QUESTIONNAIRE FOR A SINGLE PERSON WITH CHILDREN

This Questionnaire is for a Single Person With Children who wishes to leave his and her assets equally to the children at an age which you can decide.

Please answer the following Questions, then click Submit:

Are you Male or Female

Male Female

Your Name

Email Address

Date to Sign Trust

Successor Trustee (After you)

Name of First Successor Trustee

Name of Second Successor Trustee:

State of Residency

Minimum Age for Full Distribution of Assets to Your Children

Are your children under the age of 18?

No Yes

* If you have no children under age 18, please skip this step.

Nomination of Guardianship ?

In the event you are deceased, who do you want to have physical custody of your Minor Children?

Name of First Guardian

Name of Second Guardian