\n\t\t\t\n\t\t\t\t*<\/span>\t\t\t\tHow does your name appear on your birth certificate?\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\t(If different from your birth certificate) What name do you currently use?\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t*<\/span>\t\t\t\tYour Address\t\t\t<\/label>\n\t\t\t

\n\t\t\t\t\n\t\t\t\t\t\t\t\tStreet Address<\/label>\n\t\t\t<\/div>\n\t\t\t

\n\t\t\t\t\n\t\t\t\tAddress Line 2<\/label>\n\t\t\t<\/div>\n\t\t\t

\n\t\t\t\t\n\t\t\t\t\t\t\t\tCity<\/label>\n\n\t\t\t<\/div>\n\t\t\t\t\t\t\t

\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\tState \/ Region \/ Province<\/label>\n\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\tZIP \/ Postal Code<\/label>\n\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tOther Phone\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t*<\/span>\t\t\t\tBirthdate\t\t\t<\/label>\n\t\t\t\t\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t*<\/span>\t\t\t\tPlace of Birth\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tOccupation\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tAre you married or living in a common-law relationship?\t\t\t<\/label>\n\t\t\t\t\t\t\t

\n\t\t\t\t\t Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

\n\t\t\t\t\t No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tName of Spouse\t\t\t<\/label>\n\t\t\t

\n\t\t\t\t\n\t\t\t\t\t\t\t\tFirst<\/label>\n\t\t\t<\/div>\n\t\t\t

\n\t\t\t\t\n\t\t\t\t\t\t\t\tLast<\/label>\n\t\t\t<\/div>\n\n\t\t\t

<\/div>\n\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tSpouses Occupation\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tSpouses Date of Birth\t\t\t<\/label>\n\t\t\t\t\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tSpouses Place of Birth\t\t\t<\/label>\n\t\t\t\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tAre you divorced or separated?\t\t\t<\/label>\n\t\t\t\t\t\t\t

\n\t\t\t\t\t Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t

\n\t\t\t\t\t No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t

\n\t\t\t\n\t\t\t\t\t\t\t\tPlease provide details on your divorce or separation\t\t\t<\/label>\n\t\t\t

<\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"future-marriage\" class=\"form-group  field field-type-radio future-marriage field-12790  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_future-marriage\">\n\t\t\t\t\t\t\t\tAre you contemplating a marriage in the near future?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_future-marriage\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_future-marriage\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"do-you-have-children\" class=\"form-group  field field-type-radio do-you-have-children field-12793  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_do-you-have-children\">\n\t\t\t\t\t\t\t\tDo you have any children? (Natural or legally adopted)\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_do-you-have-children\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_do-you-have-children\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"Childrens-info\" class=\"form-group  field Childrens-info field-type-paragraph-text field-12796  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_Childrens-info\">\n\t\t\t\t\t\t\t\tPlease provide your childrens full legal name(s), age(s) and occupation(s)\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_Childrens-info\" id=\"ccf_field_Childrens-info\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"Children-disabilities\" class=\"form-group  field field-type-radio Children-disabilities field-12797  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_Children-disabilities\">\n\t\t\t\t\t\t\t\tDo any of your children have any disabilities?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_Children-disabilities\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_Children-disabilities\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"describe-childrens-disability\" class=\"form-group  field describe-childrens-disability field-type-paragraph-text field-12800  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_describe-childrens-disability\">\n\t\t\t\t\t\t\t\tPlease list your childs disability\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_describe-childrens-disability\" id=\"ccf_field_describe-childrens-disability\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"children-predeceased-you\" class=\"form-group  field field-type-radio children-predeceased-you field-12801  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_children-predeceased-you\">\n\t\t\t\t\t\t\t\tHave any of your children predeceased you?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_children-predeceased-you\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_children-predeceased-you\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"share-of-estate-to-go-to-grandkids\" class=\"form-group  field field-type-radio share-of-estate-to-go-to-grandkids field-12804  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_share-of-estate-to-go-to-grandkids\">\n\t\t\t\t\t\t\t\tWould you like their share of your estate to go to their children?\t\t\t<\/label>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"unequal-share-of-estate\" class=\"form-group  field field-type-radio unequal-share-of-estate field-12805  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_unequal-share-of-estate\">\n\t\t\t\t\t\t\t\tAre you planning to leave a spouse or a child out of your Will or have an unequal distribution amongst your children?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_unequal-share-of-estate\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_unequal-share-of-estate\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_unequal-share-of-estate\" type=\"radio\"  value=\"I don't know\"> <span>I don't know<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"what-age-would-you-like-kids-to-get-inheritance\" class=\"form-group  field what-age-would-you-like-kids-to-get-inheritance field-type-single-line-text field-12809  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_what-age-would-you-like-kids-to-get-inheritance\">\n\t\t\t\t\t\t\t\tIf your children are under the age of 19, what age would you like your children to receive their inheritance?\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_what-age-would-you-like-kids-to-get-inheritance\" id=\"ccf_field_what-age-would-you-like-kids-to-get-inheritance\" placeholder=\"\" value=\"\">\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"childrens-guardian\" class=\"form-group  field childrens-guardian field-type-single-line-text field-12810  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_childrens-guardian\">\n\t\t\t\t\t\t\t\tre and upbringing of your child)If your children are under the age of 19, who would you like to appoint as their guardian? ( *** Note *** The guardian is the person who will look after the daily care)\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_childrens-guardian\" id=\"ccf_field_childrens-guardian\" placeholder=\"\" value=\"\">\n\n\t\t\t\t\t\t\t<div class=\"field-description help-block text-muted\">\n\t\t\t\t\tFirst Choice\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"guardian-alternate-choice\" class=\"form-group  field guardian-alternate-choice field-type-single-line-text field-12811  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_guardian-alternate-choice\">\n\t\t\t\t\t\t\t\tAlternate Choice\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_guardian-alternate-choice\" id=\"ccf_field_guardian-alternate-choice\" placeholder=\"\" value=\"\">\n\n\t\t\t\t\t\t\t<div class=\"field-description help-block text-muted\">\n\t\t\t\t\tSecond Choice\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"executor-of-estate\" class=\"form-group  field executor-of-estate field-type-single-line-text field-12812  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_executor-of-estate\">\n\t\t\t\t\t\t\t\tWho would you like to be the Executor of your Estate? ( *** Note *** The executor of your estate is the person who will handle the legal and financial paperwork for your estate. They will have control over your assets until your estate is finally distributed)\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_executor-of-estate\" id=\"ccf_field_executor-of-estate\" placeholder=\"\" value=\"\">\n\n\t\t\t\t\t\t\t<div class=\"field-description help-block text-muted\">\n\t\t\t\t\tFirst Choice\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"executor-of-estate-second-choice\" class=\"form-group  field executor-of-estate-second-choice field-type-single-line-text field-12813  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_executor-of-estate-second-choice\">\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_executor-of-estate-second-choice\" id=\"ccf_field_executor-of-estate-second-choice\" placeholder=\"\" value=\"\">\n\n\t\t\t\t\t\t\t<div class=\"field-description help-block text-muted\">\n\t\t\t\t\tSecond Choice\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"executor-of-estate-third-choice\" class=\"form-group  field executor-of-estate-third-choice field-type-single-line-text field-12814  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_executor-of-estate-third-choice\">\n\t\t\t\t\t\t\t\t\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_executor-of-estate-third-choice\" id=\"ccf_field_executor-of-estate-third-choice\" placeholder=\"\" value=\"\">\n\n\t\t\t\t\t\t\t<div class=\"field-description help-block text-muted\">\n\t\t\t\t\tThird Choice\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"real-estate\" class=\"form-group  field field-type-radio real-estate field-12815  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_real-estate\">\n\t\t\t\t\t\t\t\tDo you own any real estate?