Miller Law Office, PLLC Elder Law

Welcome and Registration

Your plan puts authority in the right hands when it matters maters most. Before we start, type your details below in case we’re disconnected.

Your full legal name is required for your estate planning documents. This would be the name listed on your identification documents. Please be sure to include your middle name or initial if listed on your documentation.

First Name *

Middle Name

Last Name *

Email *

Password *

Cell *

Your Contact Details

Name:

Date Of Birth *

Are you married? *

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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

Gender

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Male

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Female

Your Address

Full Address: *

Address Line 1 *

Address Line 2

City *

State *

County *

Zip Code *

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)".

Gender

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Male

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Female

State: *

Financial Power of Attorney

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

Primary Agent : Full Legal Name: * Click "+" to add agent

Successor Agent : * Click "+" to add agent

Medical Power of Attorney

Choose your medical decision-maker if the person this plan is for can’t act. Start with a top choice, then add a backup.

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

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Yes

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No

Primary Agent : *

Full Address: *

Mobile Number: *

Successor Agent : *

Full Address: *

Mobile Number: *

Sanity Check: Agents should be someone calm, reachable, and who knows your wishes. If you’re unsure, we can help you decide. Call 972-284-0585.

Medical Power of Attorney-Spouse/Partner

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

✓

Yes

✓

No

Primary Agent : Full Legal Name: *

Street Address: *

City: *

State: *

Zip: *

Phone Number: *

Successor Agent : *

Street Address: *

City: *

State: *

Zip: *

Phone Number: *

Review & Submit

You’re almost done.

When you submit, our team will review your information, resolve any gaps, and prepare your documents. You’ll have a chance to ask questions and confirm details before anything is finalized.

Step 1: Review Your Information.

Use "Review Your Information" to see everything in one place. Need to change something? Click the "Previous" button.

Step 2: Create Your Plan

Click the "Submit & Create Your Plan" button below to checkout. Afterward, we’ll prepare your plan so your wishes are clear and your helpers can act when it counts. You’ll receive a confirmation email detailing next steps.

Need help? Call 972-284-0585.

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