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Probate and Estate Administration Contact Form

*First Name

*Last Name

*Email Address

*Phone Number

*Zip

Street Address

Apt/Ste

Incident Street Address

Incident Apt/Ste

*Incident Zip

Business Phone

Cellular or Pager

Relationship to decedent

Information about the Decedent

Decedent's date and place of birth

Date of death

Place of death

Residence at the time of death

Marital status

Children
Yes  No 

If yes, provide names, ages, and addresses

Children from outside a marriage?
Yes  No 

Prior marriages?
Yes  No 

Was there a will?
Yes  No 

Probate Assets

Personal Property
Checking   $
Savings   $
Cash   $
Bonds   $
Stocks   $
CD's   $
Household Goods/Furnishings   $
Automobile   $
Other (list)   $

Real Estate
Home   $
Vacation Home   $
Rental Property   $
Land   $

Outstanding Debts
Mortgage   $
Automobile   $
Credit Cards   $
Medical Expenses   $
Other   $

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