If you are unsure or need assistance whilst completing the form please call our friendly staff free on: 0800 612 9606 (9am - 5:30pm)

1. YOUR DETAILS  Help

Your full name:

Sex:

Male Female

Date of birth:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990

Are you known by another name:

Are you registered blind: 

No Yes

Your address including postcode:

Contact number (only used should we need to contact you):

E-mail address:

2. Your spouse, partner OR civil partner'S DETAILS

Their full name:

Their relationship to you:

Husband Wife Civil Partner Partner

Sex:

Male Female

Date of Birth:

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January Febuary March April May June July August September October November December Year 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990

Are they known by another name:

Are they registered blind: 

No Yes

3. EXECUTORS & TRUSTEES Help

OTHER EXECUTOR (optional)

Name:

Address:

optional

Relationship to you:

Optional aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

4. GUARDIANS To look after your children Help

we don't have any children

 we want the people listed below to look after our children.

Guardian 1 Name: 

Address:

If you do not know the whole address just give as much information as you can

Relationship to you:

-Select- aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife ex-partner father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

Guardian 2 Name (optional):

Address:

optional

Relationship to you:

-Select- aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife ex-partner father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

5. RESIDUE (everything you own) Help

Nominate each other: No Yes (recommended)

Please enter below the people you would like to inherit when both of you have passed away e.g. Children or Family.

Name: Share: Equal Share 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100% Relationship to you aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

Name: Share: Equal Share 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100% Relationship to you aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

Name: Share: Equal Share 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100% Relationship to you aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

Name: Share: Equal Share 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100% Relationship to you aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

6. OTHER BENEFICIARIES (in case the people named above die before you) Help

Name: Share: Equal Share 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100% Relationship to you: -Select- aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

Name: Share: Equal Share 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100% Relationship to you: -Select- aunt brother brother-in-law cousin daughter daughter-in-law ex-father-in-law ex-husband ex-mother-in-law ex-wife father father-in-law friend granddaughter grandfather grandmother grandson husband mother mother-in-law nephew niece partner sister sister-in-law son son-in-law step-daughter step-son step-child step-grandchild step-grandson uncle wife

7. GIFTS (e.g. jewellery, money etc.) Help 

(Please describe the gift/s accurately, give the full name of the person/s to receive the gift and their relationship to you)

optional characters left.

8. EXCLUSIONS Help

I wish to exclude (please give full names and relationships)

optionalcharacters left.

9. FUNERAL REQUESTS Help 

I wish to be: Buried Cremated Famliy Decide Undecided 

My partner wishes to be: Buried Cremated Famliy Decide Undecided

EXTRA COPIES OF YOUR WILL

You should consider giving a copy of your Will to the executors, guardians and/or your children.

No Extra Copies 1 Extra Copy - £9.00 2 Extra Copies - £18.00 3 Extra Copies - £27.00 4 Extra Copies - £36.00 5 Extra Copies - £45.00 Each extra copy is £9.00, and is a fully bound high quality version of the original.

 No

DECLARATION TO BE COMPLETED BY FIRST TESTATOR (You)

I certify I have answered all these questions truthfully and to the best of my knowledge and have read the terms and conditions Yes: