Seniorlaw - Asset Protection

Simple Will Instruction Form (Single)

To keep this form for your own records, simply print this document. There is no charge for this. Please note that by printing and completing this document, you have not prepared a will. You must get it approved by a lawyer.

If you would like assistance from Glaister Ennor in completing the documentation for you, please complete the details requested and click on submit at the end of this form. The cost of Glaister Ennor completing this documentation is $70. You will be invoiced after the this work has been completed.

Please complete one questionnaire per person and use correct spelling for all names which should be printed in full.

My background Information:

1) Full Name:

2) Occupation:	3) Age:

4) Email:

5) Address:

6) Contact Phone Number:

7) Marital Status:

married		de facto
never married		divorced
separated
	Other (please specify)

7) Children:(Please provide their full names and ages)

	Name	Age
(a)
(b)
(c)
(d)
Please advise if one or more of your children is from a previous relationship.

My Will Instructions:

1) I wish to appoint my solicitor to administer my Will.
yes no
Solicitor's Name

2) I wish all my property to be passed to my children (if applicable)
yes no

3) If no children survive me, then all my property passes to:
a) My Parents
yes no

Names of Parents:

OR
b) My brother/sisters
yes no

Names of brother/sisters:

OR
c) My parents and my brothers/sisters
yes no

Names of Parents:

Names of brother/sisters:

Please complete this section if you have children under 20 years of age

4) I wish to appoint a guardian for my children
yes no
Name of guardian
Relationship of guardian to you (eg friend, brother, sister) or occupation of guardian

If there is any other information your solicitor should be aware of, please outline below

5) I have a previous Will
yes no
If yes, please advise where Will is located

Power of Attorney Information: - If applicable

I wish to appoint one of my parents to be my attorney in relation to property and the same parent in relation to personal care and welfare.
yes no
Name of Parent for Power of Attorney

OR
I wish to appoint the person named below to be my attorney in relation to property and the same parent in relation to personal care and welfare.
yes no
Name of Person for Power of Attorney

I confirm that the information set out above is correct. Please act on these instructions to prepare my Will and Power of Attorney.
yes no

If you have any questions please contact wills@glaister-ennor.co.nz