WILL PREPARATION QUESTIONNAIRE This Questionnaire is designed to assist in the preparation of your Will. Some of the questions will not be relevant and can be left blank. If the question relates to something that you are not sure about, please make a note and it can be discussed when we meet. Where names and addresses are required you need only insert the full details once. Instead of repeating the information, just state the person’s name and leave the rest blank. If there is anything not covered in the Questionnaire, please make a note of this to discuss at our meeting, for example, the Guardianship of children under 18 or the care of pets on your death. If you do not have enough space please use the reverse of the pages to continue where required. 1. PERSONAL DETAILS FULL NAME FORENAME(S) SURNAME FULL ADDRESS TELEPHONE NUMBERS POSTCODE HOME WORK MOBILE E-MAIL ADDRESS DATE OF BIRTH NATIONALITY OCCUPATION MARITAL STATUS Page 1 of 15 2. DETAILS OF SPOUSE / PARTNER FULL NAME FORENAME(S) SURNAME MAIDEN NAME (or other names used) DATE OF BIRTH NATIONALITY OCCUPATION DATE OF MARRIAGE (if applicable) Page 2 of 15 3. (1) CHILDREN FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH (2) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH (3) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH (4) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH Page 3 of 15 4. (1) GRANDCHILDREN FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH (2) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH (3) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH (4) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE DATE OF BIRTH Page 4 of 15 5. RESIDENCE FULL ADDRESS POSTCODE DELETE AS APPLICABLE DELETE AS APPLICABLE OWNED SOLE NAME RENTED JOINT NAMES FREEHOLD LEASEHOLD NAME OF JOINT OWNER DELETE AS APPLICABLE VALUE £ OUTSTANDING MORTGAGE NAME OF MORTGAGEE AMOUNT £ LOCATION OF DEEDS 6. OTHER PROPERTIES IN UK FULL ADDRESS POSTCODE DELETE AS APPLICABLE DELETE AS APPLICABLE OWNED SOLE NAME RENTED JOINT NAMES FREEHOLD LEASEHOLD NAME OF JOINT OWNER DELETE AS APPLICABLE VALUE £ OUTSTANDING MORTGAGE NAME OF MORTGAGEE AMOUNT £ LOCATION OF DEEDS WHO LIVES HERE? Page 5 of 15 7. BANK / BUILDING SOCIETY ACCOUNTS (1) NAME BRANCH ADDRESS ESTIMATED VALUE £ DELETE AS APPLICABLE SOLE NAME JOINT NAMES SOLE NAME JOINT NAMES SOLE NAME JOINT NAMES NAME OF JOINT OWNER (2) NAME BRANCH ADDRESS ESTIMATED VALUE £ DELETE AS APPLICABLE NAME OF JOINT OWNER (3) NAME BRANCH ADDRESS ESTIMATED VALUE DELETE AS APPLICABLE £ NAME OF JOINT OWNER Page 6 of 15 8. PERSONAL POSSESSION IN YOUR SOLE NAME OF SIGNIFICANT VALUE (IN EXCESS OF £1,000.00) JEWELLERY £ £ £ £ CAR £ £ £ OTHER £ £ £ £ £ 9. LIFE ASSURANCE & PENSION POLICIES (1) NAME POLICY TYPE VALUE £ WRITTEN IN TRUST YES NO YES NO (2) NAME POLICY TYPE VALUE £ WRITTEN IN TRUST Page 7 of 15 10. STOCKS & SHARES NAME OF COMPANY HOLDING 11. PROPERTY OUTSIDE UK FULL ADDRESS TYPE OF PROPERTY VALUE £ 12. OTHER ASSETS – PREMIUM BONDS, PEPs, ISAs TYPE VALUE £ 13. Do you expect to receive any property in the near future, for example an Inheritance or Court Judgment in your favour? Page 8 of 15 YES NO 14. WILLS Why are you making a Will now? Do you have an existing Will? YES NO YES NO BURIED CREMATED YES NO If Yes, where is the Will located? Is it a mutual Will? (Agreement not to alter after death of first Testator) 15. FUNERAL WISHES Do you wish to be buried or cremated? Do you wish your body to be used for medical research? Please detail any specific wishes Page 9 of 15 16. APPOINTMENT OF EXECUTORS A Testator should choose who should be his or her Executors and appoint them in his or her Will. In general terms, the duties of the Executors are to collect in the Estate of the deceased, to pay the deceased’s debts and to distribute to the persons properly entitled in the Will. It is advisable to appoint at least two Executors or to provide for a substitution in the event of the death of one of the Executors dying before the Testator (1) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE (2) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE (3) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE Page 10 of 15 SUBSTITUTE EXECUTORS (1) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE (2) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE Page 11 of 15 17. BENEFICIARIES GIFTS OF PERSONAL ITEMS ITEM NAME & ADDRESS ITEM NAME & ADDRESS ITEM NAME & ADDRESS ITEM NAME & ADDRESS ITEM NAME & ADDRESS Page 12 of 15 CASH GIFTS AMOUNT NAME & ADDRESS £ AMOUNT NAME & ADDRESS £ AMOUNT NAME & ADDRESS £ Page 13 of 15 RESIDUE Your Residuary Estate is what is left after your Executors have paid all debts, expenses, administration costs and legacies. (1) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE SHARE IN RESIDUE (2) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE SHARE IN RESIDUE (3) FULL NAME FORENAME(S) SURNAME FULL ADDRESS POSTCODE SHARE IN RESIDUE Page 14 of 15 18. ENDURING POWER OF ATTORNEY (EPA) LASTING POWER OF ATTORNEY (LPA) Have you appointed someone to act under an EPA or LPA? YES NO YES NO Name of Attorney Relationship Where is the original EPA/LPA? Has the EPA/LPA been registered with the Court of Protection? Please do not hesitate to contact us if you have any queries. Date Signature PRINT NAME Page 15 of 15