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Last Will and Testament Online Form
LAST WILL AND TESTAMENT CONTACT INFORMATION
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WE OFFER TRUST PACKAGES AND WILL PACKAGES or SELECT A LAST WILL AND TESTAMENT ONLY TO START
SELECT A PACKAGE OR INDIVIDUAL WILL
LAST WILL AND TESTAMENT ONLY $250
LAST WILL ONLY FOR HUSBAND AND WIFE $500
WILL PACKAGE WITH POWERS OF ATTORNEY $500
WILL PACKAGE WITH POWERS OF ATTORNEY HUSBAND AND WIFE $1000
SINGLE OR MARITAL TRUST PACKAGE $975
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REVOCABLE LIVING TRUST PACKAGE $875 PLUS $30 PER DEED FOR RECORDING AND $30 TO RECORD AFFIDAVIT OF TRUST
PLEASE PROVIDE THE CONTACT INFORMATION FOR WHOM THE TRUST IS BEING PREPARED.
First Name
Last Name
Phone
Address
Email
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip/Postal Code
Date of Birth
Place of Birth
Military Service Number
First Name of Spouse if a Marital Trust
Last Name of Spouse if a Marital Trust
Please enter the same information above for your spouse
Spouse's information
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TRUST PROPERTY LIST- PLEASE ONLY LIST PROPERTY THAT YOU WANT TO BE OWNED BY YOUR TRUST
PLEASE LIST THE REAL PROPERTY AND PERSONAL PROPERTY THAT YOU WANT TO TRANSFER TO YOUR TRUST- Please get tax advice prior to transferring any retirement accounts or life insurance policies that are pre-tax investments or accounts-
REAL ESTATE- PLEASE LIST THE ADDRESSES OF EACH PIECE OF REAL ESTATE THAT YOU WANT TRANSFERRED TO YOUR TRUST
BANK ACCOUNTS WITH ACCOUNT NUMBERS
MOTOR VEHICLES WITH VIN NUMBERS
OTHER ASSETS
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WE ALSO OFFER OFFICE APPOINTMENTS IF YOU WOULD LIKE TO GET STARTED IN PERSON!
Simply give us a call to get started in any one of our 4 convenient locations in Tucson (520) 327-4000, Phoenix (602) 253-1515 or Mesa (480) 745-2552
LAST WILL AND TESTAMENT $250
Complete the information below and on the following pages. Once we receive your submitted form we will prepare your Last Will and Testament with the information provided.
LAST WILL AND TESTAMENT PACKAGE $500
At the end of the Last Will questionnaire you will have the option to take advantage of our Will Package which includes a Last Will and Testament, a Health Care Power of Attorney, Living Will and Financial Power of Attorney for only $500. This is a savings of $350.00 if you were to purchase each document individually. The powers of attorney are used during your lifetime by someone you designate to make your health care decisions and financial decisions in the event that your health condition does not allow you to do so for yourself.
CONTACT INFORMATION
Let us know how to contact you. Please provide the information below
First Name
Last Name
Address
City
State
Arizona
Alabama
Alaska
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Zip
Email
Phone Number
ABOUT THE TESTATOR. The Testator is the person who will be signing their Last Will and Testament
First Name
Last Name
Date of Birth
City and State of Residence
If Married Name of Spouse
Children's Names, Birthdates, City/State of Residence
Do you have children under 18 years of age?
No
Yes
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NOMINATE A GUARDIAN
Who do you wish to name as guardian of your minor children if you pass away before they reach the age of 18?
First Choice Name
City and State of Residence
Second Choice Name
City and State of Residence
MANAGEMENT OF THE MINOR'S FINANCES
If your children are still minors when you pass away do you want their Guardian to manage their finances or do you wish to form a custodianship under the Uniform Transfer to Minors Act (UTMA) or do you want to create a Testamentary Trust within this Last Will and Testament.
Choose 1 ===>
My children's guardian will manage their finances
I wish to create a custodianship under UTMA
I wish to create a testamentary trust
CUSTODIAN OR TRUSTEE
If you chose to create a custodianship under UTMA or a Testamentary Trust please name your first and second choices for custodian or trustee.
First Choice Name
City and State of Residence
Second Choice Name
City and State of Residence
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ABOUT THE PERSONAL REPRESENTATIVE (Executor) OR TRUSTEE (IF YOU CHOSE TRUST PACKAGE)
The Personal Representative is the person who will handle the distribution of your Estate and pay your creditors and your taxes for you if any out of the funds from your assets. All creditors will get paid prior to distribution of your remaining assets.
First Name
Last Name
City of Residence
State of Residence
Arizona
Alabama
Alaska
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Date of Birth
ALTERNATE PERSONAL REPRESENTATIVE (Executor) OR TRUSTEE IF YOU CHOSE TRUST PACKAGE)
If your first choice for personal representative is unable or unwilling to perform their duties who is your second choice if any?
