DE Questionnaire CompanyThis field is for validation purposes and should be left unchanged.Personal Details of ExecutorSurname (Family Name)(Required)First name(Required)Any second name(s)Date of Birth(Required) DD slash MM slash YYYY Home Address(Required) Street Address City ZIP / Postal Code Is your Home Address different to your Postal Address?(Required)NoYesPostal Address Street Address City ZIP / Postal Code Occupation(Required)Mobile PhoneHome PhoneEmail(Required) Details of the DeceasedDeceased's Full Name (in death certificate) First Middle Last Any assets in Alias Names (e.g. like Richard, Dick, Ricky)Date of Marriage (if any) DD slash MM slash YYYY Date of Divorce (if any) DD slash MM slash YYYY Country of Birth Australia Other Native Language English Other Could the Deceased write English? Yes No Could the Deceased read English fluently? Yes No Did the Deceased have an interpreter to help with a Will (if any)? Yes No Had the Deceased suffered a stroke or other condition that someone could now argue that the Deceased didn’t have the mental capacity to make a Will (if any)? Yes No Death Certificate Drop files here or Select files Accepted file types: jpg, pdf, png, Max. file size: 30 MB.
