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Should you order this document from Spiegel & Utrera, P.A., Spiegel & Utrera, P.A., will incorporate your basic information into a draft document that will be conveyed to you for your review and make reasonable changes upon request.
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Name: *required
City:
State:
Telephone: *required
Cellular Phone:
Fax:
Email: *required
Decedent Information 
Decedent's name:
Date of death:
Residence at time of death (city):
Residence at time of death (county):
Residence at time of death (state):

Did the deceased have a Last Will & Testament?Yes  No
Please Provide a paper copy, fax or email lastwill&testament@amerilawyer.com of the Last Will & Testament.
What is the Name of the Executor or Executrix?
Is there a Current or Pending Probate Proceeding for Administration of the Decedent's Estate?Yes  No
Value of Estate
Please enter the current approximate gross fair market value of the decedent's real and personal property in dollars.
Description of Property
Enter a description of the Property of the deceased. Be specific. Do not capitalize the first word and do not use a period at the end of the sentence. Complete the following sentence: The Property which belonged to decedent is described as follows:
(for example: "a deposit account with ______ Bank, held in the name of [Name of Decedent], account number ______" (or) "all securities, stocks, bonds and other accounts held with the brokerage house of [Name of Brokerage], owned by [Name of Decedent]")
Name of the Successor in Interest of Decedent
Enter the name or names of the person(s) who is/are entitled to decedent's property, and which will receive Decedent's property:

This completes the information input. When you send this form, this program will prepare an Information Summary of your information for your review. Make sure that all facts stated in the Information Summary are correct in all respects. You will soon be contacted by an attorney of Spiegel & Utrera, P.A.

Our Office

Miami

1840 Coral Way
4th Floor
Miami, FL 33145
Toll Free: (800) 603 - 3900
(305) 854-6000
Fax: (305) 857-3700
Natalia Utrera, Esq.,
Managing Attorney

New York City

1 Maiden Lane
5th Floor
New York, NY 10038
Toll Free: (800) 576-1100
(212) 962-1000
Fax: (212) 964-5600
Nicolas Spigner, Esq.
Managing Attorney

Clifton, NJ

642 Broad St., Suite 1B
Clifton, NJ 07013
Toll Free: (888) 336-8400
(973) 473-2000
Fax: (973) 778-2900
Sandy A. Adelstein
Managing Attorney

Los Angeles

8939 S Sepulveda Blvd.
Suite 400
Los Angeles, CA 90045
Toll Free: (888) 520-7800
(310) 258-9700
Fax: (310) 258-9400
Nicolas Spigner, Esq.
Managing Attorney

Delaware

9 East Loockerman Street
Suite 202
Dover, DE 19901
Toll Free: (888) 641-3800
(302) 744-9800
Fax: (302) 674-2100
Courtney Riordan, Esq.
Managing Attorney

Las Vegas

2545 Chandler Avenue
Suite 4
Las Vegas, NV 89120
Toll Free: (888) 530 4500
(702) 364 2200
Fax: (702) 458 2100
Joel S. Beck, Esq.
Managing Attorney

Chicago

Continental Office Plaza, Suite L12
2340 Des Plaines River Road
Des Plaines, IL 60018
Toll Free: (888) 514-9800
(312) 443-1500
Fax: (312) 443-8900
Michael C. Welchko, Esq.
Managing Attorney

General Counsel Club®

Unlimited Legal & Business Advice
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Toll Free: 1 (800) 734 - 9900
Fax: 1 (800) 520 - 7800
ClubAssist@AmeriLawyer.com
Natalia Utrera, Esq.,
Managing Attorney

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