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?

Do you have any living grandchildren by these deceased children?

Yes     No

How many living grandchildren do you have by these deceased children?

Do you have any deceased grandchildren? (Only count those whose parent is one of your deceased children.)

Yes     No

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

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 by your deceased siblings?

Yes     No

How many living nieces and nephews do you have? (Only count those whose parent is one of your deceased siblings.)

Do you have any deceased nieces or nephews? (Only count those whose parent is one of your deceased children.)

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 who are related to you by marriage)

Yes     No

How many living maternal aunts and uncles? (Do not count those related to you by marriage.)

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

Yes     No

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

How many living maternal first cousins do you have by these deceased aunts or uncles?

Are either of your paternal grandparents living?

Yes     No

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

Yes     No

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

How many living paternal first cousins do you have by these deceased aunts or uncles?

Do you have any living maternal first cousins once-removed?

Yes     No

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

Do you have any living paternal first cousins once-removed?

Yes     No

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

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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