client testamentary instruction form

Copyright BTWC Ltd 2017 Private & Confidential P a g e | 1

Client Testamentary Instruction Form

Please complete following details Consultant Name:

Company:

Instructions for preparing

Single Will

Mirror Will

First Testator Name:

Second Testator Name:

Date Submitted:

If you have any questions please contact our Technical Team

01522 500823 or email [email protected]

1. Please use BLOCK CAPITALS throughout. Do not use abbreviations

2. Identify all people by their FULL Names, surname last

3. Many questions can simply be answered YES or NO with a tick. Put a line through any sections which do not apply

to you.

4. Additional legacies can be listed on a supplementary sheet. Please clearly state which section of this form will

include additional information. More than 4 legacies will attract additional administration fees.

5. The declaration on page 20 must be signed and completed before your application can be processed.

6. Use the sections on page 19 & 23 to detail advice given but not taken by the Testator(s) and give reasons why.

7. A signed copy of BTWC’s Terms of Business document must be submitted with every application

8. Please ensure client ID is supplied to meet BTWC’s Anti-Money Laundering Compliance ID Requirements

9. For EXPRESS WILLS, please clearly mark that this service is required. Additional fees will be payable and are

available upon request.

10. Standard turnaround times are 7-14 working days

For Office Use Only

Reference Number:

Date Received:

Payment Received:

Date sent to WW:

Date returned from WW:


ESTATE VALUATION JOINT OWNED ASSETS £ 1ST TESTATOR £ 2ND TESTATOR £

Main residence/Additional properties/Buy-to-Let

Foreign assets - real estate Country:

Life policies - not written into trust

ISA's (cash)

ISA's (stocks and shares)

Pension / Death in Service Benefits / SIPPS (Not under Trust)

Shares

Unit trusts/investment bonds

Business assets: sole trader/husband wife partnership/Ltd/LLP

Business assets: partnerships/shareholdings

Bank/Building Society savings

Chattels (items of personal use)

Cars

Other

GROSS TOTAL ESTATE VALUES

Less liabilities (for estimating IHT liabilities only)

Mortgage(s)

Loans (including credit and store cards)

Other (including Equity Release)

TOTAL LIABILITIES

TOTAL ESTATE VALUE

LESS TOTAL LIABILITIES

NET VALUE OF ESTATE

IHT for Married Couples & Civil Partners only

Could the payment of IHT be relevant to either client? Yes/No

Have either client been in an former marriage or civil partnership? Yes/No

If YES did any of these end in death? Yes/No

Testator 1: In respect of that marriage or Civil Partnership did the deceased spouse die without using all their NRB?

Yes/No

Testator 2: In respect of that marriage or Civil Partnership did the deceased spouse die without using all their NRB?

Yes/No

Have you had or completed a financial review recently? Yes/No

*Where a former spouse or civil partner of the testator has died without fully using his or her NRB this unusedexemption may still be available after remarriage.

• These calculations are accepted to be estimations only.

• Please provide this information so that your families needs can be fully assessed and your estateappropriately distributed.


SECTION 1: TESTATORS DETAILS

First Testator Details

FULL NAME: DATE OF BIRTH:

Are you known by any other name?

Are you able to read and sign your Will unaided?

Yes/No If NO give reason

Second Testator Details

Relationship to first testator: SPOUSE: PARTNER: CIVIL PARTNER:

FULL NAME:

DATE OF BIRTH :

If unmarried would you like your wills prepared in expectation of your future Marriage?

If YES give date:

Are you known by any other name?

Are you able to read and sign your Will unaided?

If NO give reason

Address

Address Line 1

Address Line 2

Town/City Post Code:

Tel No: Email:

If you have an existing Will may we see it?

Yes/No Copy Will Supplied Yes/No

Yes/No

Yes/No


SECTION 2: EXECUTORS

Executor 1: Would you like your spouse or partner to be your first executor?

Yes/No

If YES do you wish them to:

(A) Act ALONE in whichcase your should namereserve executorsbelow (max 4)

Yes/No (B) Act JOINTLY WITH OTHERS inwhich case name the additionalpersons below (max3)

Yes/No

Will you require BTWC Professional Executor Services?

Yes/No To act Solely/Jointly/Reserves?

Where possible after each name give relationship to each testator e.g. T1 brother, T2 brother in law

Executor 2: Full Name: Relationship T1

Address:

Executor 3: Full Name:

Address:

Executor 4: Full Name:

Address:

Reserve Executor: Full Name:

Address:

Have your Executors made their Wills? Yes/No

SECTION 3: CHILDREN

Name children of BOTH testators Relationship to first testator

Relationship to second testator

Full Name:

Date of Birth:

Full Name:

Date of Birth:

Full Name:

Date of Birth:

Full Name:

Date of Birth:

Full Name:

Date of Birth:

Full Name:

Date of Birth:

Relationship T2

Relationship T1

Relationship T1

Relationship T1

Relationship T2

Relationship T2

Relationship T2


SECTION 4: GUARDIANS

Use this section to name the person or people you would wish to bring up your children in

the event of your death whilst they are still minors. It is recommended that at least one of

your appointed guardians be appointed an Executor and Trustee of the estate. It is

important to obtain the consent of the proposed guardian before making an appointment.

Relationship to First

Testator Relationship to

Second Testator

FIRST Guardian Name:

Address:

SECOND Guardian Name:

Address:

RESERVE Guardian Name:

Address:

Have the guardians made their wills? Yes/No

Have family income benefit and/or life insurance arrangements been put in place? Yes/No

SECTION 5: CHATTELS

Chattels are all your items of personal use such as the contents of your home and unless

otherwise gifted in your will (section 6) will pass firstly to your spouse or partner and then

on their death under their will; or if you are single as part of your general (residuary) estate.

Chattels or items of ‘personal use or ornament’ are best given by way of a wish list or ‘Letter

of Wishes’. It is recommended that the testator retains the list with the executed will.

If this is the testators wish simply tick this box and a suitable clause (non-binding trust) will be included in the will directing the executors to locate the Letter of Wishes


SECTION 6: SPECIFIC GIFTS

Use this section for personal gifts such as jewellery and identify items as carefully as

possible e.g. my gold ring set with five diamonds. Please state if the gift is to take effect on

the death of the first or second testator. If the gift is required for use by the survivor then

the gift should be made on second death. If necessary please use a continuation sheet.

From FIRST Testator

Name of beneficiary & relationship to testator: Give only after

2nd death: Yes/No

Details of gift or legacy:


2nd death: Yes/No



2nd death: Yes/No



2nd death: Yes/No


From SECOND Testator


2nd death: Yes/No



2nd death: Yes/No



2nd death: Yes/No



2nd death: Yes/No



SECTION 7: GIFTS OF MONEY (Pecuniary Legacies)

Use this section to make gifts of money to family, friend and charities. As with a specific

legacy (section 6) the gift is usually best given on first death but where the gift is only to be

paid ONCE on the death of the survivor then tick the box. If a gift is to be made to a charity,

please provided exact name, address and charity number.

From FIRST testator

Name of beneficiary and relationship or charity name & number:

Give only on 2nd

death: Yes/No

Amount in figures and words:


Give only on 2nd

death: Yes/No



Give only on 2nd

death: Yes/No



Give only on 2nd

death: Yes/No


From SECOND testator


Give only on 2nd

death: Yes/No



Give only on 2nd

death: Yes/No



Give only on 2nd

death: Yes/No



Give only on 2nd

death: Yes/No


Continue on a separate sheet if necessary or list below further information in relation to the gifts

Do the testator(s) wish to include a trust or trusts as part of their estate planning needs?

If Yes, go to Section 12 page 11


SECTION 8: GIFT OF AN ANIMAL

SECTION 9: GIFTS OF RESIDUE

The residue is everything left in your estate after and debts and any legacies have been paid.

Before dealing with residue, do you wish to make any further gifts or include any trusts?

Specific Gifts e.g. gifts of money Complete section 7

Gifts to trustees for trust purposes e.g. Protective Property Trust

Go to section 12 Trusts

Other/Additional Notes:

Do you wish for the remainder of your estate to pass firstly to your spouse or partner? Yes/No

And then to children: Yes/No

And/or other named beneficiaries:

If YES select either A or B. If NO go straight to section B

A How would you like your residuary estate to be distributed?

To one Person? Yes/No Full Name & relationship:

Please note: if only one person it is essential that a default beneficiary is appointed to prevent an

intestacy occurring. Go to section D.

B To more than one person? Give their names and relationships below:

Full name(s) of all beneficiaries Relationship to:

% Share First Testator Second Testator

Type of animal?

Animal to go to a PERSON: Name

Animal to go to a CHARITY: Name

Address (if a charity please include a charity number)

Gift to take effect only on second death? Yes/No

Do you wish to leave a legacy for the upkeep and maintenance of the animal?

Yes/No If Yes, state amount in words & figures


C Age at which children are to inherit

Children under the age of 18 (minor children) cannot receive their legacy until they reach 18 years

old and money left for a minor child will be held in trust and controlled by the trustees for the child’s

benefit i.e. a Childrens Trust will be required within the Will

Are all named beneficiaries over the age of 18 years?

Yes/No

If NO, at what age are any children to inherit? Please circle

18 Years 21 Years 25 years Other:

Are the Trustees of the Childrens Trust to be the same as your

Executors? Yes/No

If NO, please name Trustees:

D Reserve/Default beneficiaries

In case all of your above named beneficiaries fail to survive you, reserve beneficiaries can be named

here. Please note that where the testator has named their children as beneficiaries and a child pre-

deceases their parent leaving children of their own (grandchildren), unless an alternative statement

is written in the Will their children will take their inheritance by substitution.

Full name(s) of all beneficiaries Relationship to:

% Share First Testator Second Testator

SECTION 10: EXCLUSIONS

Please list below the name(s) and relationships to you of anyone you are deliberately

excluding from your will. You should name anyone who may be financially dependent on

you at the time of your death or who may have a legitimate claim on your estate. We

recommend that a handwritten letter is stored with your will outlining your reasons for the

exclusion. Failure to complete a letter may mean your estate is not distributed as you wish it

to be.

Full name(s) Relationship to:

First Testator Second Testator


SECTION 11: FUNERAL WISHES & ORGAN DONATION

FIRST Testator:

Do you wish to specify your funeral preferences in your will?

Yes/No

Organ donation? Yes/No Are there any organs you DO NOT

wish to be used i.e. your eyes. Please specify:

Cremation? Yes/No Do you have any special wishes

such as your ashes buried or scattered?

Buried? Yes/No Do you have any special wishes as

to where you would like your body buried?

Do you have any special wishes or directions for your executors, family

and friends?

Would you like donations to be made to charity in liur of flowers?

Yes/no

If YES please provide details of charity:

SECOND Testator

Do you wish to specify your funeral preferences in your will?

Yes/No

Organ donation? Yes/No Are there any organs you DO NOT

wish to be used i.e. your eyes. Please specify:

Cremation Yes/No Do you have any special wishes

such as your ashes buried or scattered?

Buried Yes/No Do you have any special wishes as

to where you would like your body buried?

Do you have any special wishes or directions for your executors, family

and friends?

Would you like donations to be made to charity in lieu of flowers?

Yes/no

If YES please provide details of charity:

How are your funeral expenses to be paid? Funeral Plan/Life insurance/Estate/Other

If 'OTHER' please specify


SECTION 12: TRUSTS

From the list below select the trust that you require or the one that you think most closely

meets the testators needs and got the relevant section to complete the information.

