Simple Will Questionaire

Living Will Questionaire

Thank you for selecting Fred Howe Law to assist you with your Living Will needs. Your decision to purchase a Living Will allows you to pass along your wishes to your loved ones without lawyers, courts or the probate system. A representative will be contacting you within the next few day to review your simple will application, go over the specifics of your wishes and property, and answer any questions you may have. Your Living Will along with the list documents below will be completed and delivered to you in approximately 4-6 weeks. If you have questions regarding this process, get in touch with us via the Contact page and we will be happy to assist you.

Full Name:
Email Address:
Full Address:
Phone Number:
Spouses Full Name:
Children(s) Full Name and Birthdates:
Primary Executor/Executrix:
Secondary Executor/Executrix:
List specific property you wish to give to specific people, and list the names and addresses of any beneficiaries who are not listed else where in this information:
Do you wish to be an organ donor?
Living Will Questionaire
Primary Agent:
Secondary Agent:
Durable Power Of Attorney Questionaire
Primary Agent Name:
Full Address:
Phone Number:
Secondard Agent Name:
Full Address:
Phone Number:
Additional Comments or Information:


Please double-check the entire form before submitting.