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 Please fill out the form below and then press SUBMIT

 Life Insurance and RRSP's and other such financial products that have designated beneficiaries do not need to be referred to in the Will.

If you are not sure how to answer the questions below please refer to the FAQ's on Wills and POA's.

You are also welcome to speak to Mr. B. directly on the phone at 905 680 1912.

Mr. B. meets each registrant personally at the time of signing and at this time he goes over the Will and Power of Attorney and answers any questions that a client may have. 

 If you enter an invalid return email address your submitted form will not reach Bukhari Law Office due to spam filtering. Please double check the email address you type in.

Single Will / POA Registration form

Full Name :

Address :

City :

Zip/Postal Code :

Phone Number :

Fax Number :

*Email :

If you are a Charity EAP Member please enter the Name of your Employer.

Contact cell number

Fill Out Wills Questionnaire First

Please provide the name of your Primary Executor

What is the relationship between you and your Primary Executor ?

Please provide the name of your Secondary Executor

What is the relationship between you and your Secondary Executor ?

Provide details of any gifts to be distributed prior to division of your main estate ?

Provide details of who receives the bulk of your estate?

If the person(s) named above are not alive who inherits ?

Name the guardian for your children under age 18 ?

Do you have any step Children etc., Please Explain

Full name of person receiving your Power of Attorney

Provide name of your alternate Power of Attorney if first person named cannot act

Now Complete Second Stage - Power Of Attorney Questionnaire

Are joint signatures required if you have named two persons as Attorneys ?

yes

no

Is the power of Attorney limited ?

yes

no

If you have limited the power of Attorney please describe the limits below

IF YOU HAVE ANY COMMENTS OR QUESTIONS PLEASE TYPE THEM IN THE BOX BELOW.

Questions/Comments :

Please type 6273 into the text box

 


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