city, state zip city, zip country country Home home phone with area code Home home phone with area code Cell cell phone with area code Cell Phone: cell phone with area code Work work phone with area code Work Phone: work phone with area code Relationship: type relationship Relationship: type relationship if additional sheets are necessary, please contact the office VIII. Other Information Use this section to provide us with specific instructions regarding your estate plan such as how to distribute your residuary estate, information on residual beneficiaries such as nieces, nephews or charities, general bequests of cash or any other item you can think of that is relevant to preparing your documents. type additional information here (continuation sheet - if necessary) IV. Living and Deceased Children (indicate if deceased by placing next to name) “D” * if you have no children list nieces/nephews/grandchildren and make a note to me Name: type full name Date of type date 4. Date of Death (if applicable): type date Address: street address Child of a city, zip Marriage: Yes No country Adopted Child: Yes No Home Phone: type home phone with area code Does This Child Cell Phone: type cell phone with area code Have Special Needs: Yes No Work Phone: type work phone with area code Please Explain: please explain special needs E-Mail: type preferred address Relationship: type relationship if not child Name: type full name Date of Birth: type date 5. Date of Death (if applicable): type date Address: street address Child of a city, state zip Prior Marriage: Yes No
city, state zip country city, zip country Home home phone with area code Cell cell phone with area code Work work phone with area code Relationship: type relationship Home home phone with area code Cell Phone: cell phone with area code Work Phone: work phone with area code Relationship: type relationship if additional sheets are necessary, please contact the office VIII. Other Information Use this section to provide us with specific instructions regarding your estate plan such as how to distribute your residuary estate, information on residual beneficiaries such as nieces, nephews or charities, general bequests of cash or any other item you can think of that is relevant to preparing your documents. type additional information here (continuation sheet - if necessary) IV. Living and Deceased Children (indicate if deceased by placing “D” next to name) * if you have no children list nieces/nephews/grandchildren and make a note to me 4. Name: type full name Date of type date Date of Death (if applicable): type date Address: street address city, zip country Child of a Marriage: Yes No Home Phone: type home phone with area code Cell Phone: type cell phone with area code Work Phone: type work phone with area code E-Mail: type preferred address Adopted Child: Yes No Does This Child Have Special Needs: Yes No Please Explain: please explain special needs Relationship: type relationship if not child 5. Name: type full name Date of Birth: type date Date of Death (if applicable): type date Address: street address city, state zip Child of a Prior Marriage: Yes No
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