Simple Will Questionnaire Fill out the following form as best you can and a representative will contact you to complete the process. Contact Information Name: Phone: Email: Simple Will Questionnaire FULL (LEGAL) NAME: SPOUSE'S (LEGAL) NAME: ADDRESS: CITY: STATE: COUNTY: BENEFICIARIES SPECIFY: Full Name, Relationship, (Natural/Adopted/Step-Children), and Age. SUCCESSOR BENEFICIARIES SPECIFY as above: Surviving BeneficiariesLineal Descendants PERSONAL REPRESENTATIVE The executor or person who will take inventory of all the assets including your remains and disburse them. SPECIFY: Full (Legal) Name: Successor Personal Rep;Full (Legal) Name: Do you want to be Cremated?: YesNo Do you own your residence?: YesNo Is it your (homestead) Permanent Residence?: YesNo Do you want a Testamentary Trust Clause? $50.00 each: YesNo Power Granted to: If you have minor children, answer the following: Who shall be the Guardian?Full (Legal) Name: Who do you want to manage the finances as Trustee?Full (Legal) Name: Who will be Successor Trustee?Full (Legal) Name: What age shall child or children receive the balance of assets? 1825Other: Do you want a Living Will? ($35 each): YesNo Do you want a Durable Power of Attorney?: ($70 each) His: YesNo Power Granted toFull (Legal) Name: SuccessorFull (Legal) Name: Hers: YesNo Power Granted toFull (Legal) Name: SuccessorFull (Legal) Name: What is the Capital of Florida? What is the capital of Florida?