Please complete the Wills Questionnaire form below. Once this information is completed we can draft your Will(s). If we require any further information, we will contact you for clarification. Your DetailsYour NamePrefixSelect an optionMr.Mrs.Ms.Miss.Mx.Dr.Prof.First Name *Last Name *Your Spouse or Partner's full namePrefixSelect an optionMr.Mrs.Ms.Miss.Mx.Dr.Prof.First NameLast NameWho is this Will for?If you have selected option 2 or 3, please confirm consent to giving instructions in each other’s presence. If you have selected option 3, please complete separate questionnaires.YouYou & your Spouse/Partner (Same content e.g. to each other & children)You & your Spouse/Partner (Different content e.g. leaving money to different people)Your Full AddressAddress 1Address 2CityPost CodeYour Daytime Contact NumberYour Email AddressDo you regard England & Wales as your home and do you pay your taxes there?YesNoWhat are the values of the assets held in England & Wales only?Please also specify which are in your sole name & which are held jointlyWhat are the values of the assets held outside England & Wales?Please also specify which are in your sole name & which are held jointlyApproximate value of your estateDo you own property overseas?Have you included its value in reply to Q8? 2. The value will count towards the value of your estate for UK tax but there may be additional taxes to pay abroad and this will/may not be recognised abroad as certain Countries have fixed laws of succession. You must take local advice.YesNoWho would you like to be your Executors?These should be people you can rely on to carry out your wishes. The Directors in JB&G can be appointed as your Executors and will see to it that your wishes are carried out.Partners of Jackson Barrett & GassPartners of Jackson Barrett & someone elseOther Non-professionalPlease give details here:Do you have children under 18?YesNoIf yes, Childrens detailsPlease insert their full names including any middle names and ages in the box.Do you wish to appoint Guardians?YesNoIf yes, Guardians detailsPlease insert their names and addresses in the box. Unless you have chosen the Partners in the firm as your executors, your executors can also act as your guardians.Do you wish to leave somebody a gift of money?YesNoIf yes, Money gift detailsPlease insert the full name(s), address(es) and the amount you wish to leave to each person in the box.Do you wish to leave somebody a gift (other than money)?YesNoIf yes, Other gift detailsPlease insert the full name(s), address(es) and describe the item(s) you wish to leave to each person in the box.Residue"Residue" is what is left after gifts of money and objects, tax, funeral expenses, payment of any debts or mortgages, and administration costs.ResidueDo you initially wish to leave residue to a Spouse/Partner?YesNoIf yes, Spouse/Partner detailsIf yes, please insert their full name and address in the box. If you do not have a spouse or Partner, insert "n/a" and move on to (b).Who do you wish to receive the residue if you don't have a Spouse/Partner, or if they die before you?Please insert their name(s) and address(es) in the box with the percentage or fraction of your estate that you wish to leave.If they should die before you, do you wish to leave their share to?Their Children (for example, if your children are named in box b, it would go to your grandchildren)Surviving personSomeone elsePlease provide their detailsPlease insert their name(s) and address(es) in the box with the percentage or fraction of your Estate that you wish to leave.Special InstructionsSpecial InstructionsDo you wish your body to be cremated? Your ashes scattered in a particular place? Do you wish to be buried? In a particular placeWhilst we will include any wishes in the Will, you should also make your wishes known to your family / friends as arrangements are often made before wills are read.Would you like Jackson Barrett & Gass to provide assistance to your chosen executor in administering the EstateYou will have the peace of mind of knowing that the people who prepared your Will and knew what your wishes were, will carry them out.YesNoGeneralGeneralWould you like Jackson Barrett & Gass to prepare a Lasting Power of AttorneyIf yes, please insert your chosen Attorneys full name, address & date of birth in the box. Attorneys are people you choose to carry out your wishes when you become unable to do so.YesNo, I already have an LPANo, I am not interested at this timeIf yes, please enter your Attorneys detailsIf yes, please insert your chosen Attorneys full name, address & date of birth in the box. Attorneys are people you choose to carry out your wishes when you become unable to do so.If yes, please insert your chosen replacement Attorneys detailsIf yes, please insert your chosen replacement Attorneys full name, address & date of birth in the box. If you do not nominate a replacement, & your Attorney is unable to act, your LPA is effectively cancelled.If yes, please insert the name of the person to notifyIf yes, please insert the name of the person to notify by including their full name & address in the box. This is a safeguard against fraud.If you are not interested, please let us know the reason in the boxHow would you like to sign your will?Come into the officeRemotelyRequest a home visitFinancial AdviceFinancial AdviceWould you like us to recommend an Independent Financial Advisor for investment advice or a free review of your investmentsAre you worried about the volatility of the stock market, your pension and retirement plans? Has market volatility caused an imbalance in your portfolio and does your portfolio still match your attitude to risk? If you would like a review please insert "yes" in the box and we will contact you.YesNoInheritancesInheritancesDo you consider your Will requirements to be urgentYesNoIf yes, please detail the reasoningSummary Thank you for completing the above information which should allow us to draft your Will(s). If we require any further information, we will contact you for clarification. We aim to forward draft Wills within 7 working days of receipt of questionnaires or instructions. We further aim to execute original Wills within 7 working days of draft approval or forward original Wills within 7 working days of draft approval. Leave this field blankSubmit