Request a Will

Your Details

Your Full Name:
Your Email Address:
Address:
Gender:	Male     Female
Occupation:

Marital Status:	Single
	De Facto Relationship:
	Length of Relationship:
	Full Name of Partner:
	Married
	Full Name of Spouse:
Do you wish to be cremated?	Yes    No

Guardians

Do you have any children under the age of 16 for whom a guardian should be appointed?	Yes    No
If yes:
Guardians Full Name:
Their relationship to you:
Address:
Occupation:

Executors

These are the people who will look after your affairs and ensure your wishes are carried out when you are gone.

First Executor
First Executor's Full Name:
Their Relationship to You (if any):
Their Address:
Their Occupation:

Second Executor
Second Executor's Full Name:
Their Relationship to You (if any):
Their Address:
Their Occupation:

Alternate Executor
First Executor's Full Name:
Their Relationship to You (if any):
Their Address:
Their Occupation:

Legacies and Beneficiaries

Legacies that you may wish to leave include gifts, cash, or specific items.

Are there any legacies that you wish to leave?

Yes     No

If yes, please list below the item you wish to leave as a legacy and the corresponding person you wish to leave it to:

Name                                                                         Legacy

Please list below the names of those whom the rest of your estate is to be left to, and the age at which they are to receive their inheritance:

Name                                                                    Age   1.                       2.        3.   4.   5.

Trusts                                                                 

Do you have a trust?

Yes     No