Trust Title & Description Section/Page Required

A Disabled Discretionary Trust can be tax efficient as well as providing for the needs of the disabled beneficiary. Intended for beneficiaries who are registered as disabled and who are unable to manage their own affairs by way of mental or physical disability. It is important that the principle beneficiary of the trust qualifies for the trust to be created. For the trust to be effective there must be more than one beneficiary (and more than one trustee) however the other beneficiaries will not benefit until with trust ends, usually upon death of the principle beneficiary.

12A Yes/No

A Property Protective Trust protects the deceased’s share of the family home for the children from the effects of the survivor remarrying, for managing care costs and is especially effective where the testator(s) have children from previous relationships and wish them to benefit. Gives spouse or partner a life interest to live in and enjoy the property during their lifetime.

12B Yes/No

A Life Interest Trust is useful where the testator wants to preserve their assets but provide for a spouse, partner or other person. The life interest trust gives the life tenant an interest in the property for life. On death of life tenant assets pass to named beneficiaries

12C Yes/No

A Right to Reside gives spouse, partner or child(ren) or others the right to live in the testators property after death but unlike a life interest the rights will end at a specific age, time or event.

12D Yes/No

An IHT Discretionary Trust of NRB is a family fund capped at the nil rate band. Created on first death it gives flexibility over part of the testators estate (the NRB) giving the spouse access to income and capital during life repayable on death.

12E Yes/No

A Discretionary Trust of Residue can be used to ring fence assets, beneficiaries can be spouse and children or may be used effectively where the testator has concerns regarding children such as spendthrift, drink or drug problems.

12F Yes/No

A Flexible Life Interest Trust is extremely flexible giving trustee’s power to advance income and capital at their discretion. Can take ALL the testators assets, utilise both nil rate bands and can provide the trustees with the ability to tax plan for the future whilst providing for the spouse and children.

12G Yes/No

A Business Trust is of benefit where the testator owns business assets that are eligible for business property relief, a business trust is beneficial. Ensures the business can continue to operate under the oversight of trustees and can give the spouse a right to income whilst utilising the tax benefits available at death and passing the asset to taxable beneficiaries (i.e. children) who may be eligible to claim up to 100% business property relief. (Tax rules can change regularly and specialist advice may be required to clarify the Testators position). Shares in market quoted limited companies and PLC’s should be given as legacies.

12H Yes/No


SECTION 12A: DISCRETIONARY TRUST FOR A DISABLED PERSON

Principal beneficiary:

Other beneficiaries:

My children including grandchildren other than the principal beneficiary: Yes/No

Any step children as have been named previously in this instruction: Yes/No

The spouses of any of my children or step children: Yes/No

Name any intended beneficiary or class of beneficiary here that is not mentioned above:

SECTION 12B: PROPERTY PROTECTIVE TRUST

Address of property if not main residence:

Land Registry Title Number (if known):

How is the property currently owned?

Sole name of first or second

testator? Yes/No Joint Tenants Yes/No

Tenants in Common

Yes/No

Do you want to create a life interest trust in both wills to allow the survivor to remain in the property for the rest of their life with full power to move should they wish to?

Yes/No

If the property is currently held as joint tenants then for the trust to be effective it has to be changed to tenants in common; is this acceptable and in equal shares?

Yes/No

As TENANTS IN COMMON each owner is free to gift their share and interest in the property

over to whoever they wish when the trust ends, usually on the death of the surviving spouse

or partner. Use the following section to state how each share is to pass, to whom and it

what shares. Please note if TIC is not completed then the trust arrangements within you will

may not distribute your property as intended.

Beneficiaries when trust expires:

From First Testator:

From Second Testator:

You may wish to impose conditions on the survivor such as the trust to end should they remarry or cohabit. Would the testator like a set of standard wording to reflect this?

Yes/No


SECTION 12C: LIFE INTEREST TRUST

Life Tenant to be: my Spouse or Partner; or Yes/No

Other; Name:

Income Only: Yes/No Income & Capital: Yes/No

Beneficiaries when trust expires

My children including grandchildren? Yes/No

Any step children as have been named previously on this instruction? Yes/No

The spouses of any children or step children? Yes/No

Name any intended beneficiary class not mentioned above:

SECTION 12D: RIGHT TO RESIDE

Time Period (Months)

Age of Tenant Event

Please state when the right to reside will end (min 6 months max 60 months):

Name any intended beneficiary or class of beneficiaries if different from beneficiaries of residue:

SECTION 12E: IHT DISCRETIONARY TRUST OF NRB

Trust beneficiaries to include: Yes/No

My spouse or partner? Yes/No


Any step children as have been named previously in this instruction? Yes/No

The spouses of any of my children or step children? Yes/No

Name any intended beneficiary or class of beneficiaries here that is not mentioned above:

SECTION 12F: DISCRETIONARY TRUST OF RESIDUE

Trust beneficiaries to include: Yes/No

My spouse or partner? Yes/No


Any step children as have been named previously in this instruction? Yes/No

The spouses of any of my children or step children? Yes/No



SECTION 12G: FLEXIBLE LIFE INTEREST TRUST (FLIT)

Life tenant to be My Spouse? Yes/No

Discretionary/Other beneficiaries to be: My children including grandchildren? Yes/No

Any step children as have been named previously in this instruction?

Yes/No

Default beneficiaries to be: Such beneficiaries as are living at the

date the trust ends? Yes/No


SECTION 12H: GIFT OF BUSINESS ASSETS

Please note that BPR is not applicable where business assets are left to a spouse on first

death.

Business Assets? Yes/No Agricultural Assets? Yes/No

Please state business type:

Sole Trader Yes/No Partnership Yes/No Limited

Company Yes/No

Name of business:

Address of business:

Nature of business:

Does the testator wish to appoint 'business executors/trustees' separate to his/her previously named executors? Yes/No

If YES insert name, address and occupation:

If a partnership, is there a partnership agreement in place allowing the testator to dispose of his share as he/she wishes? Yes/No

If a shareholder, do the Articles of Association or Shareholders Agreement allow individual shareholders to dispose of their shares by will i.e. without agreement from the other shareholders?

Yes/No

Are there any life policies in place together with a cross option agreement? Yes/No

If able to dispose of their 'share and interest' by will, what directions does the testator wish to include if any?

Beneficiaries select as appropriate

My Spouse: Yes/No

My children and grandchildren: Yes/No

Include any step children as may be named in the instruction: Yes/No

The spouses of any of my children or step children: Yes/No

Other: Yes/No


SECTION 13: LASTING POWER OF ATTORNEY

A Lasting Power of Attorney is a legal document that allows someone to make decisions for

you or to act on your behalf, if you’re no longer able to or if you no longer want to make

your own decisions. These could be decisions about finances (paying your mortgage,

managing savings, or buying items you need etc) or about health & care (what type of

medical treatment you should have, what you should eat etc).

13A: Which type of LPA is required?

Financial Decisions: Yes/No Health & Care Decisions: Yes/No

FIRST DONOR

Title:

Full Name:

Address:

Post Code:

Date of Birth:

Email Address (Optional)

Is spouse to be 1st Attorney: Yes/No

SECOND DONOR

Title:

Full Name:

Address:

Post Code:

Date of Birth:


Is spouse to be 1st Attorney: Yes/No

13B: THE ATTORNEYS

FIRST ATTORNEY

Title:

Full Name:

Address:

Post Code:

Date of Birth:

Email Address: (Optional)

SECOND ATTORNEY

Title:

Full Name:

Address:

Post Code:

Date of Birth:



THIRD ATTORNEY

Title:

Full Name:

Address:

Post Code:

Date of Birth:


13C: HOW SHOULD YOUR ATTORNEY(S) MAKE DECISIONS?

I only appointed one attorney

Yes/No Jointly & Severally Yes/No Jointly Yes/No

Jointly for some decisions, jointly & severally for other

decisions

Yes/No

13D: REPLACEMENT ATTORNEYS (OPTIONAL)

REPLACEMENT ATTORNEY 1

Title:

Full Name:

Address:

Post Code:

Date of Birth:


REPLACEMENT ATTORNEY 2

Title:

Full Name:

Address:

Post Code:

Date of Birth:


13E: When can your attorneys make decisions?

As soon as my LPA has been registered Yes/No Only when I don't have mental capacity Yes/No

13F: PEOPLE TO NOTIFY WHEN THE LPA IS REGISTERED (OPTIONAL):

FIRST PERSON TO

NOTIFY

Title:

Full Name:

Address:

Post Code:

Date of Birth:


SECOND PERSON TO

NOTIFY

Title:

Full Name:

Address:

Post Code:

Date of Birth:



THIRD PERSON TO

NOTIFY

Title:

Full Name:

Address:

Post Code:

Date of Birth:


Title:

Full Name:

Address:

Post Code:

Date of Birth:


13G: PREFERENCES & INSTRUCTIONS (OPTIONAL)

PREFERENCES & INSTRUCTIONS (OPTIONAL)

PREFERENCES

INSTRUCTIONS

13H: CERTIFICATE PROVIDER

Title:

Full Name:

Address:

Post Code:

Date of Birth:


13I: OPG REGISTRATION

Before the LPA can be used it must be registered with the Office of Public Guardian (OPG)

Would you like to utilise BTWC's LPA Registration Service: Yes/No


SECTION 14 : ADVANCED MEDICAL DIRECTIVE (LIVING WILL)

An Advanced Medical Directive is a legal document in which a person specifies what actions

should be taken for their health if they are no longer able to make decisions for themselves

because of illness or incapacity.

FIRST TESTATOR

Title:

Full Name:

Address:

Post Code:

Date of Birth:


Doctors Name:

Doctors Address:

Doctors Post Code:

We recommend that you discuss this Advanced Directive with your GP

Hospital Name:

Hospital Address:

Personal Representative: List here anyone you would like present to clarify your wishes

Name

Address:

Post Code:

Telephone:

Relationship:

SECOND TESTATOR

Title:

Full Name:

Address:

Post Code:

Date of Birth:


Doctors Name:

Doctors Address:

Doctors Post Code:

We recommend that you discuss this Advanced Directive with your GP

Hospital Name:

Hospital Address:

Personal Representative: List here anyone you would like present to clarify your wishes

Name

Address:

Post Code:

Telephone:

Relationship:


SECTION 15: ADDITIONAL INFORMATION

Please use this section to detail any information you consider helpful in the drafting and

completion of the require wills and documentation;

SECTION 16: SUMMARY OF INSTRUCTIONS

This is a summary of the instructions you have given us along with any recommendations we

have made that you have declined or are considering for action in the future.

Recommended/NA/Not Discussed Accepted/Declined

Single/Mirror Will _________________ _________________

Children’s Trust _________________ _________________

Legacy of Chattels _________________ _________________

Disabled Discretionary Trust _________________ _________________

Property Protective Trust _________________ _________________

Life Interest Trust _________________ _________________

Right to Reside _________________ _________________

IHT Disc Trust of NRB _________________ _________________

Disc Trust of Residue _________________ _________________

Flexible Life Interest Trust _________________ _________________

Business Trust _________________ _________________

Lasting Power of Attorney _________________ _________________

LPA Registration _________________ _________________

Living Will _________________ _________________

Funeral Plan _________________ _________________

Document Storage _________________ _________________


SECTION 17: CLIENT DECLARATION

Disclaimer and agreement between BTWC Ltd Hillcroft Lodge Hillcroft Business Park Whisby Road

Lincoln LN6 3QL (hereinafter referred to as the ‘Company’) and the persons named below

(hereinafter referred to as the ‘Client’).

