Will Form

Full Name

Contact Number

Email Address

ID Number

Marital Status: Marital Status: Unmarried Married in community of property Married out of community of property with accrual Married out of community of property without accrual

Please list your assets:

Please list your liabilities:

Please list your life policies / retirement annuities / Funeral policies etc:

Who would you like to benefit from your estate? (please list any specific items or amounts that you had in mind, or percentages of the balance of your estate)

Alternative beneficiary, should the above persons not survive you?

Are there any special circumstances you think we should be aware of when considering your estate planning: