Do you have any living children?

Yes     No

How many living children do you have?

Do you have any deceased children?

Yes     No

How many of these deceased children have living children or grandchildren?

Is your present spouse the parent of all of your children? (Only including any deceased who have living children or grandchildren)

Yes     No

Is your present spouse the parent of all of your deceased children? (Only those with living children or grandchildren.)

Yes     No

Is your present spouse the parent of all of your living children?

Yes     No

Are either of your parents living?

Yes     No

Do you have any living siblings?

Yes     No

How many living siblings?

Do you have any deceased siblings?

Yes     No

How many of these deceased siblings have living children or grandchildren?

Do you have any living grandparents?

Yes     No

How many living grandparents do you have?

Do you have any living aunts or uncles? (Do not include those who are related to you by marriage)

Yes     No

How many of these living aunts and uncles do you have?

Do you have any living great-grandparents?

Yes     No

How many living great-grandparents do you have?

Do you have any living first cousins?

Yes     No

How many first cousins do you have?

Do you have any living great-aunts or great-uncles? (Do not include those who are related to you by marriage)

Yes     No

How many living great-aunts and great-uncles do you have?

Do you have any living great-great-grandparents?

Yes     No

How many living great-great-grandparents do you have?

Do you have any living great-great-aunts or great-great-uncles? (Do not include those who are related to you by marriage)

Yes     No

How many living great-great-aunts and great-great-uncles do you have?

Do you have any living first cousins once-removed?

Yes     No

How many living first cousins once-removed do you have?

Do you have any living second cousins?

Yes     No

How many living second cousins do you have?

Do you have any living first cousins twice-removed?

Yes     No

How many living first cousins twice-removed do you have?

Do you have any living second cousins once-removed?

Yes     No

How many living second cousins once-removed do you have?

Do you have any living blood relatives not previously mentioned?

Yes     No

Do you have any living step children?

Yes     No

How many living step-children do you have?

Do you have any deceased step-children?

Yes     No

How many of these deceased step-children have living children or grandchildren?

Without a Will, this estate will be distributed as follows:

* These are PRE-TAX shares, the sum of which will always equal the entered estate value.

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