Information For Last Will And Testament

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INFORMATION FOR LAST WILL AND TESTAMENT
THIS IS NOT A LAST WILL AND TESTAMENT. YOU MUST RETURN THIS FORM IN ORDER
FOR US TO PREPARE YOUR LAST WILL AND TESTAMENT.
DO YOU HAVE ANY OTHER WILLS? ___________
Today’s DATE: ____________________________
Name: _______________________________________ Allotment Number: _____________________________________
Address:_____________________________________ Allotment Number:______________________________________
(Inherited Interest)
______________________________________ Townsite Lot_____, Block _____, Tract ______, USS ______
Phone Number:________________________________ Townsite Lot_____, Block _____, Tract ______, USS ______
(Inherited Interest)
Date of Birth:__________________________________
Place of Birth:_________________________________
Social Security Number: ___________________________ email:____________________________________________
Print your name the way you usually sign it.
Type of Native:__________________________________
Degree of Indian Blood:_____________________________
Enrolled in: Village_______________________________
Regional Corporation:_______________________________
Marital Status:
Single____ Married____
Divorced____ Widow(er)____
Your Parents:
Father’s Name:__________________________________
Type of Native:___________________________________
Date of Birth: ___________________________________
Date of Death:___________________________________
Address:_______________________________________
Phone Number: __________________________________
_______________________________________
Mother’s Name:__________________________________
Type of Native:___________________________________
Date of Birth: ___________________________________
Date of Death:___________________________________
Address:_______________________________________
Phone Number: __________________________________
_______________________________________
When did your parents marry?: _______________________ Divorced?_______________________________________
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