Information Sheet

To proceed with having a Will or Living Trust prepared, we recommend that you complete the following questionnaire.  This form includes the basic information needed to have a Will or Living Trust prepared.  If you have questions regarding Wills or Living Trusts, or need assistance in completing this form, do not hesitate to call.  We will gladly answer your questions.

Once the questionnaire is completed, you can submit it to us via the computer by clicking "Submit" (at the end of the questionnaire) or if you prefer, you can print it out and fax or mail the questionnaire to us.  The fax number and address can be obtained from our Contact Us page.

Please call to schedule an appointment.  You will need to bring (or fax) a copy of the Deed to any real estate you own IF you want a Living Trust.

 

First Name:
Middle Initial:
Last Name:
Birthday:
SSN:
Spouse's/Partner's First Name (if any):
Spouse's/Partner's Middle Initial:
Spouse's/Partner's Last Name (if different):
Spouse's/Partner's Birthday:
Spouse's/Partner's SSN:
Street Address:
City:
Zip Code:
State:
Daytime Phone Number:
Evening Phone Number:
Marital Status:
Children:
Minors:
Names of Children: 1:
2:
3:
4:
5:
Guardian for Minor Children (if applicable):
First Choice:
Second Choice:
 
Who would you want to manage your estate, upon your death:
If married, the spouse is usually named first.  If that is your desire, enter "Spouse" as first choice.
If single, it is only necessary to designate a first and second alternate.
First Choice ("Spouse, if married):
Second Choice/Alternate:
Third Choice/Alternate (Optional):
 
 
Upon your death, how would you want your estate distributed?
First, to spouse, if surviving
Second, to children
Other (specify):
 
If one of my children predeceases me (us), that child's share shall be distributed to:
My (our) other children then living:
The offspring of my (our) deceased child:
 
If a distribution is made to minor children, what age(s) would you want them to receive their inheritance?
  18 21 25 Other  
 
If you become incapacitated, who would you want to make Business and Financial decisions for you?  (If married, and you want your spouse, enter "Spouse" as first choice.)
First Choice:
Second Choice/Alternate:
Third Choice:
 
Health Care Decisions for you? (If married, and you want your spouse, enter "Spouse" as first choice.  If husband and wife want different alternatives to make health care decisions, specify "Wife's" and "Husband's" choices.)
First Choice:
Second Choice/Alternate:
Third Choice/Alternate (Optional):
 
Please select all that apply:
You: Living Will* Organ Donor Cremation
Spouse: Living Will* Organ Donor Cremation
*Living Will - A document specifying that you do not want to be kept alive by machines if you are in a coma, etc.
 
What is the approximate amount of your Net Worth (including the death benefit on life insurance)?
To determine type of Trust needed
Amount:
 
Do you own a business? Yes No
If Yes, what type of business?
 
Please select document desired
  Will Living Trust
 
How did you hear about Arizona Wills and Trusts?

 

Home | Wills | Living Trusts | Other Documents | Life Insurance

Feedback | Contact Us | About Us | FAQ | Costs | Information Sheet

Copyright 2003, Arizona Wills and Trusts, LLC