Will Questionaire Step 1 of 6 16% Personal InformationName First Middle Last Date of Birth:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Citizenship:Present Address: Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code E-mail address: Enter Email Confirm Email Home:Work:Cell:Do you have a present WillYesNo Marital StatusMarital StatusSingleEngagedMarriedCommon-LawSeparatedWidowAre we also drafting a Will and Power of Attorneys for your spouse?YesNoDo you have a Separation Agreement?YesNoInformation about your spouse, partner or ex-spouseName First Middle Last Present Address: Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Citizenship:Date of Birth:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date of Separation/Divorce:Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 ChildrenPlease indicate if any Children, Stepchildren, Adopted, Disabled, or born outside of marriage0123456NameBirthdate Number of GrandchildrenFinancially dependentYesNoNameBirthdate Number of GrandchildrenFinancially dependentYesNoNameBirthdate Number of GrandchildrenFinancially dependentYesNoNameChild 4Birthdate Number of GrandchildrenFinancially dependentYesNoNameChild 5Birthdate Number of GrandchildrenFinancially dependentYesNoNameChild 6Birthdate Number of GrandchildrenFinancially dependentYesNo Are you supporting any other (ex-spouses, parents, friends)YesNoPlease enter their Names & RelationshipsDo you wish to be cremated ?YesNo Disposition of Your Estate (beneficiaries)beneficiariesName in Full (First, Middle, Last)Percentage share designated to each beneficiaryRelationship Do you have a life insurance policy?YesNoAdditional information if the beneficiary is a minorWill you distribute the residue gradually?YesNoi.e. 33% at 18 years, half of the remaining at 21 years and the balance at 25 yearsWill you permit an exception for educational purposes?YesNoGuardianOrder #Name in Full (First, Middle, Last)RelationshipPresent Address Preliminary Thoughts on your WillExecutor(s)Order #Name in Full (First, Middle, Last)RelationshipPresent Address How are the Executors acting:Jointly* (must act together)Jointly and Severally* (together or independent)In order as they appeare.g. The first to act alone, the first to act with the second, the first to act with the second and third, or the first to act with the second, third and fourth. Preliminary Thoughts on your Powers of AttorneyDo you have any existing Powers of Attorney that you wish to revoke:YesNoPersonal CareAttorneyOrder #Name in Full (First, Middle, Last)RelationshipPresent Address Note: You may name as many Attorneys as you wishHow are the Attorneys acting:Jointly* (must act together)Jointly and Severally* (together or independent)In order as they appeare.g. The first to act alone, the first to act with the second, the first to act with the second and third, or the first to act with the second, third and fourth.PropertyAttorneyOrder #Name in Full (First, Middle, Last)RelationshipPresent Address Note: You may name as many Attorneys as you wishHow are the Attorneys acting:Jointly* (must act together)Jointly and Severally* (together or independent)In order as they appeare.g. The first to act alone, the first to act with the second, the first to act with the second and third, or the first to act with the second, third and fourth.EmailThis field is for validation purposes and should be left unchanged. 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