- 1 -

Request a Will ~ Betar Lawyers

This document should be forwarded to the above firm as soon as completed

FAX: 02 92791100 scan and email:

POST: Betar Lawyers, GPO Box 4007, Sydney NSW 2001

PLEASE PRINT ON THIS FORM – sign each page

Name: write your FULL name 
Home AddressEmail Address
Write your address here 
Telephone Number: mobile / home / work 
Occupation: what do you do for a living 
Marital Status:
are you married, single, de facto 
Name of Spouse:
if applicable, FULL name of your partner
Name of Children:
FULL name & AGE of ALL children 
Name & Address of Executor:
(person who will look after your estate and distribution to beneficiaries)
Name & Address of Substitute Executors:
(first Executor having died or unavailable)
Distribution to Beneficiaries:
  • usually to spouse,
  • if not then to children,
  • if not then to nominated beneficiaries eg. parents, friends, charities, etc…)
list FULL names, address & age of your beneficiaries

Substitute Beneficiaries:
(if first mentioned beneficiaries dies including names, addressees and ages)
Other Instructions:
(eg. guardianship of children, burial or cremation directions, reasons for omitting a beneficiary who should or might have been included, arrangements for payments of certain debts or dealings with certain assets like jewellery or other valuables)
Questions to be answered by us, if any, before you complete your instructions:
(Please call us for assistance)
A list of assets and liabilities should be attached to this document so that advises on eg. capital gains tax can be provided:

NOTE:It would be appropriate for you to obtain the consent of any executor before completing your Will. The Executor should be advised of the whereabouts of the Will –namely with this office.

Generally your partner will make a similar Will to be executed at the same time.

………………………………………………………………………………

Sign hereDated:

Payment

TO:Betar Lawyers

GPO Box 4007,

Sydney NSW 2001

FROM: (your name)______

(your address)______

______

(your email)______

Telephone______

Please prepare the following documents for me/us:

Please tick the box(s)  for the work you would like us to do

A Will for myself $250 (incl GST)

Wills for my partner and & I, $395 (incl GST)

Will for each of me/us
Enduring Powers of Attorney for each of me/us

Enduring Guardianship for each of me/us

Advanced Health Care Directive me/us $550 (incl GST)

I / We acknowledge that I/we will pay the above amounts by debiting my/our credit card below.

Payment Details – Betar Lawyers

CREDIT CARD AUTHORITY – Fax to 9262 2020

Credit Card No / Exp / /
Cardholder (Name) / CVN:
Amount: / $
Signature
Type of Card /  /  / 

NOTE: 2.5% credit card transaction fee applies to the above amounts