Brian J. Gregory, Notary Public

Last Will and Testament Form


To create a legally valid will, fill out the following form and submit it to us. A member of our staff will email or call you if we have any questions. We will prepare the document, and make an appointment for you to come in and have it notarized. The cost is $280.00 including tax for a simple will for a single person. Use the comments format the bottom of this page if you need a more extensive will and need to add more information. We will respond with a quote before any work is done and wait for your authorization.

Basic Information
Name:
Address:
City:
Province:
Postal Code:
Phone #:
Fax #:
Email address (required):
Credit Card Information
Credit Card#
Expiry date:
Verification code:
Type of Card:
Notes:
  1. Due to the amount of work necessary to prepare a will, we must insist that you provide payment up front. If you do not wish to submit your credit card information over the Internet, then please phone our office at 604-736-7668 to make alternative payment arrangements.
  2. In the "Verification code" field, please enter the three-digit security code found on the back of your credit card.

General

Personal Information
Your full legal name:
Your occupation:
Your date of birth:
Your place of birth:
The name of the place, trust company, bank,
where you will keep your will:
The address where you will keep your will:
Do you prefer: Burial or Cremation
Do you wish to be an organ donor? YesNo
If you do wish to be an organ donor, please indicate the donations that you consent to: All organs or tissues needed for transplant or transplant research
All organs and tissues needed for transplant only
Any organs/tissues needed for transplant EXCEPT the following:
     Heart Kidneys Cornea
     Lung Pancreas Skin
     Liver Bowel Bone
Do you want your
will registered ($74.58 extra including tax)?
YesNo
Do you want a General Power of
Attorney (non-enduring) as well ($112.00 extra including tax)?:
YesNo
Do you want an Enduring Power of
Attorney as well ($168.00 extra including tax)?:
YesNo
Do you want a Representation
Agreement as well ($168.00 extra including tax)?:
YesNo
Or do you want a Living Will, instead? ($112.00 extra including tax)?: YesNo
Do you want an Advance Health Directive instead of a living will? ($168.00 extra including tax)?: YesNo

Executor

Executor
Name:
Address of Executor:
Phone Number of Executor
Occupation of Executor:
Relationship to you:
Alternate Executor
Name:
Address of Alternate:
Phone Number of Alternate:
Occupation of Alternate:
Relationship to you:
Fee for Executor
Full 5% (allowed by Statute)
3%
None
Other: Specify if Other:
Investment Powers of Executor
Do you wish your executor to have:
Full investment powers?
or Limited investment powers?

Guardian

Guardian
Name:
Address of Guardian:
Phone Number of Guardian:
Occupation of Guardian:
Relationship to you:
 
Alternate Guardian
Name:
Address of Alternate:
Phone Number of Alternate:
Occupation of Alternate:
Relationship to you:
Fee for Guardian
Full 5% (allowed by Statute)
3%
None
Other: Specify if Other:

Beneficiaries

Would you like your estate divided equally among your beneficiaries?: Yes No

If you do not want to divide your estate equally among your beneficiaries, please state the percentage you prefer after the person's name.

Beneficiary 1
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Beneficiary 2
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Beneficiary 3
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Beneficiary 4
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Beneficiary 5
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:

Alternate Beneficiaries

Alternate Beneficiary 1
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Alternate Beneficiary 2
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Alternate Beneficiary 3
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:
Alternate Beneficiary 4
Name: Address: Phone Number:
Percentage of Estate: Occupation: Relationship to you:

Legacies

Please list your possessions or heirlooms you wish to go to specific people.

Legacies
Beneficiary: Address: Phone Number: Legacy:
Beneficiary: Address: Phone Number: Legacy:
Beneficiary: Address: Phone Number: Legacy :
Beneficiary: Address: Phone Number: Legacy:
Beneficiary: Address: Phone Number: Legacy:
Beneficiary: Address: Phone Number: Legacy:

If you have any questions or comments, please enter here:

Location
2425 Burrard Street
Vancouver, BC
V6J 3J3

Contact Us
Tel: (604) 736–7668
Fax: (604) 736–4375
Send us a message

Office Hours
Monday to Friday
9:00 am – 4:00 pm