Wills Questionnaire - Docklands Solicitors

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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
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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
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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
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