The Client has instructed the Company to prepare the following (hereinafter referred to as the

‘Documents’);

Last Will & Testament Yes/No

Lasting Power of Attorney (Property & Affairs) Yes/No

Lasting Power of Attorney (Health & Welfare) Yes/No

Living Will Yes/No

The Client Intends to make independent arrangements for;

Signing the documents with witnesses Yes/No

Registration of the Lasting Power(s) of Attorney Yes/No

Continued safe custody of the Documents Yes/No

On going Trust administration (after any such service provided by the Company Yes/No

I/we confirm that I/we are over the age of eighteen years and are of sound mind and have agreed to be tested

for mental capacity. The information given on this form and to the consultant is correct and is to be used as

the basis for preparing my/our Last Will and Testament (my/our Will). The full implications of failing to take

any advice from the consultant have been explained to me/us and I/we accept personal responsibility for

subsequent events arising due to my/our choosing not to take any recommendations provided. I/we further

understand that attestation instructions will be set to me/us by BTWC Ltd together with our wills in due

course. I/we therefore agree that BTWC Ltd shall not be liable if my/our wills is/are incorrectly executed

(attested). In addition to the appointments, legacies and distribution of residue I/we agree to the executors

and trustees named in my/our Will having normal powers to aid administration of my/our estate(s). I we know

of no other trusts or constraints which would prevent my/our estate being distributed as I/we have requested.

Following the completion of Trust Administration services by the Company (if any), the Client accepts absolute

responsibility to maintain the correct procedures for the administration of its Trust and indemnifies the

Company out of its estate(s) from any liability whatsoever arising from the invalid operation of the Trust(s)

I/we wish to use the BTWC Ltd Safe Custody facility to store our Wills Yes/No

I/we give consent for my/our details to be used by the Company to inform Yes/No

me/us of additional products or services that may be of benefit to me/us

We will not sell your data to any third party. If you are happy to agree for us to use your data in this way, select

YES. If at any time in the future you would like to withdraw your consent for us to use your data, please e-mail us

at [email protected]

Signed First Testator: ________________________________________________________

.

Signed Second Testator: _______________________________________________________

I hereby declare that, in my opinion, the testator(s) are of testamentary capacity under Banks v Goodfellow

and know and approve of the contents of this instruction form.

Signed Consultant:_______________________________________Date:_______________


Annual Safe Custody Service

Standing Order

Bank/Building Society Name: …………………………………………………………………………………………………………………

Address:………………………………………………………………………………………………………………………………… ………………………………………………………………………………Post Code:……………………………………………… Name of Account:………………………………………………………………………………………………………………….. Account Number: 8 digit box to appear here Sort Code: 6 digit box to appear here Upon receipt of these instructions please debit my/our account and pay EACH YEAR to: Natwest 225 High Street Lincoln LN2 1AZ Account: BTWC Ltd Account No: 43597289 Sort Code: 60-13-15 The sum of (in words):………………………………………………………………………………………………………. (in figures): £…………………………………………………………………………………………………… Commencing on (first Payment):……………………………………………………………………………………………. And on the same day ANNUALLY until cancelled by the customers in writing. Signature(s): Date: To the Bank PLEASE QUOTE REFERENCE: …………………………………………………………………………………………………


Card Payment Form Client Name: …………………………………………………………………………………………………………………………………………………..

Date:………/………./………. Address:………………………………………………………………………………………………………………………………… …………………………………………………………………………………….Post Code:……………………………………….. Amount(in numbers):…………………………………………………………………………………………………………….. Amount (in words):………………………………………………………………………………………………………………… Card Number:………………………………………………………………………………………………………………………… Security Code: ………………………………….Valid from:………../…………….Expiry Date:……/……………. Client Signature:………………………………………………………………………….. Print Name:…………………………………………………………………………………. Consultant Signature: Print Name:

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APPENDIX 1 – CLIENT MEETING NOTES

Date, time & place of client meeting:

Were any other persons present? If YES please name and provide reason:

Is the client already known to you?

Is the client able to provide satisfactory ID to meet BTWC Ltd's ID requirements?

Are there any factors know which make the preparation of the will(s) urgent?

Observation on the testators mental capacity:

Testator 1 Testator 2

Any concerns about capacity, confusion, memory loss or coercion?

Other comments concerning the testator(s) which may assist the drafting of the documents: