Narris Law Office

& Family Mediation Partners

(508) 351-9060

Narrislaw.com

Simple Will Intake Form

Married Couple

Spouse 1

Full Name ______

(First)(Middle)(Last)

Address ______

______

Phone Number ______Cell Number ______

Date of Birth ______

Spouse 2

Full Name ______

(First)(Middle)(Last)

Address ______

______

Phone Number ______Cell Number ______

Date of Birth ______

Are both spouses citizens of the United States? Yes ______No ______

Children

(please note, the Will shall be drafted so that any additional children will be considered as beneficiaries in equal shares)

FullName ______

Date of Birth ______

FullName ______

Date of Birth ______

FullName ______

Date of Birth ______

FullName ______

Date of Birth ______

Who would you like to be the children’s Guardian? (The person who would have legal custody of the children in the event that both parents are deceased)

Full Name

______

Address

______

______

Phone Number

______

Would you like the named Guardian to also be the Children’s conservator? (The conservator is the person that will be in charge of the Children’s money and financial estate. Often the conservator and the guardian are the same person, but they do not have to be.)

Yes______No ______

If one of your children or beneficiaries predeceases you, do you want their share of your estate to go to your other children (if so, check here) ______or to his/her children (if so, check here) ______.

Special Considerations

Does either spouse have a current Will? Yes ______(if so, please bring to your attorney)

No ______

Is either person responsible for the care of another (i.e. dependent family member)?

Does either spouse own any property jointly or with another person?

Has either party ever been married before?

Does either party have children outside of the marriage?

Special Bequests

In your Will, you can gift or bequeath specific things to a specific person. If you would like to make this designation, please indicate that here. This can include family heirlooms, antiques, art, and special gifts.

ItemFull Name of Person

______

______

______

______

______

______

If the person that you named above has predeceased you, do you wish that specific piece of property to go their children/heirs or to return to your estate?

Go to that person’s children/heirs ______

Return to your estates ______

Does either person own any intellectual property (copyrights, trademarks, patents)

Yes ______No ______

Disinheritance

Is there anyone that you wish to exclude from your will?

Is there anyone you wish to disinherit should they contest your will?

Personal Representative (executor)

Your personal representative is the person that will help probate your estate, file the documents with the Court, have the authority to pay taxes, medical bills, and funeral costs, property or pay the cost of settling your estate. Your personal representative can be your spouse.

If you wish to name your spouse, please check here. ______

If you wish to name someone else, please check here. ______

Who would you like to name, or name as an alternate in the event your spouse is unable to be your personal representative?

Spouse 1

Full Name______

Address ______

______

Phone Number ______

Spouse 2 (if appointing a different personal representative than spouse 1)

Full Name______

Address ______

______

Phone Number ______

Burial Requests

In your Will, you can make specific requests for your funeral arrangements. You can also write a letter of instruction and provide that to your loved ones, which is not included in your will.

Would you like to include your funeral and burial requests in your Will? ______

If so, please complete the following:

Specific Cemetery ______

Do you have a family plot? ______

Specific instructions for your funeral?

Cremation? Yes ______No ______

Notes:

Health Care Proxy

The Narris Law Office will provide you with a Health Care Proxy. Your health care proxy (or agent) is someone you trust and name to make medical decisions for you in the event that you are unable to communicate for any reason, at any time. You can name your spouse. You can also name an alternate, in the event that your spouse is unable.

The person you name must be 18 years old.

Keep the original of your health care proxy, but in a place that your loved ones will have easy access. (Not in a safe deposit box, where it is advisable you keep your Will).

Make copies of your health care proxy and provide one to your doctor, family or anyone else that would be involved in making decisions for you.

Name of Health Care Proxy

______

Address ______

______

Phone Number ______

* You can revoke this appointment at any time in various ways, including signing a new Health Care Proxy.

Acknowledgment

This intake form is for the drafting of a “simple will.” This form contemplates that your entire estate will go to your spouse or to your children in equal shares, if your spouse predeceases you. If this is not the arrangement that you wish, please tell the attorneys at the Narris Law Office.

If you are drafting this will with your spouse and are represented jointly by the Narris Law Office, you may disclose otherwise confidential information. This could create a conflict of interest for the attorney. If you would prefer to have another lawyer draft your Will separate from your spouse, please make sure to inform your attorney. Otherwise, by signing below, you acknowledge that you would like to proceed with joint representation.

Signed:______Dated:

Spouse 1

______Dated:

Spouse 2

GENERAL INFORMATION

Purpose of a Will

By drafting a Will, you can provide your family with specific instructions about your wishes. This can abate any contentiousness for your family on how to handle your estate and care of your children. A Will can provide you with tremendous peace of mind that your loved ones will be cared for.

The other reason that people draft a Will is to anticipate estate tax implications. If your estate includes property that evokes the Federal or State estate taxes, you may wish to seek the help of a financial estate planner to decide whether you should also create various trusts in consideration of possible taxes.

Signing of the Will

In order to sign the Will, you will need to have two witnesses present. It is advisable that these people should not be “interested parties,” or people that stand to inherit from your Will.

Each person signing the Will and also witnessing the Will must be present at the same time. Each person should bring a valid form of ID so that their signatures can be notarized.

The Attorneys at the Narris Law Office will schedule the signing at a time and place that is convenient for you and the witnesses.

Storage of your Will

After your Will has been drafted and executed, it is advisable that you keep the original in a safe place. Provide information to you family about where they can find your Will and access important information. The Narris Law Office will retain a copy of your Will.

People oftentimes keep their Will and documents of non-probate assets (life insurance policies, trusts, etc.) together. We advise that clients keep these documents in a safe deposit box. Keep in mind that it can be time consuming to access a safe-deposit box if the person is not also named on the box. It is also advisable to keep a description andlocation of your various properties and important paperwork, and to make sure your personal representative knows where to find this information.

Basic Planning

You can also write informal letters of instruction about your funeral arrangements or desires for your children’s future and give those letters to your family members and/or keep a copy with your estate planning paperwork. Be sure to tell your family where you keep these important papers so they are easily accessible. You also are able to fill out an organ donor form to reflect your wishes. These forms are available online or can be provided to you by the Narris Law Office.