Estate Planning Preliminary Intake

Last name(s)(Required)

Given name(s)(Required)

Preferred name

Date of birth(Required)

MM slash DD slash YYYY

Marital status(Required)

Married

Single

Common law

Widowed

Separated

Divorced

Spouse's name, if married, common law, or separated

Phone number(Required)

E-mail address(Required)

Home address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Occupation

Employer

Work address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Residency(Required)

Canadian

Permanent resident

Other

Citizenship(Required)

Canadian

Other

Were you previously married? If so, please provide previous spouse's name.

Children's names and dates of birth

Do any of your children have disabilities? If so, please provide details.

How were you referred to Masterson Law?(Required)

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MASTERSON LAW
205-1016B Sutton Drive,
Burlington, ON
L7L 6B8

Phone: 905-633-5800
Fax: 289-348-2769
Email: crys@mastersonlaw.ca