Brumbaughelderlaw

Welcome and Registration

Welcome to our online The process will take you 10 minutes and is very seamless. Get started, start your Application and you will be automatically registered with a login and password should you choose to return and make changes at a later time,

First Name *

Middle Name

Last Name *

Email *

Password *

Cell *

Total Estate Value

What is the value of your estate? *

Do you own real estate outside of Ohio? *

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Yes

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No

Do you own any assets outside of the United States? *

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Yes

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No

Contact You

Unfortunately our online estate planner does not work with clients who answer yes to questions on the pre-screener. However, we would be happy to talk to you about a solution that might work.

Would you like someone to reach out to you? *

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Yes

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No

Your Contact Details

Name:

Date Of Birth *

Also known as(optional)

Are you married? *

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Yes

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No

Are both you and your spouse US citizens? *

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Yes

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No

Suffix(optional)

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Jr

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Sr

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II

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III

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Other

What are your personal pronouns?

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he/him

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she/her

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they/them

Your Address

Full Address: *

Is Your mailing address the same as your home address? *

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Yes

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No

Your Spouse Information

Your spouse's Details

First Name: *

Middle Name *

Last Name: *

Email *

Date Of Birth *

Cell *

Suffix(optional) *

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Jr

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Sr

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II

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III

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Other

Please select "Suffix(optional)".

Also known as(optional)

What are your spouse's pronouns?

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he/him

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she/her

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they/them

Is Your spouse's address different than you? *

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Yes

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No

State: *

Children and Beneficiaries

Are you a parent or legal guardian of a child? *

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Yes

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No

Children

Select all that apply regarding your children, if any

I have children who are under 18 *

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Yes

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No

I plan on having a trust for some or all of my children *

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Yes

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No

I have children with special needs *

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Yes

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No

Guardians for Your Minor Children

Name who you wish to be legal guardian(s) for your minor children:

(If a guardian is married, then hit 'add' to include their spouse.)

Primary Guardian *

Children Information

How many children do you and/or your spouse/partner have?

Child’s Name *

Child Age *

Parents of Child *

How do you wish to distribute your estate to your children?

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Split shares equally

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Split shares as Follows

Percentage(%) *

Children *

Select your child/children's age to distribute the principal trust

A lump sum at age of *

Tangible Personal Property

How many beneficiaries do you have? *

Beneficiary Name *

Children’s Trustee

Add your children’s trust here *

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Yes

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No

Beneficiary Information

Please add one ore more beneficiaries. Your assets will be split equally amongst those beneficiaries.

Primary Beneficiary *

If your spouse predeceases you, please designate alternate beneficiaries and your assets will be split equally to your alternate beneficiaries.

Trustee-Spouse/Life Partner

Would you like your Primary Trustees to serve jointly? *

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Yes

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No

Primary Trustee: *

spouse_Serve Jointly

Final Affairs

Please name at least one or more individuals who will serve as the Personal Representative of your last will & testament:

Primary Executor *

Would your Spouse/Domestic Partner like to have different Executor than you? *

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Yes

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No

Final Affairs - Spouse/Partner

Primary Executor *

Financial Agents

Provide the information of one or more individuals who will serve as your agent under the Durable Power of Attorney:

Do you want to use the same agents as your personal representative? *

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Yes

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No

Primary Agent: *

Relation *

Phone Number *

Address *

Would your Spouse/Life Partner like to have different Power of Attorney than you? *

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Yes

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No

Financial Agents-Spouse/Partner

Primary Agent: *

Relation *

Phone Number *

Address *

Health Care POA

Please provide the information of one or more individuals who will serve as your health care agent:

Do you wish to use the same agents as your Financial Durable POA? *

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Yes

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No

Primary Agent: *

Relation *

Phone Number *

Address *

Would your Spouse/Life Partner like to have different agents than you? *

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Yes

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No

Health Care POA - Spouse/Partner

Please provide the information of one or more individuals who will serve as your health care agent:

Do you wish to use the same agents as your Power of Attorney? *

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Yes

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No

Primary Agent: *

Relation: *

Phone Number *

Address *

HIPAA Agents

Please provide a list of individuals that will have access to your medical records:

Do you wish to use the same agents as your Health Care Agents? *

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Yes

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No

Primary Agent: *

Relation *

Phone Number *

Address *

Would your Spouse/Life Partner like to have different agents than you? *

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Yes

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No

HIPAA Agents Spouse/Partner

Please provide a list of individuals that will have access to your medical records:

Do you wish to use the same agents as your Health Care Agents? *

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Yes

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No

Primary Agent: *

Relation *

Phone Number *

Address *

Living Will

Would you like to include a Living Will? *

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Yes

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No

Living Will Spouse/Partner

Would you like to include a Living Will? *

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Yes

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No

Summary

You can review your progress and edit your input by selecting the screen on the right or at the bottom on mobile. Once everything looks good, simply select 'Submit.'

Preview Answer

Your Progress