please Complete the form below

As it appears on the identity document
As it appears on the identity document
CCYY/MM/DD
Physical Address *
Physical Address
Where courier will be able to collect signed will if necessary
Postal Address
Postal Address
If different to physical adress
Contact Number For The Testator *
Contact Number For The Testator
including approximate values
including approximate values
Section 2
Kindly remember to include provision for alternative heirs / legatees as well as provision for the residue of your estate
Kindly remember to include provision for alternative heirs / legatees as well as provision for the residue of your estate
Rauch Gertenbach Inc
Rauch Gertenbach Inc
Testator's Special Wishes (if relevant)
Cremation
Testator's Special Wishes (if relevant)
Living Will
Testator's Special Wishes (if relevant)
Registered Organ Donor
Testatrix Special Wishes (If relevant)
Cremation
Testatrix Special Wishes (If Relevant)
Living Will
Testatrix Special Wishes (If Relevant)
Registered Organ Donor