________________

Gift/legacy(£):________________________________________________

Additional wording for Gift/Legacy: _______________________________

Full name of your beneficiary 4 __________________________________

Age: 0-17 18+

Address: ____________________________________________________

Relationship:_________________________________________________

Gift/legacy(£):________________________________________________

Additional wording for Gift/Legacy: ________________________________

_____________________________________________________________

EXECUTOR OR EXECUTOR(S)

Full name Executor 1 ___________________________________________

Relationship:___________________________________________________

Address:______________________________________________________

Full name Executor 2 __________________________________________

Relationship:__________________________________________________

Address:_____________________________________________________

SUBSTITUTE EXECUTOR OR EXECUTORS (OPTIONAL)

Full name Executor 1 ___________________________________________

Relationship __________________________________________________

Address ______________________________________________________

Full name Executor 2 ___________________________________________

Relationship __________________________________________________

Address ______________________________________________________

GUARDIANS OF CHILDREN (OPTIONAL)

Full names Guardian 1 __________________________________________

Relationship ___________________________________________________

Address ______________________________________________________

Full names Guardian 2 __________________________________________

Relationship __________________________________________________

Address ____________________________________________________

REMAINDER OF ESTATE LEFT TO CHILDREN (IF YOU HAVE CHILDREN)

Is it your wish that:

(i) if you have a child or children who are living at your death that they are to inherit the remainder (residue) of your Estate in equal shares

and; (ii) that should any such child die before you leaving a child or children then the latter will inherit equally their deceased's parents' share

YES/NO

_____________________________________________________________

_____________________________________________________________

REMAINDER OF ESTATE LEFT TO OTHERS

If you die without leaving children who attain 18 the remainder of your estate after payment/distribution of any legacies, payment of debts and taxes is to be be distributed between the following one or more beneficiaries:-

Full name 1 _________________________________________________

Age: 0-17 18+

Address: _____________________________________________________

Any relationship: _______________________________________________

Share e.g. 25% _________________________________________________

Full name 2 ___________________________________________________

Age: 0-17 18+

Address ______________________________________________________

Relationship ___________________________________________________

Share e.g. 30% _________________________________________________

Full name 3 ___________________________________________________

Age: 0-17 18+

Address _____________________________________________________

Relationship: _________________________________________________

Share e.g. 20% ________________________________________________

Full name 4 __________________________________________________

Age: 0-17 18+

Address ______________________________________________________

Relationship ___________________________________________________

Gift/share e.g. 25% ______________________________________________

DEATH OF NAMED RESIDUARY LEGATEE

If any such persons dies before you:-

Leaving children - are they to inherit parents share?: YES/NO

Childless - divide their share equally amongst other shares?: YES/NO

AGE OF MAJORITY (IF YOU HAVE CHILDREN OR YOUNG POTENTIAL BENEFICIARIES)

If a trust were to arise because of a beneficiary was too young to inherit by law at what age would you like the trust to cease and for that child to inherit absolutely?:-

Age   18    21   25

NOTES/CONTINUATION SHEET:-

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