Title * Please select Mr Mrs Miss Ms Mx Sir Dr Lady Lord
Contact Telephone Number
Alternative Telephone Number
Email *
Date of Birth * DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM 1 2 3 4 5 6 7 8 9 10 11 12 / YYYY 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920
Occupation
Are you an existing client of DJS Law * Please select Yes No
If not, where did you hear about our services? * Please select Website Internet Recommendation Advert Other
Please tell us where
Marital Status * Please select Single Separated Partner Widowed Divorced Engaged Married/Civil Partnership
Email *
Occupation
Number of Children
Please state the full names and addresses including postcodes, and dates of birth of all your children, if any.
Does your husband/wife/partner have any other children? If so, please state their full names and addresses and dates of birth.
Main Executor Please select DJS Law Solicitors (on their own) DJS Law alongside your spouse/partner DJS Law alongside another Another on their own
Please give details below (full names and addresses, and relationship)
Substitute Executor Please select DJS Law Solicitors (on their own) DJS Law alongside your spouse/partner DJS Law alongside another Another on their own
Please give details below (full names and addresses, and relationship)
If you and your husband/wife or partner die before your youngest child is aged 18, then please state the full names and addresses including postcodes of the person(s) to act as guardian(s).
Have they agreed to act? Please select Yes No
If you wish to make cash gifts in your will, please state the amount and full names and addresses including postcodes of the person(s) (and their relationship to you) or charity(ies) to receive these. *If you wish to include a large number of gifts (more than 5), a small additional fee may be payable, but we will provide you with a quote before drafting your will. If this applies please contact us for a quote.
If you wish to leave any specific items of personal belongings then please give a full description of the item/items, so that they can be identified. Please give the full names and addresses including postcodes of the person(s) (and their relationship to you) to receive them. *If you wish to include a large number of gifts (more than 5), a small additional fee may be payable, but we will provide you with a quote before drafting your will. If this applies please contact us for a quote.
Value of any houses or land that you own
Is it freehold Please select Yes No
Is it leasehold Please select Yes No
Is it jointly owned? Please select Yes No
Is it held as joint tenants? Please select Yes No
Is it held as tenants in common? Please select Yes No
7.2) Who is to receive the rest of your estate if you do not have a spouse/partner or if they have died before you? (please give full names and addresses and postcodes, if not already given. Please select My children equally My grandchildren equally Other
Please use this space to give details. If you ticked “other” please give name(s), address(es) and relationship(s) to you, and if more than one the percentage they are each to receive.
7.3) If any of the person(s) at 7.2 above die before you, would you like their share to pass equally to their own children? Please select Yes No N/A
7.4) If none of the persons named or referred to above survive you, who would you like to inherit? Please state full names, addresses, postcodes, and relationship (optional).
7.5) Are there any particular circumstances E.g. Handicap or learning difficulties affecting any of your beneficiaries which should be considered in preparing your will? Please select Yes No
If yes, please give details:
Is there anyone who is financially dependent and/or may have a claim on your estate that you do not want to benefit from your will (E.g. Your former spouse/partner of your children, or the children of a former spouse/partner)? Please select Yes No
If yes, please give details
If you consider yourself to have any circumstances which may be complicated, then please provide details below.
If your estate is worth more than the tax threshold (£325,000 for single person, £650,000 for married couples), would you like tax planning advice? Please select Yes No N/A
Funeral Arrangements Please select I wish to be buried I wish to be cremated
Any other requirements or requests (i.e. organ donation, type of funeral, place of burial, etc…)
We offer free storage of your will and deeds. If you would like us to store your wills then please forward them to us or provide us with details of who they are held with, and we will write to them.
Do you wish us to send you details of lasting powers of attorney? Please select Yes No
Local solicitor, Darren Sylvester of DJS Law Solicitors, has been shortlisted for a prestigious Law Society Award, the highest accolade for law firms in England and Wales.