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_real-estate\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_real-estate\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"property-details\" class=\"form-group  field property-details field-type-paragraph-text field-12818  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_property-details\">\n\t\t\t\t\t\t\t\tPlease tell me where the property is located and if you own it in your name only or jointly with another person(s).\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_property-details\" id=\"ccf_field_property-details\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"division-of-estate\" class=\"form-group  field division-of-estate field-type-paragraph-text field-12819  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_division-of-estate\">\n\t\t\t\t\t\t\t\tHow would you like your estate divided?\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_division-of-estate\" id=\"ccf_field_division-of-estate\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"estate-division-if-beneficiaries-predecease-you\" class=\"form-group  field estate-division-if-beneficiaries-predecease-you field-type-paragraph-text field-12820  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_estate-division-if-beneficiaries-predecease-you\">\n\t\t\t\t\t\t\t\tIf the beneficiary\/ies listed above were to predecease you, then how would you like your estate divided?\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_estate-division-if-beneficiaries-predecease-you\" id=\"ccf_field_estate-division-if-beneficiaries-predecease-you\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"life-insurance\" class=\"form-group  field field-type-radio life-insurance field-12821  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_life-insurance\">\n\t\t\t\t\t\t\t\tDo you have life insurance?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_life-insurance\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_life-insurance\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"name\" data-field-slug=\"beneficiary-of-life-insurance\" class=\"form-group  field beneficiary-of-life-insurance field-type-name field-12824  \">\n\t\t\t<label class=\"main-label\">\n\t\t\t\t\t\t\t\tWho is the beneficiary of your life insurance policy?\t\t\t<\/label>\n\t\t\t<div class=\"left\">\n\t\t\t\t<input value=\"\" class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_beneficiary-of-life-insurance[first]\" id=\"ccf_field_beneficiary-of-life-insurance-first\">\n\t\t\t\t\t\t\t\t<label for=\"ccf_field_beneficiary-of-life-insurance-first\" class=\"sub-label help-block text-muted\">First<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"right\">\n\t\t\t\t<input value=\"\" class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_beneficiary-of-life-insurance[last]\" id=\"ccf_field_beneficiary-of-life-insurance-last\">\n\t\t\t\t\t\t\t\t<label for=\"ccf_field_beneficiary-of-life-insurance-last\" class=\"sub-label help-block text-muted\">Last<\/label>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"ccf-clear\"><\/div>\n\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"pensions-investments-rrsp\" class=\"form-group  field field-type-radio pensions-investments-rrsp field-12825  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_pensions-investments-rrsp\">\n\t\t\t\t\t\t\t\tDo you have any pensions, investments and\/or RRSPs?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_pensions-investments-rrsp\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_pensions-investments-rrsp\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"paragraph-text-37\" class=\"form-group  field paragraph-text-37 field-type-paragraph-text field-12828  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_paragraph-text-37\">\n\t\t\t\t\t\t\t\tPlease tell me which pensions, investments and\/or RRSPs you have and whether or not there is a beneficiary named for them including for any death benefits.\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_paragraph-text-37\" id=\"ccf_field_paragraph-text-37\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"name\" data-field-slug=\"accountant-name\" class=\"form-group  field accountant-name field-type-name field-12829  \">\n\t\t\t<label class=\"main-label\">\n\t\t\t\t\t\t\t\tWhat is the name(s) of your accountant and\/or financial advisor, if any, that are assisting you with your financial matters?\t\t\t<\/label>\n\t\t\t<div class=\"left\">\n\t\t\t\t<input value=\"\" class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_accountant-name[first]\" id=\"ccf_field_accountant-name-first\">\n\t\t\t\t\t\t\t\t<label for=\"ccf_field_accountant-name-first\" class=\"sub-label help-block text-muted\">First<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"right\">\n\t\t\t\t<input value=\"\" class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_accountant-name[last]\" id=\"ccf_field_accountant-name-last\">\n\t\t\t\t\t\t\t\t<label for=\"ccf_field_accountant-name-last\" class=\"sub-label help-block text-muted\">Last<\/label>\n\t\t\t<\/div>\n\n\t\t\t<div class=\"ccf-clear\"><\/div>\n\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"own-or-operate-business\" class=\"form-group  field field-type-radio own-or-operate-business field-12830  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_own-or-operate-business\">\n\t\t\t\t\t\t\t\tDo you own or operate a business?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_own-or-operate-business\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_own-or-operate-business\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"business-details\" class=\"form-group  field business-details field-type-paragraph-text field-12833  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_business-details\">\n\t\t\t\t\t\t\t\tPlease provide me with details.\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_business-details\" id=\"ccf_field_business-details\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"funeral-arrangements\" class=\"form-group  field funeral-arrangements field-type-paragraph-text field-12834  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_funeral-arrangements\">\n\t\t\t\t\t\t\t\tWould you like any clauses in your Will regarding funeral arrangements? If so, please describe below.\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_funeral-arrangements\" id=\"ccf_field_funeral-arrangements\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"sources-of-income\" class=\"form-group  field sources-of-income field-type-paragraph-text field-12835  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_sources-of-income\">\n\t\t\t\t\t\t\t\tWhat type(s) of Income do you have? (salary, pensions, investments)\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_sources-of-income\" id=\"ccf_field_sources-of-income\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"monthly-expenses\" class=\"form-group  field monthly-expenses field-type-paragraph-text field-12836  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_monthly-expenses\">\n\t\t\t\t\t\t\t\tWhat type(s) of Expenses do you have each month?(rent, loans, bills)\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_monthly-expenses\" id=\"ccf_field_monthly-expenses\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"banking-institution\" class=\"form-group  field banking-institution field-type-single-line-text field-12837  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_banking-institution\">\n\t\t\t\t\t\t\t\tWhere do you normally conduct your banking?\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_banking-institution\" id=\"ccf_field_banking-institution\" placeholder=\"\" value=\"\">\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"types-of-accounts\" class=\"form-group  field types-of-accounts field-type-paragraph-text field-12838  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_types-of-accounts\">\n\t\t\t\t\t\t\t\tWhat type(s) of accounts do you have at this bank?\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_types-of-accounts\" id=\"ccf_field_types-of-accounts\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"safety-deposit-box\" class=\"form-group  field field-type-radio safety-deposit-box field-12839  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_safety-deposit-box\">\n\t\t\t\t\t\t\t\tDo you have a safety deposit box?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_safety-deposit-box\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_safety-deposit-box\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"out-of-province-assets\" class=\"form-group  field field-type-radio out-of-province-assets field-12842  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_out-of-province-assets\">\n\t\t\t\t\t\t\t\tDo you own any assets outside of the province of BC?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_out-of-province-assets\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_out-of-province-assets\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"type-and-location-of-assets\" class=\"form-group  field type-and-location-of-assets field-type-paragraph-text field-12845  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_type-and-location-of-assets\">\n\t\t\t\t\t\t\t\tPlease tell me the type of assets & where they are located?\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_type-and-location-of-assets\" id=\"ccf_field_type-and-location-of-assets\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"personal-medical-conditions\" class=\"form-group  field field-type-radio personal-medical-conditions field-12846  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_personal-medical-conditions\">\n\t\t\t\t\t\t\t\tDo you suffer from any medical conditions which may affect your mental ability to think clearly or to make decisions?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_personal-medical-conditions\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_personal-medical-conditions\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t\t<div class=\"field-description help-block text-muted\">\n\t\t\t\t\t(Alzheimer\u2019s, depression, bi-polar disorder, dementia, head injury, drug or alcohol addiction)\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"personal-medical-condition-details\" class=\"form-group  field personal-medical-condition-details field-type-paragraph-text field-12849  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_personal-medical-condition-details\">\n\t\t\t\t\t\t\t\tPlease provide details of your medical condition(s).\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_personal-medical-condition-details\" id=\"ccf_field_personal-medical-condition-details\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"radio\" data-field-slug=\"taking-medications\" class=\"form-group  field field-type-radio taking-medications field-12850  field-required\">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_taking-medications\">\n\t\t\t\t<span class=\"required\">*<\/span>\t\t\t\tAre you currently taking any drugs or medication which could affect your ability to think clearly or to make decisions?\t\t\t<\/label>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_taking-medications\" type=\"radio\"  value=\"Yes\"> <span>Yes<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"choice radio\">\n\t\t\t\t\t<label><input class=\"field-input\" name=\"ccf_field_taking-medications\" type=\"radio\"  value=\"No\"> <span>No<\/span><\/label>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"single-line-text\" data-field-slug=\"medication-details\" class=\"form-group  field medication-details field-type-single-line-text field-12853  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_medication-details\">\n\t\t\t\t\t\t\t\tPlease provide details.\t\t\t<\/label>\n\t\t\t<input class=\"form-control  field-input\"  type=\"text\" name=\"ccf_field_medication-details\" id=\"ccf_field_medication-details\" placeholder=\"\" value=\"\">\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t<div data-field-type=\"paragraph-text\" data-field-slug=\"special-concerns-or-questions\" class=\"form-group  field special-concerns-or-questions field-type-paragraph-text field-12854  \">\n\t\t\t<label class=\"main-label\" for=\"ccf_field_special-concerns-or-questions\">\n\t\t\t\t\t\t\t\tPlease list any additional questions or concerns you would like me to be aware of while preparing your will.\t\t\t<\/label>\n\t\t\t<textarea class=\"form-control  field-input\"  name=\"ccf_field_special-concerns-or-questions\" id=\"ccf_field_special-concerns-or-questions\" placeholder=\"\"><\/textarea>\n\n\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\n\t\t\t\t\t<div class=\"form-submit \">\n\t\t\t\t\t\t<input type=\"submit\" class=\"btn btn-primary ccf-submit-button\" value=\"Submit Form\">\n\t\t\t\t\t\t<img decoding=\"async\" class=\"loading-img\" src=\"https:\/\/cranbrooklawyers.ca\/wp-admin\/images\/wpspin_light.gif\">\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t\twindow.wp = window.wp || {};\n\t\t\t\t\twp.ccf = wp.ccf || {};\n\t\t\t\t\twp.ccf.conditionals = wp.ccf.conditionals || [];\n\t\t\t\t\twp.ccf.conditionals[10875] = 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You should consult a lawyer to obtain legal advice about your particular legal matter. No solicitor\/client relationship is created by using this site.<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Once you have completed this questionnaire please call us at (250) 426-4352 to schedule an appointment to discuss your will & estate planning options. We are wheelchair accessible and in-home visits are available. Thank you, from all of us here at Smith Alliance. 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