PROBATE QUESTIONNAIRE

DECEDENT LAST NAME

DECEDENTS FIRST NAME

STREET ADDRESS

CITY

STATE STATEALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

COUNTY

ZIP CODE

SSN

DATE OF DEATH

IS THERE A WILL? IS THERE A WILL?YESNO

IF SO, IS IT IN YOUR POSSESSION?

(ESTATE REPRESENTATIVE) LAST NAME

(ESTATE REPRESENTATIVE) FIRST NAME

(ESTATE REPRESENTATIVE) EMAIL ADDRESS

(ESTATE REPRESENTATIVE) SSN

(ESTATE REPRESENTATIVE) DRIVER'S LICENSE

(ESTATE REPRESENTATIVE) PHONE #

(ESTATE REPRESENTATIVE) DATE OF BIRTH

REAL ESTATE: APPROXIMATE DESCRIPTION OF ASSETS BELONGING TO DECEDENT AT THE TIME OF DEATH

BANK ACCOUNTS: APPROXIMATE DESCRIPTION OF ASSETS BELONGING TO DECEDENT AT THE TIME OF DEATH

ASSETS OUTSIDE OF FLORIDA: APPROXIMATE DESCRIPTION OF ASSETS BELONGING TO DECEDENT AT THE TIME OF DEATH

CASE #, IF APPLICABLE

OTHER PARTIES, IF APPLICABLE

HOW DID YOU HEAR ABOUT US? HOW DID YOU HEAR ABOUT US? FAMILY/FRIEND ATTORNEY REFERRAL GOOGLE OTHER SEARCH ENGINE FACEBOOK AD SOCIAL MEDIA AVVO MARTINDALE AVVO OTHER

NAME OF ATTORNEY REFERRAL

OTHER