Who do you want to get your “stuff”?
Name of person you want to be your beneficiary
What is your relationship with the beneficiary?
Beneficiary Date of Birth
Beneficiary Phone number
Beneficiary Marital Status
Choose oneSingleMarried-first marriagemarried- second marriageother
Beneficiary address, city, state, zip
Beneficiary email address
Beneficiary Spouse’s Name
Beneficiary Spouse’s Occupation
Does the beneficiary have children
Choose onehas childrenno children
Does the beneficiary have any special needs/considerations?
Does the beneficiary have any potential problems/hardships/issues?