Lasting Power of Attorney

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01256 247185

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Book Meeting

LPA's for: *

a single person

a couple

Details Donor 1

Surname

Health & Welfare

Property & Finance

Both

Donor 1 Email

What’s your phone number?

D.O.B (xx/xx/xxxx)

Street Address

Street Address Line 2

City

County

Postal code

Relationship to Donor 2

Attorney 1 for Donor 2 (if yes details will be used automatically) *

Yes

No

N/A

Donor 2 Details

Health & Welfare

Property & Finance

Both

What’s your email address?

What’s your phone number?

D.O.B (xx/xx/xxxx)

Use address details of Donor 1?

Yes

No

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Relationship to Donor 1

Attorney 1 for Donor 1? (if yes details will be used automatically)

Yes

No

Maplebrook Wills Basingstoke

Contact

info@maplebrook-wills.co.uk

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01256 247185

A Spencer-Smith & Co. Limited Company Trading as Maplebrook Wills Basingstoke, No. 12351038 Registered Office Address Basingstoke RG24 8EU Registered in England

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