CHANGES TO LAST WILL AND TESTAMENT, DURABLE POWER OF ATTORNEY, DESIGNATION OF HEALTH CARE SURROGATE

Complete the information requested and click submit and your request will automatically be emailed to Spiegel & Utrera, P.A. You can expect a reply from Spiegel & Utrera, P.A. within four business hours.

 REQUESTED CHANGE:
 
Change of
 Personal Representative
Administrator
Administratrix
Executor
Executrix

Name and Address Existing Personal Representative/Administrator/Administratrix/Executor/ Executrix:
Name: Address:

Name and Address Successor Personal Representative/Administrator/Administratrix/Executor/Executrix:
Name: Address:
  
Change of Beneficiary
 Name and Address of Existing Beneficiary:
Name: Address:

Name and Address of Successor Beneficiary:
Name: Address:

Please describe what successor beneficiary shall receive under the terms of the Last Will and Testament:
 
Change of Bequests
 Please describe what the successor shall beneficiary receive as a bequest under the terms of the Last Will and Testament:
 
Change of Gifts
 Please describe what the successor shall beneficiary receive as gifts under the terms of the Last Will and Testament:
 
Other Change
 Please describe:

Characters Left
 
We recommend that a new Last Will and Testament be executed rather than making changes to an existing Last Will and Testament, however, there may be situations where you prefer to change an existing Last Will and Testament as opposed to drafting a new Last Will and Testament.
 
THE FOLLOWING INFORMATION MUST BE COMPLETED FOR ALL INQUIRIES
(THEN SUBMIT YOUR REQUEST AT THE BOTTOM OF THIS PAGE)
 
Name of Entity or Instrument:


Type of Entity:
Profit Corporation
Non Profit Corporation
Limited Liability Company
Professional Corporation
Professional Limited Liability Company
Limited Partnership
Trust
Limited Liability Limited Partnership
Family Limited Partnership
General Partnership
Limited Liability Partnership
Sole Proprietorship
Last Will and Testament
Other 
 
State of Domicile of Entity:
FL CA NY NJ IL NV DE Other: 

Year Formation of Entity:    Was Entity formed by Spiegel & Utrera, P.A.? Yes No

Your Name: * REQUIRED

Your Telephone Number:

Home: * REQUIRED  Cell: Business:   Fax:

Your Email Address:
* REQUIRED

Your Position in Entity: (Check all that apply)
ChairmanMemberTrustee
PresidentVice PresidentBeneficiary
Operating ManagerSecretaryTreasurer
Shareholder  
Other, Please describe:
 
Complete the additional information requested and click submit and your request will automatically be emailed to Spiegel & Utrera, P.A. You can expect a reply from Spiegel & Utrera, P.A. within four business hours.

Type the word in the image to validate