Fort Belvoir Will Questionnaire Page 2
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10A. INFORMATION ABOUT CLIENT
Client’s Full Name:______________________________ Rank:_______ Last 4:_______
Address:_________________________________________________________________
U.S. citizen? ______ State of residence ______ Email: ____________________________
Phone: (cell): ______________ (work): ________________ (home): ________________
Marital Status: __________
Previously married? __________ (Please bring any
divorce decrees, marital separation or prenuptial agreements to your appointment.)
Deployment date: __________
B. INFORMATION ABOUT SPOUSE
Spouse’s Full Name:_____________________________ Rank:_______ Last 4:_______
Address:_________________________________________________________________
U.S. citizen? ______ State of residence ______ Email: ____________________________
Phone: (cell): ______________ (work): ________________ (home): ________________
Marital Status: __________
Previously married? __________ (Please bring any
divorce decrees, marital separation or prenuptial agreements to your appointment.)
Deployment date: __________
C. INFORMATION ABOUT CHILDREN (Please list all of your children).
Name
Age
Natural, adopted or step?
Disabled?
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5.
If you have adopted children or stepchildren, do you wish to leave them property in
your will, the same as your natural children? _______
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