Wednesday, August 16, 2017

0224 SW Hamilton Street, Suite 301, Portland, OR 97239

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Please complete the following short form Estate Planning Information Sheet to submit information to Womer Law Office, LLC for the purpose of initiating our estate planning process. This form is designed to give Mr. Womer some basic information about you in preparation of his initial discussion with you about your estate planning needs. Please be sure to provide your preferred time and method of contact with your submission or contact the office to schedule an appointment. Please fill this form out to the best of your ability. Skip any quetions that are not applicable.
Your Full Legal Name (*)
Please type your full name.
Residence Phone (*)
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Cell Phone
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Preferred Method of Contact (*)
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Your Birthplace
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Your Occupation
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Year Married
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Do you want you and your spouse to be jointly represented by this firm?
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Residence Address
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Business Phone
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Email (*)
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Your Birthdate
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Your Citizenship
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Marital Status (*)
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Do you have a Prenuptial Agreement in effect? (*)
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Spouse Legal Name
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Spouse Birthplace
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Spouse Occupation
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Do you have any children with special education, medical or physical needs?
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Do any of your family receive governmental support or benefits?
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When would you like to be contacted? (*)
Please select a date when we should contact you.

Spouse Birthdate
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Spouse Citizenship
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Have you or your spouse completed a previous will or other estate planning documents?
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Do you provide primary or other major financial support to adult children?
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Have you or your spouse been divorced?
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