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Will Planning – Children Information

Your Full Legal Name:*
-CHILD 1----------------------------------------------------------------
Is this child 1 from your:
Child 1 Full Name:
Child 1 Date of Birth:
Child 1 Marital Status:
Child 1 Full Mailing Address: Names and Ages of Their Children
-CHILD 2----------------------------------------------------------------
Is this child 2 from your:
Child 2 Full Name:
Child 2 Date of Birth:
Child 2 Marital Status:
Child 2 Full Mailing Address: Names and Ages of Their Children
-CHILD 3----------------------------------------------------------------
Is this child 3 from your:
Child 3 Full Name:
Child 3 Date of Birth:
Child 3 Marital Status:
Child 3 Full Mailing Address: Names and Ages of Their Children
-CHILD 4----------------------------------------------------------------
Is this child 4 from your:
Child 4 Full Name:
Child 4 Date of Birth:
Child 4 Marital Status:
Child 4 Full Mailing Address: Names and Ages of Their Children
-CHILD 5----------------------------------------------------------------
Is this child 5 from your:
Child 5 Full Name:
Child 5 Date of Birth:
Child 5 Marital Status:
Child 5 Full Mailing Address: Names and Ages of Their Children
-CHILD 6----------------------------------------------------------------
Is this child 6 from your:
Child 6 Full Name:
Child 6 Date of Birth:
Child 6 Marital Status:
Child 6 Full Mailing Address: Names and Ages of Their Children
-----------------------------------------------------------------------
Are you or your spouse responsible for any other children?*
If yes, provide details:
Have any of our children predeceased you?*
If so, please provide the following details
Full Name:
Date of Birth:
Date of Death:
Name and addresses of their children:
Are you responsible for a dependent adult who is mentally or physically incapable of handling their affairs:
If yes, Please explain:
Word Verification:

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Peter B Mason Professional Corp

Peter B Mason Professional Corp.
213, 4918 Roper Road
Edmonton, Alberta T6B 3T7

Cell: 780.908.6721
Office: 780.809.2325
Fax: 780.809.2324
Email: Our Office

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