Information Needed for Legal Documents

If you would like to manually print this form and complete it and bring it into our office, then please click Print This Page

Fields marked with an * are required

Decedent's Full Legal Name *

Gender

Date of Birth: *

Age

City and State of Birth

Social Security Number

Served in Armed Forces?

Branch of Service

Legal Marital Status

Level or Degree of Education

Decedent's Race

Hispanic or Spanish?

Usual Occupation (Job Title)

Type of Industry or Business

Number of Years in Occupation

Decedent's Residential Address

County of Residence

Total Years lived in County

Name of Informant

Relationship of Informant

Address of Informant

Name of Surviving Spouse

Spouse's First Name

Spouse's Middle Name

Spouse's Last Name (Maiden if applicable)

Decedent's Fathers Full Name

Decedent's Fathers Place of Birth (State Only)

Decedent's Mothers Full Maiden Name

Decedent's Mothers Place of Birth (State Only)

I hereby state the above information provided by me to be legally correct *

Full Name of Person Completing this Form

Email of Person Completing this Form

Phone Number of Person Completing this Form