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Personal details

Title	Mr Mrs Miss Ms
Forename(s) in full
Surname
Date of birth (dd/mm/yyyy)
Contact phone number
Email address
Occupation
Have you ever had a Will prepared by Osbornes	Yes No

Address details

Residue to parents

Who will receive the residue of your estate?

Relatives

Or if they should predecease you	Mother Father Brother Sister Niece Nephew Other (please specify)
Relatives name
House name/number
Street
Town
County
Postcode
At what age should your relative(s) receive the residue of your estate?	18 21 25 Already over 25

Directions for disposal of body

How do you wish your body to be dealt with?

Cremated
Buried
No wishes

Details of Executors

Who do you wish to act as Executors of your Will?	Osbornes Osbornes and another person jointly Another person
Name of the Executor
Executor’s gender	Male Female
House name/number
Street
Town
County
Postcode

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