Probate Litigation Contact Form

Name

Address

City

State

Zip

Email Address

Phone Number

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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If somebody referred you to us, who was it?

Special concerns

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