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LPA Property & Financial Questionnaire
LPA Property & Financial Questionnaire
Name Forename
First Name(s)
*
Surname
*
Date of Birth
*
Address
*
Email
*
Contact Number
*
How many attorneys do you wish to appoint?
*
Attorney Details
*
Please provide title, full name, date of birth and address of attorney(s)
If you have listed more than one attorney, how do you want them to work together?
*
Select an option...
Jointly and individually
Jointly Only
Would you like any replacement attorneys?
*
Select an option...
Yes
No
Replacement Attorney details
If yes, please provide title, full name, date of birth and address for each replacement attorney.
On what basis do you want the attorneys to make decisions?
*
Select an option...
Immediately and upon loss of mental capacity (this is useful as it means proof of loss of mental capacity will not be required)
Only upon loss of mental capacity (attorneys may need to prove loss of mental capacity each time they try to use the LPA)
Witness Signatures
*
Who do you select as your witness for the signatures? Please ensure this is someone who is not a family member, is an independent person and not one of the attorneys. Please provide title, full name and address for witness.
Certificate Provider
*
Who do you select as your certificate provider? This should be someone who is not a family member in any way, is an independent person, has known you for at least 2 years and is not one of the attorneys. It can also be a professional such as your GP or a solicitor. Please provide title, full name and address for certificate provider.
Please ensure you have filled out all required fields.
Submit
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