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Probate/Estate Planning and Administration Intake Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

What does this matter involve?

Probate/Administration of an Estate

Name of the decedent:

Date of death:

Residence at the time of death:

Your relationship to the decedent:

Did the decedent leave a will?
Yes   No   Unknown 

If yes, do you have a copy of the will?
Yes   No 

Are you named as the executor or administrator in the will?
Yes   No 

If no, who is named?

What was the marital status of the decedent?

If married or separated, please provide the name and address of the spouse:

Did the decedent have any children?
Yes   No   Unknown 

If yes, list their names and addresses. If no, please list the names and addresses of the decedents closest known relatives:

Is there anyone not listed above (including charitable organizations) who is named as a beneficiary of the will, if any?
Yes   No   Unknown 

If yes, list their names and addresses:

Please describe any concerns you have about this estate:

Describe what you would like to happen to resolve your concerns (your preferred outcome):

Have other attorneys worked on this matter?
Yes   No 

If yes, provide names, addresses, and a brief description of their involvement:

Estate Planning

What is your marital status?

Please list the names and addresses of your children, if any:

Please list the names and addresses of anyone else (including charitable organizations) you wish to provide for in your estate plan:

Do you now have a will?
Yes   No 

Life insurance?
Yes   No 

Retirement plan?
Yes   No 

Do you own a business?
Yes   No 

If yes, provide the business name, address, and phone:

If you own a business, how is the business organized (if known)?

What is your approximate net worth:

Describe your concerns regarding your estate:

Describe what you would like to happen with your estate (your preferred outcome):

Have other attorneys worked on this matter?
Yes   No 

If yes, provide names, addresses, and a brief description of their involvement:

Where did you hear about this website?

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