Thank you for choosing DunnCox to assist you with your probate.
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Date:*
Given by:*
First Name(s):*
Last Name:*
Was he/she known by any other name? If so, what was this name?
Age:
Occupation:*
Last fixed address of the Deceased:*
Date of Death (an Affidavit of Delay is necessary if death occurred 3 years or more before the instructions are given:*
Name:
Address:
Occupation:
Is a certified copy of Death Certificate available? YesNo N.B. If not, efforts must be made to obtain a copy of the Order for Burial (pink paper).
Is/are the Executor(s) named in the Will alive? YesNo
Name:*
Address:*
Add an additonal Executor? YesNo
Are the Attesting Witnesses alive?: YesNo
Add an additonal Attesting Wittness ? YesNo
Name of said individual:
Name of person who wrote or typed the Will:
Occupation of person who wrote or typed the Will:
Address of person who wrote or typed the Will:
Did the deceased appear to have fully understood and agreed with the meaning and purport of his/her Will?: YesNo
Did the deceased appear to have signed same of his/her own free will?: YesNo
Funeral expenses =: N.B. Copies of documentary proof in support of this sum must be obtained, if available.
Mortgage loans and other personal debts =:
(a) Realty: (Bare land or land with building(s) thereon):
(b) Personalty: (e.g. Bank Accounts, Insurance Policies, Motor Vehicles, Shares and Stocks, etc.):
Which was the principal place of residence of the deceased: Which of the above mentioned items of Real Estate (if any) was used as the principal place of residence of the deceased and any other person(s) up to the date of his/her death?
For how many years was this property the principal place of residence?:
