Testament Aansoekvorm / Will Application Form

Tipe Aansoek / Application Type

Enkel / Single Gesamentlik / Joint

Afrikaans English

Nuwe aansoek / New application Hersiening / Revision

Kan die aansoeker(s) lees en skryf? / Can the applicant(s) read and write?

Ja / Yes Nee / No

Testateur / Testator

Van / Surname

Volle name / Full names

ID nommer / ID number

Geboortedatum / DOB

Beroep / Occupation

Tel. / Selnommer / Cell

Epos / Email

Testatrise / Testatrix

Van / Surname

Nooiensvan / Maiden name

Volle name / Full names

ID nommer / ID number

Geboortedatum / DOB

Beroep / Occupation

Tel. / Selnommer / Cell

Epos / Email

Huwelikstaat / Marital Status

Ander / Other

Adres / Address

Testateur / Testator

Woonadres / Residential

Posadres / Postal address

Poskode / Postal code

Testatrise / Testatrix (indien verskillend / if different)

Woonadres / Residential

Posadres / Postal address

Poskode / Postal code

Kinders / Children

Huidige huwelik / Present marriage

#	Volle name / Full names	Geslag / Sex	Geboortedatum / Date of birth

Vorige huwelik – Testateur / Previous marriage – Testator

#	Volle name / Full names	Geslag / Sex	Geboortedatum / Date of birth

Vorige huwelik – Testatrise / Previous marriage – Testatrix

#	Volle name / Full names	Geslag / Sex	Geboortedatum / Date of birth

Minderjarige kinders? / Minor children? Ja / Yes Nee / No

Erfgename / Heirs

Meld volle name, verwantskap, ID nommer of geboortedatum. Erfgename moet ten volle identifiseerbaar wees.
State full names, relationship, ID number or date of birth. Heirs must be fully identifiable.

Testateur eerssterwende / Testator first dying

Is Testatrise die enigste erfgenaam? / Is Testatrix the sole heir? Ja / Yes Nee / No

Testatrise eerssterwende / Testatrix first dying

Is Testateur die enigste erfgenaam? / Is Testator the sole heir? Ja / Yes Nee / No

Afsterwe van langslewende / Death of survivor

Kinders enigste erfgename? / Children sole heirs? Ja / Yes Nee / No

Gesinsuitwissing / Family obliteration

Geval waar alle erfgename sterf / Event where all heirs die

Trust

Erfenis word in trust gehou totdat kinders die volgende ouderdom bereik het / Inheritance held in trust until children reach age:

21 25 Ander / Other:

Voog / Guardian

Volle name / Full names

Verwantskap / Relationship

ID nommer / ID number

Adres / Address

Tel. / Cell

Alternatiewe Voog / Alternative Guardian

Volle name / Full names

Verwantskap / Relationship

ID nommer / ID number

Adres / Address

Tel. / Cell

Eksekuteur en Trustee / Executor and Trustee

Lubbes Trust (Edms) Bpk / Lubbes Trust (Pty) Ltd Ander / Other

Boedelbates / Estate Assets (Markwaarde / Market Value)

Indien getroud binne gemeenskap van goedere, voltooi slegs Testateur se gedeelte – behalwe versekering.
If married in community of property, complete Testator column only – except for insurance.

Item	Testateur (R)	Testatrise (R)
Vaste Eiendom / Fixed Property
Residensieel (1) / Residential (1)
Residensieel (2) / Residential (2)
Plaas eiendom / Farm property
Ander / Other
Boerdery Bates / Farming Assets
Plaasvoertuie / Farming vehicles
Implemente / Implements
Lewende hawe / Live stock
Roerende Bates / Movable Assets
Voertuie / Vehicles
Meublement / Furniture & contents
Vuurwapens / Firearms
Ander / Other
Beleggings / Investments
Kontantbeleggings / Cash investments
Effektetrusts / Unit trusts
Genoteerde aandele / Listed shares
Ander / Other
Versekering betaalbaar aan Boedel / Assurance payable to Estate
Versekering (1) / Assurance (1)
Versekering (2) / Assurance (2)
Versekering (3) / Assurance (3)
TOTALE BATES / TOTAL ASSETS
Boedel Laste / Estate Liabilities
Verbande / Mortgage bonds
Oortrokke bankrekeninge / Bank overdrafts
Voertuig lenings / Vehicle finance
Ander skulde / Other debts
TOTALE LASTE / TOTAL LIABILITIES

Addendum: Bates Verdeling / Asset Distribution

Spesifieke bemaking van bates aan spesifieke erfgename / Specific bequests to named heirs

Ingestuur deur / Submitted by

Naam / Name

Adres / Address

Tel. No

Selnommer / Cell No

Epos / Email

Datum ingedien / Date submitted

Konsultant / Consultant