Estates & Tax Planning

Enduring Power of Attorney questionnaire

Please complete all sections within the questionnaire below.

Your details

Title

Full name

Address

Postcode

E-mail

Telephone no. (day)

Telephone no. (evening)

Date of birth

Proposed Attorney

Full name of your proposed Attorney

Relationship to you (if any)

Address of your proposed Attorney

Additional proposed Attorney

Full name of your additional proposed Attorney (if appointing more than one)

Relationship to you (if any)

Address of additional proposed Attorney

If appointing an additional Attorney, do you want him/her to be able to act independently of the other Attorney, or must they act together? Independently Together

Will your Attorney(s) have general power in relation to all your property and affairs? Yes No

If your Attorney(s) are not to have such wide powers, what restrictions or conditions do you want to include?

Veale Wasbrough Lawyers, Orchard Court, Orchard Lane, Bristol BS1 5WS Tel: 0117 925 2020 DX7831 Bristol
Veale Wasbrough Lawyers, Central Court, 25 Southampton Buildings, Chancery Lane, London WC2A 1AL Telephone: 0203 008 6395
Augustines Injury Law, St Augustines Yard, Orchard Lane, Bristol BS1 5DE Telephone: 0117 314 5400
Convey Direct, Orchard Court, Orchard Lane, Bristol BS1 5WS Telephone: 0117 925 2525

© Veale Wasbrough. All rights reserved. VAT registration number 138 8391 36

The firm is regulated by the Solicitors Regulation Authority (SRA) and in the conduct of investment business.