First Name
Last Name
City of Residence
State of Residence
Arizona
Alabama
Alaska
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennesse
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Guam
Puerto Rico
US Virgin Islands
Armed Forces Africas
Armed Forces Americas
Armed Forces Canada
Armed Forces Europe
Armed Forces Middle East
Armed Forces Pacific
Date of Birth
ORDER OF APPOINTMENT
Do you want your first and second choices for Personal Representative to act jointly (together) or in succession (if your first choice is unwilling or unable then your second choice will act)
Order of Appointment
Acting together
Acting in order of availability
ENTER 3RD 4TH CHOICES (OPTIONAL)
Does your spouse have the same choices or different
Next
SPECIFIC GIFTS (BEQUESTS)
After all of your final expenses and creditors are paid then distribution of the remaining assets shall occur. Specific gifts get distributed first. If you have no specific gifts to give to specific persons then skip this section to divide your entire estate proportionately in the next section
If you wish to have your entire estate divided proportionately between your beneficiaries then skip this section.
Gift 1
Name of Beneficiary of Gift 1
Gift 2
Name of Beneficiary of Gift 2
Gift 3
Name of Beneficiary of Gift 3
Gift 4
Name of Beneficiary of Gift 4
List More Gifts here ===>
Does your spouse have the same choices above or different
Next
DISTRIBUTION OF ESTATE RESIDUE- EVERYTHING LEFT AFTER SPECIFIC GIFTS EVEN IF YOU BELIEVE THERE IS NOTHING ELSE
After all of your specific gifts have been distributed or if you wanted to divide everything proportionately to your heirs then provide the names and percentage of distribution below (Percentages should add up to 100%)
First Beneficiary
Percentage of Estate
Second Beneficiary
Percentage of Estate
Third Beneficiary
Percentage of Estate
List more beneficiaries and their percentage distribution here
IF THE BENEFICIARIES YOU'VE LISTED PREDECEASE YOU THEN......
If any beneficiary you have named passes away before you do then when you pass away do you want that person's share of your estate to go to the other beneficiaries that you have named? OR Do you want that person's share to go to that person's children?
Choose 1 ==>
That person's share goes to the other beneficiaries in equal shares
That person's share goes to their children in equal shares
Other
EXCLUSIONS
Is there any person that you wish to exclude from receiving any portion of your estate?
List their names and relationship to you
SPECIAL PROVISIONS
If there is anything else that you would like to include in your Trust Package or Will Package such as burial instructions or whether you would like to be cremated etc please add that below.
Other additions ===>
Does your spouse have the same choices above or different
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Would You Like to Make Yours a Will Package?
You'll receive a Last Will and Testament, Health Care Power of Attorney, Financial Power of Attorney and Living Will. Just a few more questions and you'll be all set!
Choose Option
Last Will and Testament Only
Last Will Package including Power of Attorney
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WILL PACKAGE QUESTIONNAIRE
We've received your Last Will entries. We need a few more bits of information for the remaining documents
LIVING WILL AND HEALTH CARE POWER OF ATTORNEY
1) In the event that you are incapacitated, do you want your life to be prolonged?
Make a Selection
Yes
No
2) In the event that you are incapacitated, do you want life sustaining treatment beyond comfort care, that would serve only to artificially delay the moment of your death?
Make a Selection
Yes
No
3) If you are in a terminal condition or an irreversible coma or a persistent vegetative state that your doctors reasonably feel to be irreversible or incurable, do you want the medical treatment necessary to provide care that would keep you comfortable?
Make a Selection
Yes
No
4) Check all below that you DO NOT want.
Make a Selection
Cardiopulmonary resuscitation, for example, the use of drugs, electric shock and artificial breathing
Artificially administered food and fluids
To be taken to a hospital if at all avoidable
5) Notwithstanding your other directions, do you want the use of all medical care necessary to treat your condition UNTIL your doctors reasonably conclude that your condition is terminal or is irreversible and incurable or you are in a persistent vegetative state?
Make a Selection
Yes
No
HIPAA RELEASE AUTHORITY
6) When in the process of determining your incapacity, may all individually identifiable health information and medical records be released to the person(s) nominated by you as your Health Care Power of Attorney?
Make a Selection
Yes
No
7) Will you be attaching additional special provisions or limitations to this document to be honored in the absence of you being able to give health care directions?
Make a Selection
Yes
No
Who will be your Health Care Power of Attorney?
1st Health Care Power of Attorney
2nd Choice
3rd Choice
Will they act together? or In order of succession
8) Do you have a Prehospital Medical Care Directive (Orange colored paper signed by your physician. Commonly known as a DNR (Do not rescusitate)
Make a Selection
Yes
No
9) Do you consent to an autopsy?
