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	Last Updated:7/9/2010

Wills Questionnaire

Tel:
(+ 34) 956 794 781
Fax:
(+ 34) 956 794 376
Email Us


Surname:
Mothers maiden name:
Forename:
Permanent address:
Telephone number:
Email Address:
Date of Birth:
Nationality:
Marital status:	Married Single Divorced Separated Engaged Intending to marry Life partner relationship
Gender:	Male Female
Details of Wife / Husband / Partner
Fullname:
Permanent address:
Date of Birth:
Names of Children
Fullname:
Permanent address:
Date of Birth:
Marital status:	Married Single Divorced Separated Engaged Intending to marry Life partner relationship

Beneficiary Details
Do you want to leave everything to your partner:
Specific Requests
Specify who you wish to receive what:
Specify who you would like to include within your will:
Specify relevant information:
Private and personal questions contact Antonio Canales Tel: 0034 956 794 781 or e-mail antonio.canales@stmnummos.es
Surname:
Mothers maiden name:
Forename:
Permanent address:
Telephone number:

Guardians
Do you wish to appoint guardians for infant children:
Guardians details
Guardians Surname:
Mothers maiden name:
Forename:
Permanent address:
Telephone number:

Do you have any specific funeral wishes:
If yes please provide details: