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- @1 1 A 60 1 LEGAL_NAME
- ^What is your full legal name?
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @1 2 M 1 2 MALE_FEMALE
- ^Enter "M" if you are Male or "F" if you
- are Female.
-
- <M>ale or <F>emale^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @1 3 A 40 3a CITY
- ^In what city do you live?
-
- [Example: Chicago]^
- ^It is not necessary to
- follow the city with a
- comma. Use the name of
- the community as named
- by the United States
- Post Office.^
- @1 4 S 20 3b STATE
- ^In what state do you live?
-
- [Example: IL]^
- ^Use the two-letter
- abbreviation for your
- state.^
- @1 5 A 60 4 SPOUSE_NAME
- ^What is the full name of your Spouse?
-
- [Example: Mary B. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @1 6 Y 1 5 GIVE_PROPERTY 7 20
- ^Do you want to give specific items of your
- property or specific amounts of cash to a
- specific person or organization?
-
- <Y>es or <N>o^
- ^Enter "Y" for Yes or
- "N" for No. Press
- [Enter] or [F10] to
- move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @1 7 X 1 6 NUMBER_GIFTS 18 16 14 12 10 8
- 1 Gift
- 2 Gifts
- 3 Gifts
- 4 Gifts
- 5 Gifts
- 6 Gifts
- ^How many specific gifts do you want to
- make?
-
- A. 1 Gift
- B. 2 Gifts
- C. 3 Gifts
- D. 4 Gifts
- E. 5 Gifts
- F. 6 Gifts^
- ^You may leave specific
- gifts of property for
- up to six individuals
- or organizations using
- this program. Enter
- the letter of your
- choice. Press [F10] or
- [Enter] to move to the
- next question.^
- @1 8 A 60 7a DONEE_SIX
- ^Name the person or organization to whom
- you want to give a gift.
-
- [Example: John F. Smith]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here.^
- @1 9 A 60 7b GIFT_SIX
- ^Enter a description of the specific gift
- you want to give.
-
- [Example: my antique diamond and ruby
- necklace]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @1 10 A 60 8a DONEE_FIVE
- ^Name the person or organization to whom
- you want to give a gift.
-
- [Example: Mary S. Martinez]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @1 11 A 60 8b GIFT_FIVE
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my 14K gold wedding band]
-
- Note: Begin with the word "my" or "the
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @1 12 A 60 9a DONEE_FOUR
- ^Name the person or organization to whom
- you want to give a gift.
-
- [Example: Mark B. Jackson]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @1 13 A 60 9b GIFT_FOUR
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my gold coin collection]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @1 14 A 60 10a DONEE_THREE
- ^Name the person or organization to whom
- you want to give a gift.
-
- [Example: Susan A. Carlson]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @1 15 A 60 10b GIFT_THREE
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my Reed & Barton silver
- flatware set]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @1 16 A 60 11a DONEE_TWO
- ^Name the person or organization to whom
- you want to give a gift.
-
- [Example: Louis B. Hickman]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @1 17 A 60 11b GIFT_TWO
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my 1964 red Corvette]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @1 18 A 60 12a DONEE_ONE
- ^Name the person or organization to whom
- you want to give a gift.
-
- [Example: Barbara L. Redmond]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here.^
- @1 19 B 750 12b GIFT_ONE
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my 1 carat Marquis diamond
- wedding ring]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @1 20 K 0 13 COMMENT
- ^State laws allow your spouse to receive a
- portion of your estate, even if you leave
- your spouse nothing. If you want to
- prevent your spouse from receiving your
- residuary estate or limit the amount your
- spouse will receive, you cannot use this
- program.
-
- CONSULT WITH AN ATTORNEY.^
- ^This program is
- designed to pass your
- residuary estate to
- your spouse, provided
- that he or she does not
- die before you do.^
- @1 21 Y 1 14a CHILDREN 22 40
- ^Do you have children?
-
- <Y>es or <N>o^
- ^Enter "Y" for Yes or
- "N" for No. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @1 22 X 1 14b MULT_CHILDREN 24 23
- 1 Child
- 2 or more Children
- ^Do you have one child or two or more
- children?
-
- A. 1 Child
- B. 2 or more Children^
- ^Enter the letter of
- your choice. Press
- [F10] or [Enter]. Count
- all of your living
- children, including any
- adopted children,
- children by a previous
- marriage or children
- born out of wedlock.^
- @1 23 N 2 14c NMBR_CHILD 25 25
- ^How many children do you have?
-
- [Example: 3]^
- ^Count all of your
- living children,
- including any adopted
- children, children by a
- previous marriage or
- children born out of
- wedlock.^
- @1 24 X 1 15 RESIDUARY 33 28 30 32
- Child then grandchildren
- Child then others
- Child and others
- Others only
- ^Who do you want to receive your residuary
- estate? Your residuary estate is all the
- property remaining after you have made any
- specific gifts.
-
- A. Child then grandchildren
- B. Child then others
- C. Child and others
- D. Others only^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @1 25 X 1 15 BENEFICIARY 33 26 33 26 30 32
- Children then grandchildren-equal shares
- Children then grandchildren-unequal shares
- Children in equal shares
- Children in unequal shares
- Children and others
- Others only
- ^If your spouse dies before you do, who
- should receive the remainder of your estate?
- A. Children then grandchildren-equal shares
- B. Children then grandchildren-unequal shares
- C. Children in equal shares
- D. Children in unequal shares
- E. Children and others
- F. Others only^
- ^Remainder is that part
- of an estate which is
- left after all the
- special gifts and all
- the taxes have been
- paid.
-
- Press [F1] Help for
- Additional Comments.^
- @1 26 L 750 16 CHILD_NAMES
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Enter each child's
- name on a separate
- line. Press [Enter] to
- move to the next line.
- Press the up arrow key
- to move to a previous
- entry. Press [F10] to
- move to the next
- question.^
- @1 27 % 750 17 CHILD_PERCENT 34 34
- ^Here are the names of your child(ren). What
- percentage of your estate should each one
- receive?
-
- [Example: Mary Doe 50
- Jane Doe 25
- Robert Doe 25]^
- ^Enter the percentage
- of your estate you wish
- to leave each child.
- Press [Tab] to move to
- the percentage column
- and [Enter] to move to
- the next line.^
- @1 28 A 60 18a REMAINDER
- ^If your spouse and child die before you do,
- who should receive the remainder of your
- estate?^
- ^You may name charities
- or other organizations,
- as well as individuals.
- If you do not say what
- your wishes are, the
- money can go to the
- state. ^
- @1 29 A 60 18b REMAINDER_TWO 33 33
- ^If your spouse, child and your first choice
- of beneficiary to receive the remainder of
- your estate die before you do, who should
- receive the remainder of your estate?^
- ^The person or
- organization named in
- this question has a
- very small chance of
- receiving any of your
- estate. The question
- is included to cover
- all possibilities.^
- @1 30 L 750 17 CHILD_NAMES
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Enter each child's
- name on a separate
- line. Press [Enter] to
- move to the next line.
- Press the up arrow key
- to move to a previous
- entry. Press [F10] to
- move to the next
- question.^
- @1 31 % 750 18 CHILD_BENE 34 34
- ^Here are the names of your child(ren). Add
- the names of additional beneficiaries and
- the percentage of your estate each person
- named here should receive if your spouse
- dies before you do.
- [Example: Mary Ellen Doe 40
- Barbara Smith 30
- Randall Jones 20
- Bonnie Grant 10]^
- ^You may identify up to
- 12 beneficiaries using
- this program. Press
- [Tab] to move to the
- percentage column and
- [Enter] to move to the
- next line.^
- @1 32 % 750 18 BENE_PERCENT
- ^Name the person(s) and the percentage of
- your estate you want them to receive if
- your spouse dies before you do.
-
- [Example: Barbara Smith 50
- Randall Jones 30
- Bonnie Grant 20]^
- ^Enter the names of up
- to 12 beneficiaries and
- the percentage of your
- estate you wish to
- leave to each. Press
- [Tab] to move to the
- percentage column and
- [Enter] to move to the
- next line.^
- @1 33 L 750 19 CHILD_NAMES
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Enter each child's
- name on a separate
- line. Press [Enter] to
- move to the next line.
- Press the up arrow key
- to move to a previous
- entry. Press [F10] to
- move to the next
- question.^
- @1 34 A 60 20 EXECUTOR
- ^Who will be the Executor of your estate?
-
- Note: It is common to name your spouse
- as Executor.^
- ^Your Executor is the
- person who will be
- responsible for
- carrying out the terms
- of your Last Will and
- Testament. This should
- be a person you trust.^
- @1 35 A 60 21 EXECUTOR_TWO
- ^If this person cannot serve as Executor,
- who else do you want to name?^
- ^If your first choice
- as Executor dies before
- you do, or is otherwise
- unable to serve as
- Executor, you can name
- an alternate Executor
- here.^
- @1 36 X 1 22 TAXES_PAID 38 38 37
- Out of your residuary estate
- As provided for by state law
- Out of a designated asset or assets
- ^Select the manner in which you want estate
- and inheritance taxes paid by your
- Executor.
-
- A. Out of your residuary estate
- B. As provided for by state law
- C. Out of a designated asset or assets^
- ^This program provides
- three options for the
- payment of estate and
- inheritance taxes, if
- any. Enter the letter
- of your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @1 37 B 750 23 TAX_ASSET
- ^List the asset or assets from which you
- want any estate or inheritance taxes paid.
-
- [Example: Money market account #12345 at
- Big Board Brokers. Certificates of Deposit
- at Mississippi River Bank.]^
- ^Designate assets in
- the order you want them
- depleted to pay taxes.
- Include bank account
- numbers, serial numbers
- of goods, stock
- numbers, or anything
- else needed to clearly
- identify the item.^
- @1 38 A 60 24 GUARDIAN
- ^If the other parent of your minor children
- dies before you do, who will be the
- Guardian of your minor children?^
- ^This Last Will and
- Testament names the
- other parent(s) of your
- minor children as
- Guardian. If the
- other parent dies
- before you do, you
- should name a person
- you trust as Guardian.^
- @1 39 A 60 25 GUARDIAN_TWO 45 45
- ^If this person cannot serve as Guardian,
- who else do you want to name?^
- ^If the person you just
- named as Guardian dies
- before you do or is
- otherwise unable to
- serve as Guardian, you
- can name an alternative
- Guardian here.^
- @1 40 % 750 18 BENE_PERCENT
- ^Name the person(s) and the percentage of
- your estate you want them to receive if
- your spouse dies before you do.
-
- [Example: Barbara Smith 50
- Randall Jones 30
- Bonnie Grant 20]^
- ^Enter the names of up
- to 12 beneficiaries and
- the percentage of your
- estate you wish to
- leave to each. Press
- [Tab] to move to the
- percentage column and
- [Enter] to move to the
- next line.^
- @1 41 A 60 20 EXECUTOR
- ^Who will be the Executor of your estate?
-
- Note: It is common to name your spouse
- as Executor.^
- ^Your Executor is the
- person who will be
- responsible for
- carrying out the terms
- of your Last Will and
- Testament. This should
- be a person you trust.^
- @1 42 A 60 21 EXECUTOR_TWO
- ^If this person cannot serve as Executor,
- who else do you want to name?^
- ^If your first choice
- as Executor dies before
- you do, or is otherwise
- unable to serve as
- Executor, you can name
- an alternate Executor
- here. Do not use any
- nicknames or
- abbreviations.^
- @1 43 X 1 22 TAXES_PAID 45 45 44
- Out of your residuary estate
- As provided for by state law
- Out of a designated asset or assets
- ^Select the manner in which you want estate
- and inheritance taxes paid by your
- Executor.
-
- A. Out of your residuary estate
- B. As provided for by state law
- C. Out of a designated asset or assets^
- ^This program provides
- three options for the
- payment of estate and
- inheritance taxes, if
- any. Enter the letter
- of your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @1 44 B 750 23 TAX_ASSET
- ^List the asset or assets from which you
- want any estate or inheritance taxes paid.
-
- [Example: Money market account #12345 at
- Big Board Brokers. Certificates of Deposit
- at Mississippi River Bank.]^
- ^Designate assets in
- the order you want them
- depleted to pay taxes.
- Include bank account
- numbers, serial numbers
- of goods, stock
- numbers, or anything
- else needed to clearly
- identify the item.^
- @1 45 B 750 26 FUNERAL
- ^In a complete sentence, enter any funeral,
- burial or cremation instructions here.
-
- [Example: Unless I have already done so,
- I direct my Executor to spend a reasonable
- amount to purchase my burial plot and a
- suitable headstone subject to the approval
- of my spouse.]^
- ^You can enter any
- instructions for your
- funeral and burial or
- cremation here.
-
- Press [F1] Help for
- Additional Comments.^
- @1 46 D 8 27 DATE_OF_WILL
- ^Enter the date of your Last Will and
- Testament.
-
- [Example: 09/28/90]^
- ^This is the date you
- will print and sign
- your will and have it
- witnessed.
-
- Press [F1] Help for
- Additional Comments.^
- @2 1 A 60 1 LEGAL_NAME
- ^What is your full legal name?
-
- [Example: Mary M. Doe]^
- ^Do not use any
- abbreviations or any
- nicknames. The name
- must be the legal name,
- not the social name.^
- @2 2 M 1 2 MALE_FEMALE
- ^Enter "M" if you are Male or "F" if you
- are Female.
-
- <M>ale or <F>emale^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @2 3 A 40 3a CITY
- ^In what city do you live?
-
- [Example: Chicago]^
- ^It is not necessary to
- follow the city with a
- comma. Use the name of
- the community as named
- by the United States
- Post Office.^
- @2 4 S 20 3b STATE
- ^In what state do you live?
-
- [Example: IL]^
- ^Use the two-letter
- abbreviation for your
- state.^
- @2 5 Y 1 4a GIVE_PROPERTY 6 19
- ^Do you want to give specific items of your
- property or specific amounts of cash to a
- specific person or organization?
-
- <Y>es or <N>o^
- ^Enter "Y" for Yes or
- "N" for No. Press
- [Enter] or [F10] to
- move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @2 6 X 1 4b NUMBER_GIFTS 17 15 13 11 9 7
- 1 Gift
- 2 Gifts
- 3 Gifts
- 4 Gifts
- 5 Gifts
- 6 Gifts
- ^How many specific gifts do you want to
- make?
-
- A. 1 Gift
- B. 2 Gifts
- C. 3 Gifts
- D. 4 Gifts
- E. 5 Gifts
- F. 6 Gifts^
- ^You may leave specific
- gifts of property for
- up to six individuals
- or organizations using
- this program. Enter
- the letter of your
- choice. Press [F10] or
- [Enter] to move to the
- next question.^
- @2 7 A 60 5a DONEE_SIX
- ^Name the person or organization to
- whom you want to give a gift.
-
- [Example: John Fitzgerald Smith]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 8 A 60 5b GIFT_SIX
- ^Enter a description of the specific gift
- you want to give.
-
- [Example: my antique diamond and ruby
- necklace]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @2 9 A 60 6a DONEE_FIVE
- ^Name the person or organization to
- whom you want to give a gift.
-
- [Example: Mary S. Martinez]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 10 A 60 6b GIFT_FIVE
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my 14K gold wedding band]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @2 11 A 60 7a DONEE_FOUR
- ^Name the person or organization to
- whom you want to give a gift.
-
- [Example: Mark B. Jackson]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 12 A 60 7b GIFT_FOUR
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my gold coin collection]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @2 13 A 60 8a DONEE_THREE
- ^Name the person or organization to
- whom you want to give a gift.
-
- [Example: Susan A. Carlson]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 14 A 60 8b GIFT_THREE
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my Reed & Barton silver
- flatware set]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @2 15 A 60 9a DONEE_TWO
- ^Name the person or organization to
- whom you want to give a gift.
-
- [Example: Louis B. Hickman]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 16 B 750 9b GIFT_TWO
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my 1964 red Corvette]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @2 17 A 60 10a DONEE_ONE
- ^Name the person or organization to
- whom you want to give a gift.
-
- [Example: Barbara L. Redmond]^
- ^You should enter the
- full name of the person
- or organization to whom
- you are giving a gift
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 18 B 750 10b GIFT_ONE
- ^Enter the description of the specific gift
- you want to give.
-
- [Example: my 1 carat Marquis diamond
- wedding ring]
-
- Note: Begin with the word "my" or "the"
- in lower case.^
- ^Enter an exact
- description of the
- property you are giving
- the person or
- organization. The
- description must be
- long enough to identify
- the property completely
- and clearly.^
- @2 19 Y 1 11a CHILDREN 20 38
- ^Do you have children?
-
- <Y>es or <N>o^
- ^Enter "Y" for Yes or
- "N" for No. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @2 20 X 1 11b MULT_CHILDREN 22 21
- 1 Child
- 2 or more Children
- ^Do you have one child or two or more
- children?
-
- A. 1 Child
- B. 2 or more Children^
- ^Enter the letter of
- your choice. Press
- [F10] or [Enter]. Count
- all of your living
- children, including any
- adopted children,
- children by a previous
- marriage or children
- born out of wedlock.^
- @2 21 N 2 11c NMBR_CHILD 23 23
- ^Enter the number of children you have.
-
- [Example: 3]^
- ^Again, count all of
- your living children,
- including any adopted
- children, children by a
- previous marriage or
- children born out of
- wedlock.^
- @2 22 X 1 12 RESIDUARY 31 26 28 30
- Child then grandchildren
- Child then others
- Child and others
- Others only
- ^Who do you want to receive your residuary
- estate? Your residuary estate is all the
- property remaining after you have made any
- specific gifts.
-
- A. Child then grandchildren
- B. Child then others
- C. Child and others
- D. Others only^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @2 23 X 1 13 RESIDUARY 31 24 31 24 28 30
- Children then grandchildren-equal shares
- Children then grandchildren-unequal shares
- Children in equal shares
- Children in unequal shares
- Children and others
- Others only
- ^Who do you want to receive your residuary
- estate?
- A. Children then grandchildren-equal shares
- B. Children then grandchildren-unequal shares
- C. Children in equal shares
- D. Children in unequal shares
- E. Children and others
- F. Others only^
- ^Enter the letter of
- your choice. Press
- [F10] or [Enter] to
- move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @2 24 L 750 14 CHILD_NAMES
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Give the full legal
- name of each child you
- counted in Question 11.
- Do not use any
- abbreviations,
- nicknames, pet names or
- baby names. Enter each
- child's name on a
- separate line.^
- @2 25 % 750 15 BENEFICIARY 32 32
- ^Here are the names of your children. What
- percentage of your estate should each one
- receive?
-
- [Example: Mary Ellen Doe 50
- Jane Doe 25
- Robert Doe 25]^
- ^Each child you
- previously listed is
- included in this chart.
- Press [Tab] to move to
- the percentage column
- and [Enter] to move to
- the next line.^
- @2 26 A 60 16 REMAINDER
- ^If your child dies before you do, who
- should receive the remainder of your
- estate?^
- ^You may name charities
- or other organizations,
- as well as individuals.
- If you do not say what
- your wishes are, the
- money can go to the
- state. ^
- @2 27 A 60 17 REMAINDER_TWO 31 31
- ^If your child and your first choice of
- beneficiary to receive the remainder of
- your estate die before you do, who should
- receive the remainder of your estate?^
- ^The person or
- organization named in
- this question has a
- very small chance of
- receiving any of your
- estate. The question
- is included to cover
- all possibilities.^
- @2 28 L 750 14 CHILD_NAMES
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Give the full legal
- name of each child you
- counted in Question 11.
- Do not use any
- abbreviations,
- nicknames, pet names or
- baby names. Enter each
- child's name on a
- separate line.^
- @2 29 % 750 18 BENEFICIARY 32 32
- ^Here are the names of your children. Add
- the names of additional beneficiaries and
- identify the percentage of your estate each
- person named here should receive.
-
- [Example: Mary Ellen Doe 50
- Barbara Smith 30
- Bonnie Grant 20]^
- ^You may identify up to
- 12 beneficiaries Press
- [Tab] to move to
- the percentage column
- and [Enter] to move to
- the next line.^
- @2 30 % 750 19 BENEFICIARY
- ^Who do you want to receive your residuary
- estate? Enter the names and the percentage
- each person named should receive. Your
- residuary estate is all the property
- remaining after you have made any specific
- gifts.
- [Example: Barbara Smith 50
- Randall Jones 25
- Bonnie Grant 25]^
- ^Enter the names of up
- to 12 beneficiaries and
- the percentage of your
- estate you wish to
- leave to each. Press
- [Tab] to move to
- the percentage column
- and [Enter] to move to
- the next line.^
- @2 31 L 750 20 CHILD_NAMES
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Give the full legal
- name of each child you
- counted in Question 11.
- Do not use any
- abbreviations,
- nicknames, pet names or
- baby names. Enter each
- child's name on a
- separate line.^
- @2 32 A 60 21 EXECUTOR
- ^Who will be the Executor of your estate?^
- ^Your Executor is the
- person who will be
- responsible for
- carrying out the terms
- of your Last Will and
- Testament. This should
- be a person you trust.^
- @2 33 A 60 22 EXECUTOR_TWO
- ^If this person cannot serve as Executor,
- who else do you want to name?^
- ^If your first choice
- as Executor dies before
- you do, or is otherwise
- unable to serve as
- Executor, you can name
- an alternate Executor
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 34 X 1 23 TAXES_PAID 36 36 35
- Out of your residuary estate
- As provided for by state law
- Out of a designated asset or assets
- ^Select the manner in which you want estate
- and inheritance taxes paid by your
- Executor.
-
- A. Out of your residuary estate
- B. As provided for by state law
- C. Out of a designated asset or assets^
- ^Enter the letter
- of your choice. Press
- [Enter] or [F10] to
- move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @2 35 B 750 24 TAX_ASSET
- ^List the asset or assets from which you
- want any estate or inheritance taxes paid.
-
- [Example: Money market account #12345 at
- Big Board Brokers. Certificates of Deposit
- at Mississippi River Bank.]^
- ^Designate assets in
- the order you want them
- depleted to pay taxes.
- Include bank account
- numbers, serial numbers
- of goods, stock
- numbers, or anything
- else needed to clearly
- identify the item.^
- @2 36 A 60 25 GUARDIAN
- ^Enter the name of the person you want
- designated as Guardian of your minor child
- or children.^
- ^Identifying a Guardian
- is one of the most
- important decisions you
- will make.
-
- Press [F1] Help for
- Additional Comments.^
- @2 37 A 60 26 GUARDIAN_TWO 43 43
- ^If this person cannot serve as Guardian,
- who else do you want to name?^
- ^If the person you just
- named as Guardian dies
- before you do or is
- otherwise unable to
- serve as Guardian, you
- can name an alternative
- Guardian here. Do not
- use any nicknames or
- abbreviations.^
- @2 38 % 750 19 BENEFICIARY
- ^Who do you want to receive your residuary
- estate? Enter the names and the percentage
- each person named should receive. Your
- residuary estate is all the property
- remaining after you have made any specific
- gifts.
- [Example: Barbara Smith 50
- Randall Jones 25
- Bonnie Grant 25]^
- ^Enter the names of up
- to 12 beneficiaries and
- the percentage of your
- estate you wish to
- leave to each. Press
- [Tab] to move to
- the percentage column
- and [Enter] to move to
- the next line.^
- @2 39 A 60 21 EXECUTOR
- ^Who will be the Executor of your estate?^
- ^Your Executor is the
- person who will be
- responsible for
- carrying out the terms
- of your Last Will and
- Testament. This should
- be a person you trust.^
- @2 40 A 60 22 EXECUTOR_TWO
- ^If this person cannot serve as Executor,
- who else do you want to name?^
- ^If your first choice
- as Executor dies before
- you do, or is otherwise
- unable to serve as
- Executor, you can name
- an alternate Executor
- here. Do not use any
- nicknames or
- abbreviations.^
- @2 41 X 1 23 TAXES_PAID 43 43 42
- Out of your residuary estate
- As provided for by state law
- Out of a designated asset or assets
- ^Select the manner in which you want estate
- and inheritance taxes paid by your
- Executor.
-
- A. Out of your residuary estate
- B. As provided for by state law
- C. Out of a designated asset or assets^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10]
- to move to the next
- question.
-
- Press [F1] Help for
- Additional Comments.^
- @2 42 B 750 24 TAX_ASSET
- ^List the asset or assets from which you
- want any estate or inheritance taxes paid.
-
- [Example: Money market account #12345 at
- Big Board Brokers. Certificates of Deposit
- at Mississippi River Bank.]^
- ^Designate assets in
- the order you want them
- depleted to pay taxes.
- Include bank account
- numbers, serial numbers
- of goods, stock
- numbers, or anything
- else needed to clearly
- identify the item.^
- @2 43 B 750 27 FUNERAL
- ^In a complete sentence, enter any funeral,
- burial or cremation instructions here.
-
- [Example: Unless I have already done so,
- I direct my Executor to spend a reasonable
- amount to purchase my burial plot and a
- suitable headstone.]^
- ^You can enter any
- instructions for your
- funeral and burial or
- cremation here.
-
- Press [F1] Help for
- Additional Comments.^
- @2 44 D 8 28 DATE_OF_WILL
- ^Enter the date of your Last Will and
- Testament.
-
- [Example: 09/28/90]^
- ^This is the date you
- will print and sign
- your will and have it
- witnessed.
-
- Press [F1] Help for
- Additional Comments.^
- @3 1 Y 1 1 GEN_DURABLE 2 12
- ^Do you want to create a Durable Power of
- Attorney?
-
- <Y>es or <N>o^
- ^A Durable Power of
- Attorney will remain in
- effect even if you
- become disabled or
- incapacitated.
- Otherwise, it will
- expire upon your
- disability, or on a
- date you select.^
- @3 2 A 60 2 LEGAL_NAME
- ^What is your full legal name?
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations.^
- @3 3 M 1 3 MALE_FEMALE
- ^Enter "M" if you are Male or "F" if you are
- Female.
-
- <M>ale or <F>emale^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @3 4 A 40 4a COUNTY_PARISH
- ^In what county or parish do you live?
-
- [Example: Mason]^
- ^In every state except
- Louisiana, the word
- 'county' is used.
- Enter the complete name
- of the county where you
- live.^
- @3 5 S 20 4b STATE
- ^In what state do you live?
-
- [Example: OH]^
- ^Use the two-letter
- abbreviation for your
- state.^
- @3 6 A 60 5 ATTY_IN_FACT
- ^Enter the full legal name of the person who
- will be your attorney-in-fact.
-
- [Example: James S. Alexander]^
- ^Your attorney-in-fact
- is the person who will
- act on your behalf as
- authorized by this
- Power of Attorney.^
- @3 7 Y 1 6 REAL_ESTATE 8 11
- ^Do you presently own real estate?
-
- <Y>es or <N>o^
- ^Some states require a
- description of the real
- estate you own for the
- Power of Attorney to be
- valid. Enter "Y" for
- Yes or "N" for No.
- Press [Enter] or [F10]
- to move to the next
- question.^
- @3 8 A 40 7a REAL_COUNTY
- ^Enter the county or parish in which the
- real estate you own is located.
-
- [Example: Mason]^
- ^This Power of Attorney
- enables your attorney-
- in-fact to sell,
- mortgage, lease and/or
- do anything with regard
- to your real estate
- that you could do
- yourself.^
- @3 9 S 20 7b REAL_STATE
- ^Enter the state in which the real estate
- you own is located.
-
- [Example: OH]^
- ^This General Power of
- Attorney enables your
- attorney-in-fact to
- sell, mortgage, lease
- and/or do anything with
- regard to your real
- estate that you could
- do yourself.^
- @3 10 B 750 8 REAL_DESCRIBE
- ^Enter the legal description of the real
- estate covered by this Power of Attorney.^
- ^You must enter the
- legal description
- exactly as it appears
- in your deed. An
- inaccurate entry could
- prevent your attorney-
- in-fact from acting on
- your behalf with regard
- to your real estate.^
- @3 11 D 8 9 EXECUTE_DATE 99
- ^Enter the date of execution of this Power
- of Attorney.
-
- [Example: 09/28/90]^
- ^This is the date when
- you will sign the Power
- of Attorney and have it
- witnessed and
- notarized. It may be a
- date in the future and
- not today's date.^
- @3 12 A 60 2 LEGAL_NAME
- ^What is your full legal name?
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations.
- The name must be the
- legal name, not the
- social name.^
- @3 13 M 1 3 MALE_FEMALE
- ^Enter "M" if you are Male or "F" if you are
- Female.
-
- <M>ale or <F>emale^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @3 14 A 40 4a COUNTY_PARISH
- ^In what county or parish do you live?
-
- [Example: Mason]^
- ^In every state except
- Louisiana, the word
- 'county' is used.
- Enter the complete name
- of the county where you
- live.^
- @3 15 S 20 4b STATE
- ^In what state do you live?
-
- [Example: OH]^
- ^Use the two-letter
- abbreviation for your
- state.^
- @3 16 A 60 5 ATTY_IN_FACT
- ^Enter the full legal name of the person
- who will be your attorney-in-fact.
-
- [Example: James S. Alexander]^
- ^Your attorney-in-fact
- is the person who will
- act on your behalf as
- authorized by this
- Power of Attorney.^
- @3 17 Y 1 6 REAL_ESTATE 18 21
- ^Do you presently own real estate?
-
- <Y>es or <N>o^
- ^Some states require a
- description of the real
- estate you own for the
- Power of Attorney to be
- valid. Enter "Y" for
- Yes or "N" for No.
- Press [Enter] or [F10]
- to move to the next
- question.^
- @3 18 A 40 7a REAL_COUNTY
- ^Enter the county or parish in which the
- real estate you own is located.
-
- [Example: Mason]^
- ^This Power of Attorney
- enables your attorney-
- in-fact to sell,
- mortgage, lease and/or
- do anything with regard
- to your real estate
- that you could do
- yourself.^
- @3 19 S 20 7b REAL_STATE
- ^Enter the state in which the real estate
- you own is located.
-
- [Example: OH]^
- ^This General Power of
- Attorney enables your
- attorney-in-fact to
- sell, mortgage, lease
- and/or do anything with
- regard to your real
- estate that you could
- do yourself.^
- @3 20 B 750 8 REAL_DESCRIBE
- ^Enter the legal description of the real
- estate covered by this Power of Attorney.^
- ^You must enter the
- legal description
- exactly as it appears
- in your deed. An
- inaccurate entry could
- prevent your attorney-
- in-fact from acting on
- your behalf with regard
- to your real estate.^
- @3 21 Y 1 9 EXP_DISABLE 22 23
- ^Do you want to set a specific termination
- date for this Power of Attorney?
-
- <Y>es or <N>o^
- ^Enter "Y" if you want
- to select a specific
- termination date.
- Otherwise enter "N".
- Press [Enter] or [F10]
- to continue.^
- @3 22 D 10 10 EXPIRE_DATE
- ^Enter the date when you want this Power of
- Attorney to expire.
-
- [Example: 09/28/1992]^
- ^Your Power of Attorney
- will either expire on
- this termination date
- or upon your disability
- or incapacity,
- whichever comes first.^
- @3 23 D 8 11 EXECUTE_DATE
- ^Enter the date of execution of this Power
- of Attorney.
-
- [Example: 09/28/90]^
- ^This is the date when
- you will sign the Power
- of Attorney and have it
- witnessed and
- notarized. It may be a
- date in the future and
- not today's date.^
- @4 1 Y 1 1 DURABLE_POA 2 2
- ^Do you want to create a Durable Power of
- Attorney?
-
- <Y>es or <N>o^
- ^A Durable Power of
- Attorney will remain in
- effect even if you
- become disabled or
- incapacitated. Enter
- "Y" for Yes or "N" for
- No. Press [Enter] or
- [F10] to move to the
- next question.^
- @4 2 A 60 2 LEGAL_NAME
- ^What is your full legal name?
-
- [Example: Jane B. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @4 3 M 1 3 MALE_FEMALE
- ^Enter "M" if you are Male or "F" if you
- are Female.
-
- <M>ale or <F>emale^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @4 4 A 40 4a COUNTY_PARISH
- ^In what county or parish do you live?
-
- [Example: Mason]^
- ^In every state except
- Louisiana, the word
- 'county' is used.
- Enter the complete name
- of the county where you
- live.^
- @4 5 S 20 4b STATE
- ^In what state do you live?
-
- [Example: OH]^
- ^Use the two-letter
- abbreviation for your
- state.^
- @4 6 A 60 5 ATTY_IN_FACT
- ^Enter the full legal name of the person
- who will be your attorney-in-fact.
-
- [Example: Mary B. Alexander]^
- ^Your attorney-in-fact
- is the person who will
- act on your behalf as
- authorized by this
- Power of Attorney.^
- @4 7 Y 1 6 MEDICAL_CARE 8 11
- ^Do you want your attorney-in-fact to
- authorize medical care for your minor child
- or children?
-
- <Y>es or <N>o^
- ^Select "Yes" if you
- want to authorize your
- attorney-in-fact to
- make decisions about
- medical care for your
- children in your
- absence. Otherwise,
- select "No". Press
- [Enter] or [F10]^
- @4 8 N 2 7 NMBR_CHILD
- ^How many children do you have?
-
- [Example: 2]^
- ^Enter this information
- in numbers.^
- @4 9 L 750 8 CHILD_NAME
- ^What are the full names of your child(ren)?
-
- [Example: James C. Doe
- Jennifer D. Doe]^
- ^Enter each name on a
- separate line. Press
- [Enter] to move to the
- next line. Press the
- up arrow key to move to
- a previous entry. When
- you have finished,
- press [F10] to move to
- the next question.^
- @4 10 Y 1 9 REAL_ESTATE 12 13
- ^Do you want your attorney-in-fact to be
- able to sell, exchange, convey and/or
- mortgage your real estate?
-
- <Y>es or <N>o^
- ^You can authorize your
- attorney-in-fact to
- sell your real estate
- on your behalf and
- execute documents
- relating to the sale.^
- @4 11 Y 1 9 REAL_ESTATE 12 14
- ^Do you want your attorney-in-fact to be
- able to sell, exchange, convey and/or
- mortgage your real estate?
-
- <Y>es or <N>o^
- ^You can authorize your
- attorney-in-fact to
- sell your real estate
- on your behalf and
- execute documents
- relating to the sale.^
- @4 12 B 750 10 REAL_DESCRIBE
- ^Enter the legal description of the real
- estate to be sold by your attorney-in-fact
- on your behalf.^
- ^You must enter the
- legal description of
- your real estate
- exactly as it appears
- on your deed. An
- inaccurate entry could
- prevent your attorney-
- in-fact from acting on
- your behalf.^
- @4 13 Y 1 11 PERSONAL_PROP 15 16
- ^Do you want your attorney-in-fact to be
- able to sell an item of your personal
- property?
-
- <Y>es or <N>o^
- ^You can authorize your
- attorney-in-fact to
- sell your personal
- property, such as a
- car, boat, trailer,
- motorcycle, etc. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @4 14 Y 1 11 PERSONAL_PROP 15 17
- ^Do you want your attorney-in-fact to be
- able to sell an item of your personal
- property?
-
- <Y>es or <N>o^
- ^You can authorize your
- attorney-in-fact to
- sell your personal
- property, such as a
- car, boat, trailer,
- motorcycle, etc. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @4 15 B 750 12 PERSONAL_DESC
- ^Enter a description of the item of
- personal property to be sold by your
- attorney-in-fact.^
- ^Enter a complete and
- accurate description,
- including the type of
- property, style, color,
- manufacturer's serial
- number, etc.^
- @4 16 D 8 13 DATE_EXECUTE 99 99
- ^Enter the date of execution of this Power
- of Attorney.
-
- [Example: 09/28/90]^
- ^This is the date when
- you will sign the Power
- of Attorney and have it
- witnessed and
- notarized. It may be a
- date in the future and
- not today's date.^
- @4 17 K 0 14 COMMENT
- ^Your answers have indicated you do not
- want to create a Special Power
- of Attorney.
-
- Press [Esc] to return to the Main Menu.^
- ^Comment Only^
- @5 1 A 50 1 PRINCIPAL
- ^What is your full legal name?
-
- [Example: Jonathan A. Doe]^
- ^You should enter your
- name exactly as it
- appears in the Power of
- Attorney you wish to
- revoke.^
- @5 2 M 1 2 MALE_FEMALE
- ^Enter "M" if you are Male or "F" if you
- are Female.^
- ^Enter the letter of
- your choice. Press
- [F10] or [Enter] to
- move to the next
- question.^
- @5 3 A 20 3a COUNTY
- ^In what county or parish do you live?
-
- [Example: Mason]^
- ^You should enter the
- county in which you
- currently reside. In
- every state except
- Louisiana, the word
- 'county' is used.
- Enter the complete name
- of the county where you
- live.^
- @5 4 S 20 3b STATE
- ^In what state do you live?
-
- [Example: OH]^
- ^You should enter the
- state in which you
- currently reside. Use
- the two-letter
- abbreviation for your
- state.^
- @5 5 A 50 4 ATTORNEY
- ^Enter the full legal name of your
- attorney-in-fact (the person you designated
- to act in your behalf in the Power of
- Attorney you wish to revoke).
-
- [Example: Susan S. Alexander]^
- ^You should enter this
- name exactly as it
- appears in the Power of
- Attorney you wish to
- revoke.^
- @5 6 D 8 5 DATE_OF_POWER
- ^Enter the date of the Power of Attorney
- you wish to revoke.
-
- [Example: 09/28/90]^
- ^This is the date of
- execution of the Power
- of Attorney you want to
- revoke (cancel).^
- @6 1 L 750 1 LANDLORD
- ^Enter the full legal name of the
- Landlord(s) of the premises to
- be leased.
-
- [Example: Jonathan A. Doe
- Mary S. Smith]^
- ^Enter the names of up
- to two persons as
- Landlord, one name on
- each line. Press
- [Enter] to move to the
- next line. When you
- have finished, press
- [F10] to move to the
- next question.^
- @6 2 L 750 2 TENANT
- ^Enter the full legal name of the
- Tenant(s).
-
- [Example: Susan B. Johnson
- Mark S. Johnson]^
- ^Enter the names of up
- to four persons as
- Tenants, one name on
- each line. Press
- [Enter] to move to the
- next line. When you
- have finished, press
- [F10] to move to the
- next question.^
- @6 3 A 50 3a PROPERTY_ADDR
- ^Enter the street address of the property
- to be leased.
-
- [Example: 1234 Anystreet, Apartment A]^
- ^When the address
- exceeds one line, use
- commas to separate each
- part. Give the actual
- street address of the
- property, not the
- postal address if the
- address is a box
- number.^
- @6 4 A 50 3b PROPERTY_CSZ
- ^Enter the city, state and zip code of the
- property to be leased.
-
- [Example: Chicago, IL 60606]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @6 5 Y 1 4 FURNISHED 6 7
- ^Will the premises be rented furnished?
-
- <Y>es or <N>o^
- ^Enter "Y" for
- furnished or "N" for
- unfurnished. Furnished
- apartments typically
- contain beds, tables,
- chairs, etc.^
- @6 6 B 750 4a FURNITURE
- ^Please list the furnishings included with
- the apartment.
-
- [Example: 2 beds, couch, kitchen table, and
- dishwasher]^
- ^The tenant will be
- held responsible for
- these furnishing.^
- @6 7 D 8 5 START_DATE
- ^Enter the date on which the lease will
- begin.
-
- [Example: 09/28/90]^
- ^This will be the first
- date that the tenant
- can take possession of
- the premises (move
- in).^
- @6 8 A 50 6 TERM
- ^Enter the term of the lease.
-
- [Example: one year]^
- ^Enter, in words, the
- length of the lease.
- The term of the lease
- can be as long or short
- as you wish. Most
- residential leases are
- for a term of either
- six months or one year.^
- @6 9 $ 20 7 RENT_AMOUNT
- ^Enter the monthly rent in numbers.
-
- [Example: 500.00]^
- ^This is the amount due
- per month for rent.
- Enter the value in
- figures, not words. Do
- not use a dollar sign.
- Use commas for
- readability. For
- example, use 1,500.00
- not 1500.^
- @6 10 A 20 8 DAY_RENT_DUE
- ^Enter the day of the month on which
- rent is due.
