Do you wish to make any specific bequests in your will other than by a list provided
in your will?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Do you have a safe-deposit box?_________ If so, where?_______________________
Do you expect any inheritance in the near future?_____________________________
If so, please give details:___________________________________________________
Do you have any other assets of any kind, such as business interests?__________. If
so, please list: ___________________________________________________________
________________________________________________________________________
Are you interested in preparing a Power of Attorney granting another person the
power to act on your behalf to manage your assets and pay your bills if you become
incompetent or unable to sign your name?___________________________________
Are you interested in preparing a Health Care Declaration (“living will”) stating
your preferences for health care if you are in a terminal condition?______________