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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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. CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.