-
- [Example: first]^
- ^The rent should be due
- regularly on a day
- which is clearly named,
- for example, the first,
- second, fifteenth, etc.^
- @6 11 L 750 9 OCCUPANTS
- ^Enter the names of the individuals who
- will live in the premises during the
- term of this lease.
-
- [Example: Susan B. Johnson
- Mark S. Johnson
- Jennifer A. Johnson]^
- ^Enter the names of up
- to six persons as
- occupants, one name
- on each line. Press
- [Enter] to move to the
- next line. When you
- have finished, press
- [F10] to move to the
- next question.^
- @6 12 Y 1 10 PETS_ALLOWED 13 14
- ^Are pets permitted on the premises?
-
- <Y>es or <N>o^
- ^"Y" if pets are
- permitted or "N" if
- pets are not
- permitted.^
- @6 13 A 60 10a PETS
- ^Enter a description of any pets
- permitted on the premises during the
- term of this lease.
-
- [Example: dog, Poodle, Buddy; and
- cat, Persian, Tiger]^
- ^Describe the pets you
- will allow on the
- premises by type (dog,
- cat, etc.), breed
- (Poodle, Siamese, etc.)
- and name (Rover,
- Fluffy, etc.).^
- @6 13 A 50 11 UTILITIES
- ^Enter all the utilities Tenant will pay
- for during the term of the lease.
-
- [Example: phone, electricity]^
- ^Include all utilities
- or services that will
- be the Tenant's
- responsibility, such as
- water, electricity,
- oil, gas, trash
- removal, etc.^
- @6 14 A 50 12a LANDLORD_ADDR
- ^Enter the street address at which the
- Landlord will receive rent payments and
- notices regarding this lease.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^This is the address
- that the Tenant will
- use to notify the
- Landlord of intent to
- terminate the lease.
- When the street address
- is more than one line,
- use commas to separate
- each part.^
- @6 15 A 50 12b LANDLORD_CSZ
- ^Enter the city, state and zip code at
- which the Landlord will receive rent
- payments and notices regarding this lease.
-
- [Example: Chicago, IL 60606]^
- ^This is the address
- that Tenant will use to
- notify Landlord of
- intent to terminate the
- lease.^
- @6 16 A 50 13a TENANT_ADDR
- ^Enter the street address at which the
- Tenant will receive notices regarding
- this lease.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^This is the address
- that Landlord will use
- to notify Tenant of
- defaults or intent to
- terminate the lease.
- In most cases, this
- will be the address of
- the premises being
- leased.^
- @6 17 A 50 13b TENANT_CSZ
- ^Enter the city, state and zip code at
- which the Tenant will receive notices
- regarding this lease.
-
- [Example: Chicago, IL 60606]^
- ^This is the address
- that Landlord will use
- to notify Tenant of
- defaults or intent to
- terminate the lease.
- In most cases, this
- will be the address of
- the premises being
- leased.^
- @7 1 X 1 1 NO._Makers 2 3 5
- One Maker
- Two Makers
- Three Makers
- ^How many Makers are
- there for this note?
-
- A) One Maker
- B) Two Makers
- C) Three Makers^
- ^The program allows you
- to enter the names of
- up to three makers.
- The maker of a
- promissory note is the
- person obligated to pay
- it. This is typically
- the borrower. [F1] for
- additional comments.^
- @7 2 A 50 1a MAKER_1 8 8
- ^Enter the full legal name of the
- maker of this note.
-
- [Example: Jonathan A. Doe^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 3 A 50 1a MAKER_1
- ^Enter the full legal name of the first
- maker of this note.
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 4 A 50 1b MAKER_2 8 8
- ^Enter the full legal name of the second
- maker of this note.
-
- [Example: Mary B. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 5 A 50 1a MAKER_1
- ^Enter the full legal name of the first
- maker of this note.
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 6 A 50 1b MAKER_2
- ^Enter the full legal name of the second
- maker of this note.
-
- [Example: Mary B. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 7 A 50 1c MAKER_3 8 8
- ^Enter the full legal name of the third
- maker of this note.
-
- [Example: Paul C. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 8 X 1 2 NO._PAYEES 9 10
- One Payee
- Two Payees
- ^How many payees are there for this note?
- You may have up to two.
-
- A. One Payee
- B. Two Payees^
- ^The payee is the
- person to whom payment
- on the note is made.
- This is typically the
- Lender.^
- @7 9 A 50 2a PAYEE_1 12 12
- ^Enter the full legal name of the payee of
- this note.
-
- [Example: Harry A. Hanson]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 10 A 50 2a PAYEE_1
- ^Enter the full legal name of the payee of
- this note.
-
- [Example: Harry A. Hanson]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 11 A 50 2b PAYEE_2 12 12
- ^Enter the full legal name of the second
- payee of this note.
-
- [Example: Martha B. Hanson]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @7 12 $ 13 3 PRINCIPAL
- ^What is the principal amount of this note?
-
- [Example: 1,000.00]^
- ^The principal is the
- amount of money owed
- not including interest.
- Enter the full amount
- in dollars and cents.^
- @7 13 Y 1 4 YES_NO 14 23
- ^Will interest be charged on this Note?
-
- <Y>es or <N>o^
-
- ^Some states have usury
- laws which limit the
- amount of interest
- that may be charged on
- a debt.^
- @7 14 P 6 4 INTEREST_RATE
- ^What is the interest rate (%) on this note?
-
- [Example: 10.5]^
- ^This refers to the
- annual interest rate
- charged while money is
- owed. For example, 10
- would equal 10 percent
- per year.^
- @7 15 X 1 5 HOW_TO_PAY 16 29 20 21
- Equal monthly installments
- Payment in full on demand
- Interest monthly
- Minimum monthly payment
- ^How will principal and
- interest payments
- be made on this note?
-
- Enter a letter A-D.^
- ^(a) Equal monthly
- installments;
- (b) Payment in full on
- demand;
- (c) