Forms Tests - Babbé LLP

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First Name*

Surname*

Phone*

Email*

How did you hear about us?

Your Enquiry

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Name

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Guardianship Questionnaire

Patient’s Details

Full Name*

Full Name

Date of Birth*

Place of Birth*

Address*

Name & Address of General Practitioner*

Proposed Gaurdian(s)

NB: If more than one guardian appointed, will the survivor/survivors be allowed to act alone upon the death of one or more guardian(s)?*

Yes

No

Gaurdian 1

Full Name*

Full Name

Date of Birth*

Address*

Occupation*

Marital Status*

Relationship to the Patient*

Gaurdian 2

Full Name

Date of Birth

Address

Occupation

Marital Status

Relationship to the Patient

Gaurdian 2

Full Name

Date of Birth

Address

Occupation

Marital Status

Relationship to the Patient

Members of the Family Council

Member 1

Full Name*

Full Name

Address*

Relationship to the Patient*

Member 2

Full Name*

Full Name

Address*

Relationship to the Patient*

Member 3

Full Name*

Full Name

Address*

Relationship to the Patient*

Estate of the Patient

Real estate (property/land) – please provide addresses and estimated value*

Personal estate (bank accounts, stocks & shares, investments…) – please provide type of asset and estimated value*

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Name

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Wills Questionnaire

Title*

Name*

Forename Surname

Father's Full Name*

Forename Surname

Mobile no.*

Home no.*

Work no.

Email*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Date of Birth*

Country of Birth*

Nationality*

Marital Status*

Full name(s) of your current spouse or partner (including maiden name)*

Full name(s) of former spouse(s) and year of divorce/separation (if applicable)*

Do you have any children with your current spouse/partner? If so, please state full names of children, address and date of birth*

Do you have any children from a previous marriage/ relationship? If so, please state full names of children, address and date of birth*

Does your spouse or partner have children from a previous marriage/ relationship If so, please give details*

Have you ever made a Will or Wills before? If so, please give details and dates*

Do you own any assets outside of Guernsey? If so, please give details*

Do you own assets jointly with someone else? If so, please confirm relationship*

Whom do you wish to appoint as your Executors? Please provide full names and contact details. Please note that Babbé can act if you wish. NB: If your chosen Executor is an individual, please consider whether you would like to appoint a substitute Executor should this individual have died before you.*

Please state if you would like to make specific bequests (e.g. specific amount of money or specific items)*

Please indicate how you would like your assets to be distributed upon your death. Please state the full name and addresses of any beneficiaries and their relationship (e.g. relative, friend, charity etc.)*

Please indicate if you would like to name any substitute beneficiaries in the event that any one or more of your beneficiaries have died before you (or whether failed gifts should fall back into residue)*

Are any of your beneficiaries under the age of 18? If so, please give details*

Do you wish to name guardians for any minor children? If so, please state their full names and addresses and any substitute guardians*

Do you wish to include funeral preferences in your Will? If so, please confirm details*

Any other comments or information*

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Comments

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