Probate and Estate Administration

*First Name
*Last Name
*Email Address
*Phone Number
*Zip
Street Address
Apt/Ste
Incident Street Address
Incident Apt/Ste
*Incident Zip
Business Phone
Cellular or Pager
Relationship to decedent
Information about the Decedent
Decedent's date and place of birth
Date of death
Place of death
Residence at the time of death
Marital status
Children
- Yes
- No
If yes, provide names, ages, and addresses
Children from outside a marriage?
- Yes
- No
Prior marriages?
- Yes
- No
Was there a will?
- Yes
- No
Probate Assets
Personal Property
Checking
Savings
Cash
Bonds
Stocks
CD's
Household Goods/Furnishings
Automobile
Other(list)
Real Estate
Home
Vacation Home
Rental Property
Land
Outstanding Debts
Mortgate
Automobile
Credit Cards
Medical Expenses
Other
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If somebody referred you to us, who was it?
Special concerns
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Information about the Decedent