Do you have any living children?

Yes     No

How many living children?

Do you have any deceased children?

Yes     No

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

Are any of your living children less than eighteen years of age?

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 nieces or nephews?

Yes     No

How many living nieces and nephews?

Do you have any deceased nieces or nephews?

Yes     No

How many of these deceased nieces and nephews have living children or grandchildren?

Are either of your maternal grandparents living?

Yes     No

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

Yes     No

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

Do you have any deceased maternal aunts or uncles? (Do not include those related by marriage)

Yes     No

How many of these deceased maternal aunts and uncles have living children or grandchildren?

Do you have any living maternal first cousins?

Yes     No

How many living maternal first cousins?

Do you have any deceased maternal first cousins?

Yes     No

How many of these deceased maternal first cousins have living children or grandchildren?

Are either of your paternal grandparents living?

Yes     No

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

Yes     No

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

Do you have any deceased paternal aunts or uncles? (Do not include those related by marriage)

Yes     No

How many of these deceased paternal aunts and uncles have living children or grandchildren?

Do you have any living paternal first cousins?

Yes     No

How many living paternal first cousins?

Do you have any deceased paternal first cousins?

Yes     No

How many of these deceased paternal first cousins have living children or grandchildren?

Are either of your mother's maternal grandparents living?

Yes     No

Are any of your mother's maternal aunts or uncles living? (Do not include those related by marriage)

Yes     No

How many of these aunts or uncles are living?

Does your mother have any deceased maternal aunts or uncles? (Do not include those related by marriage)

Yes     No

How many of these deceased aunts and uncles have living children or grandchildren?

Do you have any living first cousins once-removed by these deceased aunts and uncles?

Yes     No

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

Do you have any deceased first cousins once-removed by these deceased aunts and uncles?

Yes     No

How many of these deceased first cousins once-removed have living children or grandchildren?

Are either of your mother's paternal grandparents living?

Yes     No

Are any of your mother's paternal aunts or uncles living? (Do not include those related by marriage)

Yes     No

How many of these aunts or uncles are living?

Does your mother have any deceased paternal aunts or uncles? (Do not include those related by marriage)

Yes     No

How many of these deceased aunts and uncles have living children or grandchildren?

Do you have any living first cousins once-removed by these deceased aunts and uncles?

Yes     No

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

Do you have any deceased first cousins once-removed by these deceased aunts and uncles?

Yes     No

How many of these deceased first cousins once-removed have living children or grandchildren?

Are either of your father's maternal grandparents living?

Yes     No

Are any of your father's maternal aunts or uncles living? (Do not include those related by marriage)

Yes     No

How many of these aunts or uncles are living?

Does your father have any deceased maternal aunts or uncles? (Do not include those related by marriage)

Yes     No

How many of these deceased aunts and uncles have living children?

Do you have any living first cousins once-removed these deceased aunts and uncles?

Yes     No

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

Do you have any deceased first cousins once-removed by these deceased maternal aunts and uncles?

Yes     No

How many of these deceased first cousins once-removed have living children or grandchildren?

Are either of your father's paternal grandparents living?

Yes     No

Are any of your father's paternal aunts or uncles living? (Do not include those related by marriage)

Yes     No

How many of these aunts or uncles are living?

Does your father have any deceased paternal aunts or uncles? (Do not include those related by marriage)

Yes     No

How many of these deceased aunts and uncles have living children or grandchildren?

Do you have any living first cousins once-removed by these deceased aunts and uncles?

Yes     No

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

Do you have any deceased first cousins once-removed by these deceased aunts and uncles?

Yes     No

How many of these deceased first cousins once-removed have living children or grandchildren?

Do you have living step-children?

Yes     No

How many living step-children?

Do you have any deceased step-children?

Yes     No

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

Do you have any living step-grandchildren?

Yes     No

How many living step-grandchildren?

Do you have any deceased step-grandchildren?

Yes     No

How many of these deceased step-grandchildren 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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