Make a Selection
Yes I consent to an autopsy
No I do not consent to an autopsy
10)May your health care power of attorney have permission to consent to or refuse an autopsy?
Make a Selection
Yes my power of attorney has permission to consent to or refuse an autopsy
No my power of attorney does not have permission to consent to or refuse an autopsy
ORGAN OR TISSUE DONATION
11) Do you want to make an Organ or Tissue Donation?
Make a Selection
Yes
No
Yes whole body donation
12) Do you have additional information you want to provide?
Additional Information
Does your spouse have the same choices or different
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ORGAN AND TISSUE DONATION
1) Do you want to donate ANY needed organs or parts? or specific parts? or whole body donation
Make a Selection
Any Needed Organs or Parts
Specific Parts
Whole Body Donation
2) If you chose Specific Parts list them in the text box below. If you chose whole body donation, list the organization that you have or will be making arrangements with.
Specific Parts or Whole Body Organization
3) Do you want to donate your organs and tissue for ANY legally authorized purpose OR for transplant or therapeutic purposes only? (Skip for whole body donation)
Make a Selection
Any Legally Authorized Purpose
Transplant or Therapeutic Purposes Only
4) Do you already have a signed written agreement or donor card? If so, enter the name of the organization that you are registered with.
Enter the Institution or individual's name here
5) Do you have any additional information that you want to provide?
Additional Information
Does your spouse have the same options or different
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DURABLE (FINANCIAL POWER OF ATTORNEY
DURABLE POWER OF ATTORNEY
1) Designate your financial power of attorney who may conduct transactions for you, access banking accounts and otherwise conduct business for you in the event of your incapacity.
1ST CHOICE NAME OF POWER OF ATTORNEY
2ND CHOICE IF 1ST CHOICE IS UNABLE OR UNWILLING
3RD CHOICE (OPTIONAL)
2) Will your choices for financial power of attorney act jointly? Or in order listed above?
Make a Selection
Acting Jointly
Acting in Succession
Additional Information
Does your spouse have the same options or different
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PAYMENT INFORMATION
Select the package you are purchasing and complete the payment information to purchase your selection. Once your Documents are prepared they will be emailed to you for your review. You may submit changes or corrections when the email is received.
Choose the package you are purchasing
Last Will Only $250
Last Will Only Husband and Wife $500
Will Package with Power of Attorney $500
Will Package with Power of Attorney Husband and Wife $1000
Trust Package Single or Marital $975
IF YOU SELECTED TRUST PACKAGE OPTION PLEASE CHOOSE NUMBER OF DEEDS
IF YOU CHOSE THE TRUST PACKAGE WE WILL PREPARE UP TO 4 ARIZONA DEEDS TO TRANSFER YOUR REAL ESTATE TO THE TRUST. THE RECORDING FEES FOR THE DEEDS ARE $30 EACH PLUS $30 TO RECORD THE AFFIDAVIT OF TRUST. PLEASE SELECT THE NUMBER OF PIECES OF REAL ESTATE THAT YOU LISTED ON THE PROPERTY SECTION THAT ARE IN ARIZONA ONLY (PLEASE NOTE THAT ANY REAL ESTATE LISTED THAT IS NOT IN ARIZONA WILL REQUIRE A DOCUMENT PREPARER IN THAT STATE TO PREPARE THE DEED FOR YOU.
NUMBER OF DEEDS FOR TRUST
1 ARIZONA DEED
2 ARIZONA DEEDS
3 ARIZONA DEEDS
4 ARIZONA DEEDS
First Name
Last Name
Exp. Month / Exp. Year
/
(mm/yyyy)
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Billing Country
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Congo, The Democratic Republic Of The
Cook Islands
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Korea, Republic Of
Kuwait
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Lao People'S Democratic Republic
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Madagascar
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Moldova, Republic Of
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Slovenia
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Somalia
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US Minor Outlying Islands
United States
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Virgin Islands (U.S.)
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Total Charge
DELIVERY METHOD
We will email your documents to you for your review and if there are no changes or corrections you may call to schedule a signing appointment at our Tucson office when you are ready to sign your documents or you may print and sign the documents on your own or we will print the documents and mail them to you for signing. . Please note that if you choose to sign your documents outside of our office your Last Will requires 2 witnesses and a notary to notarize your signature and if you chose the Will pack your Durable Financial Power of Attorney requires one witness.
SIGNING METHOD ONCE REVIEWED
Choose a delivery method
EMAIL MY DOCUMENTS
PRINT AND MAIL MY DOCUMENTS WITH SIGNING INSTRUCTIONS
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