Personal Information

Full Names, Address, and Birth Dates of Children

Proposed Executors
Executors and Trustees are Persons who administer the estate.

Full names and addresses of proposed Executors and Trustees:

Full names and addresses of alternate Executors and Trustees if above should not be alive:

Proposed Custodian
The Custodian would be the guardian of your children should you die.

Proposed Custodian of children:

Proposed Alternate Custodian:

Distribution of Estate

Proposed Distribution: Names of beneficiaries (complete names and addresses of charitable institutions) and amount of bequest or item to be bequeathed:

Residue of Estate (Balance of estate after debts paid):

Alternate Distribution: Names of beneficiaries (if persons above are not living at the time of your death):

Age of children and grandchildren to receive bequest:

Special Funeral Instructions

Cremation

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