Submission of information for review does not create, is not intended to create, and must not be relied upon as creating, an attorney-client relationship. Such a relationship can only be created by the agreement of both the client and the attorney, evidenced by a written retainer agreement that has been signed by client and counter-signed by the attorney. Currently we are only working clients whose vested interest in the estate they are concerned with is at least $300,000. If your vested interest is less than $300,000, we suggest that you contact the local bar association in the town/county where the deceased resided and ask for the names and phone numbers of attorneys in that area who handle such matters. We urge you to act promptly since there are deadlines by which you must act in order to protect your rights. If your vested interest in the estate of interest is at least $300,000 and you are interested in learning more about your legal rights, please answer all of the questions below: First Name: Last Name: Street Address: Suite: City: State: ALAKARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY   Zip Code: Home Phone: Work Phone: Cell Phone: Fax: Email: What State did the Testator live in: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY The testator's date of death: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Date the testator signed will: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Do you have a copy of the Will? Yes   No How many prior wills are there? None One Two > Two The approximate value of the estate: < 1 Million 1 - 2 Million > 2 Million What portion of the estate is cash and/or securities? < 50% 50-75% > 75% What portion of the estate do you believe you are entitled to: 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% What is your relationship to the testator: Spouse Parent Child Sibling Other Why do you believe the Testator's will is invalid: Lack of testamentary capacity Mental incapacity of Testator Undue influence on Testator Fraud In the space below, please describe what particular proof you have that the will is invalid. Please be specific and tell us more about your situation including: Length of testator's last illness The cause of testator's death Testator's approximate age at death Do you have a copy of the death certificate Were you notified of Probate proceedings? The date of the probate proceedings (and, if the date has passed, did you attend?) Explain why you think the testator's will is invalid

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