WILL INTAKE FORM

Name: Ford, Quinn & Associates, P.C.
Address: 191 Chestnut St Suite 5B, Springfield, MA, 01103, US
Telephone: (413) 736-3611
Price range: $$

Will is for:

Your Name(Required)

First Middle Last (Maiden Name)

Today's Date

Social Security Number:

Date of Birth:

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email(Required)

Have you made a previous will?

Do you have a Power of Attorney?

Do you have a Health Care Proxy?

Have you filed a Homestead exemption?

If yes, what is the property address?

Marital Status:

Date of Marriage:

Spouse Name:

First Last

Spouse Date of Birth:

Spouse Social Security Number:

Do you have children?

First and last names of children and date of birth of each:

Are any of your children of a previous marriage?

I wish to appoint the following guardian of my minor children to age

Please enter a number from 0 to 30.

Name of Guardian:

First Last

Address of Guardian:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

If unable to serve or predeceases me, I nominate as contingent:

First Last

Address of contingent:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

I wish to appoint as Executor (trix) to carry out the terms of my Will:

First Last

Address of Executor(trix):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

My second choice as Executor(trix) is:

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

The beneficiary of my Will is:

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

Second beneficiary:

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

Third Beneficiary:

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship to you:

Name of any person who would normally be listed but are being passed over:

First Last

Name of any additional person:

First Last

Name of any additional person:

First Last

Verify

Get in Touch

When you need an attorney who cares about you as an individual, contact Ford, Quinn & Associates Law Firm for a free consultation by calling us or by contacting us online.

Office Location

Ford, Quinn & Associates, P.C.

191 Chestnut St Suite 5B, Springfield, MA, 01103, US

Contact Us:

(413) 736-3611

office@fordquinnpc.com

Ford, Quinn & Associates, P.C.

Ford, Quinn & Associates, P.C.

Ford, Quinn & Associates, P.C.

WILL INTAKE FORM

WILL INTAKE FORM

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