Your Personal Details
Full Name:
Address:
Occupation:
Email Address
Phone Number
Details of your Contract
Are you currently married?
--Select--
Yes
No
Have you been divorced?
--Select--
Yes
No
If yes, have you remarried?
--Select--
Yes
No
Is there anyone else that you
have to provide for financially?
(eg. friends/family etc)
--Select--
Yes
No
Is there anyone else that your
regually support financially?
--Select--
Yes
No
Have you provided for all your
children?
--Select--
Yes
No
Superannuation:
Have you appointed a particular
person as a benificiary of your
superannuation policy?
--Select--
Yes
No
If yes, who?
Does this contradict with your
Will instructions?
--Select--
Yes
No
Self Employed:
Are you self-employed?
--Select--
Yes
No
Do you have your own private
company or Family Trust?
--Select--
Yes
No
Do you have your own Self-Managed
Superannuation Fund?
--Select--
Yes
No
Have you got a Buy-Sell agreement
with your business partner in place?
--Select--
Yes
No
Are there life insurance policies held
over your business partners or
yourself?
--Select--
Yes
No
Executor(s) Details
(who you nominate to manage your affairs):
Full Name:
Address:
Relationship (if any):
Full Name:
Address:
Relationship (if any):
In the event he/she dies before you, who would
you
appoint as the alternative Executor of your Estate:
Full Name:
Address:
Relationship (if any):
AND (complete if you would like to appoint more than one person)
Full Name:
Address:
Relationship (if any):
Who do you wish to leave your Estate to on your death?
Full Name:
Address:
Relationship (if any):
Full Name:
Address:
Relationship (if any):
If the above person dies before you, whom do you
wish to leave your Estate to?
Full Name:
Address:
Relationship (if any):
AND (complete if you would like to nominate more than one person)
Full Name:
Address:
Relationship (if any):
If further details required please complete additional details below.
Do you wish to give any specific gifts to anyone
(eg. jewellry, house contents, real estate, etc)?
--Select--
Yes
No
If yes, details:
Items bequeathed:
Full name of benificiary:
Relationship (if any):
Items bequeathed:
Full name of benificiary:
Relationship (if any):
Do you wish to give any specific monetary gifts?
--Select--
Yes
No
If yes, details:
Amount bequeathed:
Full name of benificiary:
Relationship (if any):
Amount bequeathed:
Full name of benificiary:
Relationship (if any):
Have any of the nominated benificiaries
been declared bankrupt?
--Select--
Yes
No
If yes, details:
Name of benificiary:
Details of bankruptcy:
Who will make the important decisions for your children?
Full name of Guardian apointed:
Relationship of Guardian:
At what age do you wish children to
share in estate?
--Select--
18
21
25
Do you want your Will to record your funeral arrangements?
--Select--
Yes
No
If so -
--Select--
Burial
Cremation
Do you wish to give your organs for transplant or medical
research?
--Select--
Yes
No
Does this conflict with your drivers
licence?
--Select--
Yes
No
Do you wish us to hold your original will?
(You should always ensure you keep your original
signed Will document in a safe place)
--Select--
Yes
No
This will is to be retained at:
Additional details/any other requests?
Declaration
I acknowledge that I have been offered an Estate Planning Service by
Hatzis Lawyers and have chosen not to take advantage of same but
rather have instructed Hatzis Lawyers to draw my Will strictly as per
my wishes and directions contained herein.
I/We require Legal Advice and Assistance and I/we hereby authorise
and request you to act on my/our behalf as solicitors in this matter
and I/we hereby undertake to be responsible for your proper fees in
relation thereto as advised by you. In respect of any moneys that you
may hold in your Trust Account on my/our behalf, I/we authorise you to
utilise such moneys for your professional costs, statutory duties and
charges and other proper outlays expended on my/our behalf in this
matter or any other matter in which instructions may have been given
by me to you.
TERMS OF TRADING
I/We acknowledge and agree to the firm’s terms of trading as follows:-
Payment of all costs and outlays are required within 7 days from
the date of account unless prior arrangements in writing are made;
Accounts are sent monthly or at various stages unless agreed otherwise;
No work will be carried out after 30 days if any account is unpaid;
All outlays are to be paid upon request throughout my matter;
No carrying of accounts without prior approval in writing from the firm;
No work will be commenced without my written authority.
By checking this box I hereby accept the
terms and conditions listed above .
Accept
Click on submit button to acknowledge and post the form.