R. Michael Smyrl - Attorney At Law

office (713) 947-0001
fax (713) 947-9113

3009 Strawberry
Pasadena, TX  77502

Last Will & Testament

Full Name:
Address (inc. county):
Telephone Number:
Alt. Telephone:
E-Mail:
Married?  If so, spouse's name:
Children (names):
How would you like your estate divided (inc. specific bequests)?
1st Executor:
Alt. Executor:
Minor Children? If so, 1st Guardian:
2nd Guardian:

Durable Power of Attorney
1st Agent (name, address, and telephone number):
2nd Agent (name, address, and telephone number):
Do you wish this to become effective:

Medical Power of Attorney
1st Agent (name, address, and telephone number):
2nd Agent (name, address, and telephone number):

Directive to Physicians
Do you wish to be kept alive on life support?
   

Important Information

I will review the information you provide on the questionnaire and give you a call to clarify any questions I may have before I prepare your documents.