Jarrett | Hoyt
1795 Williston Road, Suite 125
South Burlington, VT 05403
(802) 864-5951
PROBATE ESTATE INFORMATION
Hello & Thank You for your interest in Jarrett & Hoyt. Please complete the Probate Estate Form below. If you have any questions, please contact our law office at
802.864.5951
. We look forward to working with you!
Jarrett & Hoyt are located at
1795 Williston Rd in South Burlington, Vt
in South Burlington, Vermont in the KeyBank Building near Burlington International Airport.
You will receive a TXT Message Reminder approximately 24 hours prior to your Appointment.
Please DO NOT USE EMAIL to send Sensitive Information. We use Clio & Microsoft Online Services for Client Relationship Management & Document Storage. We only request basic information unless you hire the firm to represent you in your legal matter.
We do not require your Social Security number unless it is for a specific reason -- such as where it is required for certain legal services such as for recording deeds, long term care applications, and probate, guardianship and trust administration matters. If we need this information, we will ask you to call our office and provide the number to us.
If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!
Proposed Fiduciary: (Executor/Administrator)
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Relation to deceased:
Please provide SSN via telephone or in person
I. General Information
Name of Deceased:
Address:
Date of Death:
Date of Birth:
Marital Status (single/married/widowed):
Single
Married
Widowed
Name of Surviving Spouse:
Name of Predeceased Spouse:
Name of Ex-Spouse:
Veteran?
Yes
No
Did Decedent have a Will?
Date of Will:
Location of Original:
Are there any Codicils?
Yes
No
Location of Codicils:
II. Heirs at Law and/or Next of Kin
(list children, if any; otherwise, list parents, if living; if neither living, then siblings)
Heir 1
Yes
Name:
Address:
Home Phone:
Home Phone:
Relationship to deceased:
Mailing address if different:
Email:
Age:
If under 18 name/address of guardian/parent:
No
Heir 2
Yes
Name:
Address:
Home Phone:
Home Phone:
Relationship to deceased:
Mailing address if different:
Email:
Age:
If under 18 name/address of guardian/parent:
No
Heir 3
Yes
Name:
Address:
Home Phone:
Home Phone:
Relationship to deceased:
Mailing address if different:
Email:
Age:
If under 18 name/address of guardian/parent:
No
Heir 4
Yes
Name:
Address:
Home Phone:
Home Phone:
Relationship to deceased:
Mailing address if different:
Email:
Age:
If under 18 name/address of guardian/parent:
No
III. Probate Assets as of Date of Death
(assets/accounts owned by decedent individually, as “tenants in common,” or without a surviving beneficiary)
REAL ESTATE – INDIVIDUALLY TITLED OR AS “TENANTS IN COMMON”
Real Estate 1
Yes
Owners:
Physical Address:
Assessed Value:
Outstanding Liens/Mortgages:
No
Real Estate 2
Yes
Owners:
Physical Address:
Assessed Value:
Outstanding Liens/Mortgages:
No
Real Estate 3
Yes
Owners:
Physical Address:
Assessed Value:
Outstanding Liens/Mortgages:
No
BANK ACCOUNTS – INDIVIDUAL ACCOUNTS / NO BENEFICIARY
Account 1:
Yes
Name of Bank
Type of Account
Account Number
Balance (date of death)
Current Balance
No
Account 2:
Yes
Name of Bank
Type of Account
Account Number
Balance (date of death)
Current Balance
No
Account 3:
Yes
Name of Bank
Type of Account
Account Number
Balance (date of death)
Current Balance
No
Account 4:
Yes
Name of Bank
Type of Account
Account Number
Balance (date of death)
Current Balance
No
Account 5:
Yes
Name of Bank
Type of Account
Account Number
Balance (date of death)
Current Balance
No
INVESTMENTS (non-qualified brokerage) – INDIVIDUAL ACCOUNTS / NO BENEFICIARY
Investment 1:
Yes
Financial Inst.
Account No.
Type of Investment
Value on Date of Death
Current Value
No
Investment 2:
No
Yes
Financial Inst.
Account No.
Type of Investment
Value on Date of Death
Current Value
Investment 3:
Yes
Financial Inst.
Account No.
Type of Investment
Value on Date of Death
Current Value
No
Investment 4:
Yes
Financial Inst.
Account No.
Type of Investment
Value on Date of Death
Current Value
No
Investment 5:
Yes
Financial Inst.
Account No.
Type of Investment
Value on Date of Death
Current Value
No
Investment 6:
Yes
Financial Inst.
Account No.
Type of Investment
Value on Date of Death
Current Value
No
LIFE INSURANCE/ANNUITIES (non-qualified) – NO SURVIVING BENEFICIARIES OR NAMES ESTATE
Policy 1:
Yes
Company Name
Policy Number
Death Benefit/Account Balance
No
Policy 2:
Yes
Company Name
Policy Number
Death Benefit/Account Balance
No
Policy 3:
Yes
Company Name
Policy Number
Death Benefit/Account Balance
No
Policy 4:
Yes
Company Name
Policy Number
Death Benefit/Account Balance
No
Policy 5:
Yes
Company Name
Policy Number
Death Benefit/Account Balance
No
IRAs/401(K)s/OTHER RETIREMENT – NO SURVIVING BENEFICIARIES OR NAMES ESTATE
Retirement 1:
Yes
Name of Financial Institution
Account Number
Current Value
No
Retirement 2:
Yes
Name of Financial Institution
Account Number
Current Value
No
Retirement 3:
Yes
Name of Financial Institution
Account Number
Current Value
No
Retirement 4:
Yes
Name of Financial Institution
Account Number
Current Value
No
Retirement 5:
Yes
Name of Financial Institution
Account Number
Current Value
No
Vehicles Titled in Name of Decedent Alone (cars, motor homes, boats, etc.)
Vehicle 1:
Yes
Make/model/Year
Loan Balance
Current Value
No
Vehicle 2:
Yes
Make/model/Year
Loan Balance
Current Value
No
Vehicle 3:
Yes
Make/model/Year
Loan Balance
Current Value
No
Other Assets (businesses -LLCs or partnerships, promissory notes, collections/ antiques/art)
Other Asset 1:
Yes
Description
Name of Other Owners
Current Value
No
Other Asset 2:
Yes
Description
Name of Other Owners
Current Value
No
Other Asset 3:
Yes
Description
Name of Other Owners
Current Value
No
Other Asset 4:
Yes
Description
Name of Other Owners
Current Value
No
SAFE DEPOSIT BOX?
Yes
Name and location of Depository
Contents
No
KNOWN EXPENSES/CREDITORS (funeral expenses, medical, credit cards, other debts)
Expense 1:
Yes
Description
Expense Amount
No
Expense 2:
Yes
Description
Expense Amount
No
Expense 3:
Yes
Description
Expense Amount
No
Expense 4:
Yes
Description
Expense Amount
No
Expense 5:
Yes
Description
Expense Amount
No
Expense 6:
Yes
Description
Expense Amount
No
DOCUMENTS TO PROVIDE
Original Will/Codicil
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Original Death Certificate
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Copy of Death Certificate of deceased heirs:
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Copies of real estate deeds AND property tax bills
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Copies of all financial statements (date closest to date of death)
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Statement of proceeds for life insurance
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Copies of automobile registrations
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Copy of paid funeral bill
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Other:
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THANK YOU
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