Complete your Will & Power of Attorney Now! The more information you provide us with, the better prepared we will be to assist you! Please fill out this form and we will get in touch with you shortly. Name* First Last Email* Enter Email Confirm Email Phone*(###)### - ####Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country CitizenshipCanadian CitizenCanadian ResidentSelect oneAgePlace of BirthMarital StatusMarriedCommon-LawDivorcedSeparatedSingleWidowedWill being made in contemplation of marriageDate and Place of MarriageMarital History & Domestic Contracts (i.e. Separation)Existing Wills & Power of Attorney (specify solicitor who acted)Occupation & EmployerOwnership in a Business(i.e. private companies, partnerships, sole proprietorships)ChildrenNameAgeAddress Support ObligationsOther DependantsBeneficiariesNameRelationship To YouAgeAddress Executors and TrusteesNameRelationship To YouAddressPrimary or Alternative Please indicate which executors are primary and which will be in the alternative in case your primary executor cannot act.Are Executors to have Broad Powers?YesNoRegarding retention, sale and investment of assetsAttorneys for Power of Attorney for PropertyNameRelationship To YouAddressPrimary or Alternative Please indicate which Attorneys are primary and which will be in the alternative in case your primary Attorney cannot act.Are Attorneys for your Power of Attorneys to act:Jointly (must act together); orJointly & Severally (together or independent)Guardian for ChildrenNameRelationship To YouAddressPrimary or Alternative Please indicate which Guardians are primary and which will be in the alternative in case your primary Guardian cannot act.Specific Gifts, Legacies and ResidueNameGift or Legacy or Residue Describe the gift, such as cash, art, jewelry, vehicles, property, or residue (i.e. percentage of estate) Additional Details*Please provide any details you feel necessary or alternatively you can upload the Wills Information Form we have for Download below.Please complete our Wills Information Form . You can download it here. Once completed please upload it below.Upload your completed Wills Information Form Drop files here or Accepted file types: pdf, jpg, gif, png, xls, doc, docx, xlsx, zip. EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.