Will Questionnaire (Individual)

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Will Questionnaire (Individual) This questionnaire is designed to help us to find out the information we need to prepare your Will and to advise you in relation to the issues that are important to you. We appreciate that not all of the questions will be relevant to you and/or that you may not be able to provide all of the answers. 1. Personal details Title Mr Mrs Ms Miss Dr Other - Last Name First Name(s) Middle Name(s) Alternative / Former Name(s) Date of Birth Marital Status (please tick all that apply) Single Cohabiting Engaged Married / Reg. Civil Partnership Separated Divorced Widowed Date of Marriage / Civil Partnership General State of Health Occupation Page 1 of 15

2. Contact details Address Post code Home Tel Work Tel Mobile Tel Email Address 3. Residence and Domicile Country of Residence for Inheritance Tax purposes (if known) England Other - Not known / advice needed Country of Domicile for Inheritance Tax purposes (if known) England Other - Not known / advice needed 4. Existing Wills Do you have any existing UK Wills? Yes No Do you have any existing foreign Wills Yes Country No Page 2 of 15

5. Funeral Wishes Please give details of whether you would like to be buried or cremated and any additional details, such as: place of burial or scattering of ashes, if you wish to donate your body for the treatment of others, if you wish to donate your body for medical education and research. Funeral Wishes Burial Cremation Additional Details Page 3 of 15

6. Asset Information Please give details of your assets and liabilities. Cash and Investments Cash / Liquid Assets Personal Possessions Investments, e.g. unit trusts, quoted shares, options etc Property Main Residence, and any mortgage Other Property, and details of any mortgages Other Businesses Non-UK Assets Other Assets Gifts made in the last 7 years Inheritances Potential Inheritances Life Insurance Policies Pension Policies Death in Service Benefits 7. Children Please give the full names, addresses, dates of birth and status of all of your children. (Status can include born in wedlock, born out of wedlock, adopted and step-child) Page 4 of 15

(a) r Children Full Name Address Date of Birth Status & Name of Other Parent (b) Additional Information About Children Page 5 of 15

8. Guardians If you have any children under the age of 18, you should appoint at least one Guardian to look after them, in case both you and the child s other parent have died. We suggest that you and your child s other parent choose the same people to act. A Guardian s responsibilities include looking after the day-to-day care of the child and making decisions about his or her upbringing, including: place of residence, education (including deciding between a religious or secular education), healthcare, and general welfare. (For the purposes of appointing Guardians, the word children includes illegitimate and adopted children, but not step children.) (a) Main Guardians Name Address Relationship to you Age (b) Substitute Guardians Name Address Relationship to you Age (c) Do have any questions about the above appointments? Page 6 of 15

9. Executors r Executors are the people appointed in your Will to carry out your wishes and to administer your estate for your beneficiaries. The Executors responsibilities are to: locate, identify and value your assets and liabilities; calculate and pay any tax payable by your estate; apply to the probate registry for a grant of Probate of your Will; collect your assets in; make sure all valid claims and debts are received, assessed and paid; arrange for the distribution of the estate in accordance with the terms of the Will; prepare accounts and deal with administration tax returns; and defend litigation. Anyone over 18 can act as Executor, including a person named as a Beneficiary in your Will. They must be trustworthy and able to take on a potentially demanding role. can also appoint a professional such as a lawyer or an accountant to act, although that is not necessary in most circumstances. An Executor can act by themselves or jointly with another person. can also appoint substitutes in case the main Executor or Executors cannot act. Most couples choose the survivor and one other to act as their main Executors, plus one substitute in case either of the main Executors cannot act. r Executors Name Address Occupation / Relationship Main / Substitute? Page 7 of 15

10. Specific Gifts to Friends and Family Would you like to leave any individual items to friends and family, such as family heirlooms, jewellery or keepsakes, or a particular property? If so, please provide the details below. If you wish to make further gifts, please give details of those gifts in section 11. Any items not specifically gifted will fall into the residue of your estate and will pass to the main beneficiaries named under your Will. (a) r Specific Gifts Full Name Address Relationship Item / Property If a beneficiary dies before you, do you want their children to inherit instead of them? Yes No Page 8 of 15

11. Cash Gifts to Friends and Family Would you like to leave any individual gifts of money to friends and family? For example, X to each of your godchildren or nephews and nieces. If so, please give details of the gifts. If you wish to make further gifts, please give details of those gifts in section 11. (a) r Cash Gifts Full Name Address Date of Birth Relationship Amount / If a beneficiary dies before you, do you want their children to inherit instead of them? Yes No Page 9 of 15

12. Cash Gifts to Charity Would you like to leave any individual gifts of money to Charity? If so, please give the details of the gifts. If you wish to make further gifts, please give details of those gifts in section 11. can find details of all UK Registered Charities on the Charity Commission website: www.gov.uk/government/organisations/charity-commission (a) r Charitable Gifts Name of Charity Registered Address Charity Commission No. Amount / Page 10 of 15

13. Gift of Residuary Estate r Residuary Estate is what is left of your estate once the individual gifts have been made and any debts, Inheritance Tax and administration costs have been paid. Under English law, you are free to leave your Residuary Estate to whomever you wish, although claims might be made against your estate if you do not include beneficiaries who you are maintaining during your lifetime, such as a child or a former spouse. Please let us know if you would like further information about this issue. (a) Main Gift of Residue Who would you like to inherit your Residuary Estate? My Children Other, please give details below Full Name / Name of Charity Address Relationship / CC Number % of residue (b) Substitute Gift of Residue Who would you to inherit if the above gifts fail? My Children Other, please give details below Full Name / Name of Charity Address Relationship / CC Number % of residue Page 11 of 15

(c) Longstop Gift of Residue Who would you like to inherit if all of the above gifts fail? Full Name / Name of Charity Address Relationship / CC Number % of residue (d) Further Information Do have any questions or concerns about the above distribution(s) of your Residuary Estates? Page 12 of 15

14. Additional Questions Children and Grandchildren At what age would you like a child to inherit under your Will? N.B. While a child is under that age, his inheritance can in most cases be used for his benefit (e.g. to pay school fees, day-t0-day costs and to provide an allowance). 18 25 >25 If a child dies before you, do you want their children to inherit in their place? Yes No Other If any other beneficiary named in your Will dies before you, do you want their children to inherit in their place? Yes No Vulnerable Beneficiaries Is any beneficiary physically or mentally disabled? Yes No Is any beneficiary otherwise vulnerable, e.g. due to drug or alcohol problems? Yes No Is any beneficiary on means-tested benefits? Yes No Possible Claims against a Beneficiary Is any beneficiary separated from their Spouse or Civil Partner or likely to go through divorce proceedings? Yes No Is any beneficiary bankrupt (or likely to become so) or facing other court proceedings? Yes No Possible Claims against your Estate Are you maintaining a former Spouse, for example paying a regular sum or providing a place from him or her to live? Yes No Are you maintaining anyone else, e.g. paying an allowance, rent or providing a place for to live? Yes No Page 13 of 15

15. Other Information If you require more space to answer any of the questions on this form please give further details. When completed, please return this questionnaire to: Alison Armstrong, Armstrong Private Client, 143 Stoke Newington Church Street, London N16 0UH Page 14 of 15

About us Armstrong s is a specialist private client law firm in Stoke Newington providing sympathetic and practical advice to individuals and families. We can advise on the following areas of law: Wills and Estate Planning Inheritance Tax Planning Probate and the Administration of Estates Mental Capacity and Powers of Attorney Charity Formation and Administration Find us Armstrong Private Client 143 Stoke Newington Church Street Stoke Newington London N16 9AY Get in touch Tel: 020 7871 5393 Fax: 020 7691 7203 Email: alison@armstrongprivateclient.com Web: www.armstrongprivateclient.com Alison Armstrong, TEP Principal Solicitor After gaining a first in English and Philosophy, Alison studied Law at the College of Law in London and qualified as a Solicitor in 2003. She has worked at a number of well-known law firms in the City and the West End, and now runs her own law firm, Armstrong Private Client, in North London. Page 15 of 15