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Estate Administration

Probate and Estate Administration Contact Form

Name

Email Address

Phone Number

Business Phone

Cellular or Pager

Address

City

State

Zip

Relationship to decedent

Information about the Decedent

Decedent's date and place of birth

Date of death

Place of death

Residence at the time of death

Marital status

Children
Yes  No 

If yes, provide names, ages, and addresses

Children from outside a marriage?
Yes  No 

Prior marriages?
Yes  No 

Was there a will?
Yes  No 

Probate Assets

Personal Property
Checking   $
Savings   $
Cash   $
Bonds   $
Stocks   $
CD's   $
Household Goods/Furnishings   $
Automobile   $
Other (list)   $

Real Estate
Home   $
Vacation Home   $
Rental Property   $
Land   $

Outstanding Debts
Mortgage   $
Automobile   $
Credit Cards   $
Medical Expenses   $
Other   $

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If somebody referred you to us, who was it?

Special concerns

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Office Locations

The Law Firm of Peters & Wasilefski

2931 North Front Street
Harrisburg, Pennsylvania 17110

Telephone: (717) 260-3483
Fax: (717) 238-7750
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