EASH LAW PC

114 South Main Street
Middlebury, IN 46540

(574) 825-9665

Please fill out the following information to begin the process of having EASH LAW PC handle your loved one's Probate Estate Filing with the Courts.

Contact information: Your Information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Province/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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Contact information: Decedent (Person who passed away)

Prefix

First name *

Middle name

Last name *

Emails

Email Address *

Type

PrimaryDefault email false

Add email

Addresses

Street address

Country

City

State/Region

Province/Region

Zip/Postal code

Address type

PrimaryDefault address false

Add address

Phone numbers

Phone number

Type

PrimaryDefault number false

Add phone number

What is your relationship to the decedent?

For all properties owned by Decedent at the time of their death, please list their addresses here.

What was the date of death?

Please upload a copy of the Death Certificate.

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Did the decedent have a will?

Yes

Did the decedent have any one bank account or investment account that had over $100,000.00 at the time of their death?

Yes

Please list the name of the institution along with the amount of money in the account (only if above $100,000.00 in each account listed)

Please list any debts owed by the decedent at the time of their death?

Please list the name, date of birth, relationship to decedent, and address for any heir, legatee, or devisee? (Anyone who would receive something from the decedent's will should be included in this list.)

Did the decedent have any children who died before they did?

Yes

Please list date of death of this child of decedent.