Your Information:
			Name:
	Preferred  method of reply ?		Telephone:
			Email:
			Street address
			Address (cont.)
			City
			County
			Postal code
			Country
Details
	What is the full name and last address of the deceased?
			Full name Street address Address (cont.) City County Postal code Country
	If different, please give the address shown on the Will
			Street address Address (cont.) City County Postal code Country
	Did the deceased use any other name?
			Name
	Deceased other details
			NI Number Tax Ref (If any) Occupation
	Please give name and address of 1st living Executor named in the will:
			Name Title Street address Address (cont.) City County Postal code Country Daytime Phone
	Please give name and address of 2nd living Executor named in the will:
			Name Title Street address Address (cont.) City County Postal code Country Daytime Phone
	Please note: If there are more then two executors then please give details in the 'Other information' section at the end of this questionnaire.
	If different to that shown in the will, what was the deceased’s address at the date of death:
			Street address Address (cont.) City County Postal code Country
	What was the deceased's date of Birth?:
			-- dd/mm/yy
	What was the date of death of the deceased:
			-- dd/mm/yy
	What was the deceased’s age at death?:
			-- years
	Please confirm that the deceased’s domicile (where he/she actually lived) was in England or Wales:
			Yes No
	Was the deceased the beneficiary of any trust or ongoing legacy from another will, or anything similar?
			Yes No
	How much is the gross estate i.e. total assets before deduction of debts? (We will ask for a break down of these details )
	How much is the net estate i.e. total assets after deduction of debts? (We will ask for a break down of these details )
	Please provide details about the funeral arrangements
			Name of Funeral Directors
			Cost of Funeral
	Any other information
	PAYMENT
	To calculate how much to send us complete the following addition:-
			Bernard Chill & Axtell £350.00   VAT thereon (receipt will be sent) £61.25   Probate Court filing fee (see point 6 on common questions answered page) £40.00   Total £451.25
	WHAT HAPPENS NEXT
	We may need to contact you further whilst we prepare the application for Letters of Administration. The recent introduction of Money Laundering laws means we will need to have proof of your identity. It may be possible for you to provide this in person at one of our offices but if not then please advise us and we will endeavour to deal with this at the appropriate time.