Qcl Will Instruction Form Page 2

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Name
Age
Name
Age
Name
Age
Name
Age
YES
NO
To children?
/
Age for children (or grandchildren) to receive
If not to children or children and grandchildren predecease you
Full Name
Relationship
Occupation
Full Name
Relationship
Occupation
4.
GUARDIANS
(of children under 20 years)
Full Name
Relationship
Occupation
Full Name
Relationship
Occupation
5.
ANY SPECIAL GIFTS
Gift
Gift
Name
Name
Relationship
Relationship
Occupation
Occupation
6.
Burial
Cremation
Queen City Law
P O Box 6908, Wellesley Street
Telephone: 0-9-970 8810
Facsimile: 0-9-970 8820
DX CP24080

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