Start Your Will Will Questionnaire Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Date of Birth(Required) Month Day Year Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Phone(Required)Will Type(Required) Single Will – £29.99 Mirror Will – £59.98 Are you creating a single Will or mirror Wills? Mirror wills are two separate, almost identical legal documents created by couples (married or unmarried) to ensure their estates are distributed similarly upon death, typically leaving assets to each other first and then to children. They provide a cost-effective, straightforward way to align wishes, but can be revoked or changed by either party at any time without the other’s consent.Partner Name Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Please select(Required)SpousePartnerpartnerdob MM slash DD slash YYYY ExecutorsPlease provide details of your executor. Executors are responsible for administering your estate. An executor of a will is a person named in a will, and legally responsible for managing and distributing a deceased person’s estate. They are tasked with handling assets, paying debts and taxes, and ensuring the deceased’s wishes are carried out. LWPS Ltd will be added as a Professional Executor.Executor(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last BeneficiariesPlease provide details of up to two beneficiaries who will inherit your estate. Identify the percentage to each beneficiary i.e. 50% . The percentage needs to add up to 100% Beneficiary 1 Full Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Beneficiary 1 Relationship to youPercentage of estate?(Required)Beneficiary 2 Full Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Beneficiary 2 Relationship to youPercentage of estate?(Required)Do you have children under the age of 18? *(Required) Yes No Your Funeral Wishes Buried Cremated Partners Funeral Wishes(Required) Buried Cremation Declaration(Required) I confirm I am over 18 I confirm I have mental capacity I confirm the information provided is correct I confirm the following for me and my partner (if a Mirror Will).Do you have a Lasting Power of Attorney (LPA) in place?(Required)YesNoAre you concerned about Care Costs?(Required)YesNoWhat is the approximate value of your estate, Over or Under £325.000 ?(Required)Over £325,000Under £325,000This will include approximate value of your home and any savings, Investments , Bank Accounts.Single Will Price: Mirror Will Price:
