Instructions for the Preparation of Your Last Will and Testament. This questionnaire is to be filled out by the person in whose name the final document will be prepared.
Full Name:
Other or Former Names:
Address:
DOB:
Occupation:
Date of Submission:
Full name, address and occupation of Executor/Trustee 1:
Full name, address and occupation of Executor/Trustee 2:
Full name, address and occupation of Executor/Trustee 3:
List all your personal assets (bank account, insurance policy, etc):
Saving Account Passbook(s), Cheque book(s), Certificate(s) of Deposit, Life Insurance Policy/Policies, Registration Certificate(s) and Title(s) for the motor vehicle and Share Certificate(s) in order to substantiate your sole ownership thereof.If the Bank Account/Accounts are operated jointly or if the motor vehicle(s) and shares/stock units are jointly owned, your instructions regarding the preparation of your Will must bear this in mind.
List all your Real Estate assets (description, address and title reference):
Realty (bare land or land with building(s)) (i) Civic address(es) (ii) Title reference(s)Quote the Volume numbers on the Certificate of Title for the property/properties in question. If the property/properties are in fact unregistered parcels of land, please advise.N.B. It is necessary that you also submit copies of the duplicate Certificate(s) of Title or any other documents of Title in order to substantiate your sole ownership thereof.If the property/properties are owned by you, jointly or as Tenants in Common with other persons, your instructions regarding the preparation of your Will must reflect this.)
Give full names and addresses of the person or persons that you would like to be the beneficiary or beneficiaries of your assets and clearly state what shares/proportions will be allocated to each individual.
Beneficiary 1:
Assets:
Beneficiary 2:
Beneficiary 3:
Beneficiary 4:
Beneficiary 5:
Beneficiary 6:
Who is the person or persons that you would like to be the beneficiary or beneficiaries of your residuary estate and in what share/proportions? Give their full names and addresses.N.B. Your residuary estate comprises any asset which you have not specifically disposed of (either because you may have forgotten/overlooked it or acquired it after the execution of your Will).
We wish to assure you that only you and the lawyers at Archer Cummings & Company will have access to your information and your file at any time.
Please enter the code as you see it