Will Questionnaire. 1. Personal details. Spouse/ Partner 1 Spouse/ Partner Married couples and civil partnerships

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Will Questionnaire This form is designed to give us the necessary information about you and your family and your wishes for your will. Please complete the form in readiness for our meeting or (if no meeting has been arranged) return the form to us. Couples who wish their wills to mirror each other can complete just one questionnaire with all the details, but should feel free to complete separate questionnaires if they prefer. 1. Personal details Spouse/ Partner 1 Spouse/ Partner 2 Surname: Surname: All forenames: All forenames: Any other name you use or have used: Any other name you use or have used: Date and place of birth: Date and place of birth: Nationality: Nationality: Occupation: Occupation: 2. Married couples and civil partnerships Date and place of marriage (or civil partnership): Did you sign a pre-nuptial agreement? Yes No Details of any previous marriages or civil partnerships: 3. Unmarried and non-civil partner couples How long have you been together? Do you intend to marry or become civil partners in the near future? Yes No Did you sign a cohabitation or similar agreement? Yes No Details of any previous marriages or civil partnerships: 1

4. Contact details Telephone numbers: Home: Work: Mobile: Email address(es): 5. Family details Children Please indicate if any is a child of just one of you, whether any have special needs and whether they are single, married, divorced or separated. Postcode Grandchildren Details of any dependants other than children or grandchildren: 2

6. Assets and liabilities Please summarise your assets and any liabilities (with approximate values) as indicated. In the cases of couples, please distinguish between what belongs to each spouse or partner and what is owned jointly using the different columns. In sole name In joint name Your home Freehold or leasehold: If your home is owned jointly, is it held as joint tenants or tenants in common? Any other houses or flats, land or buildings Freehold or leasehold: If your home is owned jointly, is it held as joint tenants or tenants in common? Freehold or leasehold: If your home is owned jointly, is it held as joint tenants or tenants in common? Mortgages Property: Lender: Amount outstanding: Property: Lender: Amount outstanding: Property: Lender: Amount outstanding: Life insurances (please indicate if and insurance is linked to a mortgage) Life/lives assured: Life/lives assured: Pension policies 3

6. Assets and liabilities continued (Please continue on an extra sheet of paper if necessary) In sole name In joint name Bank or building society account total value: Stocks and shares etc. Value of portfolio: Investment manager: Other assets (e.g. cars, yachts, antiques, jewellery, etc.) Description: Description: Description: Foreign assets: 7. Other matters Have you made any gifts in the last seven years? Yes No Do you have an interest in any trusts or expect any inheritance? Yes No Do you live in any country outside the United Kingdom? Or is there any other country with which you are closely connected? Yes No Do you own a business or are you a partner in a business? Or do you own any private company shares or agricultural property? Yes No Please give further details below if you have answered Yes to any of the questions above: 4

8. Contents of your will (Please continue on an extra sheet of paper if necessary) Please use this section to summarise what you want us to put in your will. Please give any relevant names and addresses in full if these do not appear elsewhere in this questionnaire. Who is to receive most (or all) of your estate? Do you wish to make any specific gifts of personal possessions and/or cash? If so, please provide the full names and addresses of such beneficiaries, what you would like to give to them and whether, if you are a couple, the gift should take place after the first death or the second. What is to happen if the proposed recipient of any gift dies before you (or with you)? Do you have any particular requests about whether you should be (or should not be) buried or cremated or about the use of your body for, say, transplants or medical research? Who are to be the guardians of any children under eighteen? Please provide full names and addresses. (Guardians have personal responsibility for orphaned children; the children will usually live with the nominated guardians after the death of both their parents. If you are a single parent, divorced from the other parent or a same sex couple, special rules may apply and you should discuss this with us.) Who are to be executors and/or trustees? Please provide full names and addresses. (Executors will deal with the administration of your estate and trustees will deal with the administration of any trusts your will creates. Ideally you should have more than one in case one of them dies before you or with you. You can appoint substitute executors and trustees who take the place of an executor or trustee who is unable or unwilling to act as executor or trustee.) 5

9. Other wills and documents Please provide a copy of any existing wills. Where is/are the original(s) located? Have you made an Enduring Power of Attorney or a Lasting Power of Attorney? Yes No Do you have a Living Will (Advance Directive)? Yes No If you have completed this form online please click SUBMIT button below, otherwise please post form back to Lester Aldridge, Russell House, Oxford Road, Bournemouth, BH8 8EX. Tel: 0344 967 0785 Email: info@la-law.com www.lesteraldridge.com The information contained in this publication is for guidance only. No responsibility can be accepted by Lester Aldridge LLP (LA) or by external contributors for action taken as a result of the information contained in this publication. It is not intended to be an exhaustive statement of the law or a substitute for seeking specific advice. Photocopying or other reproduction without LA s permission is a breach of copyright. LA is authorised and regulated by the Solicitors Regulation Authority. A list of members is available on request. Registered Office: Russell House, Oxford Road, Bournemouth, Dorset BH8 8EX. Registered in England OC321318. 6