Harry H. Chandless, Jr.
Counsellor At Law
291 Terrace Avenue
Hasbrouck Heights, NJ 07604

(201) 288-1661

First Name:
Email:
Last Name:
Street Address:
City
County
State, Zip
If you are married and are leaving everything to your spouse.
Spouse's Name
Spouse's Address
If not married, or when SPOUSE DIES, please fill in the Name(s), Address(es), Age(s) of person whom you wish to receive your property, and the percentage of how much property they shall receive.
Name Relationship
Address
Age if Minor
%
Name Relationship
Address
Age if Minor
%
Name Relationship
Address
Age if Minor
%
Name Relationship
Address
Age if Minor
%
Name Relationship
Address
Age if Minor
%
If any of the above named are under the age of 21,
Please add the Name/address of the Trustee,
and the age at which the property/finances are to be released.
Name of Minor Name of Trustee Address
Age to Disperse Trust
In all cases, please fill in the full name and address of the Executor/Executrix. (This is usually a spouse, but can also be another person(s), if there is no spouse or spouse dies.)
Name Address
Alternate Name Alternate Address
Comments and/or Questions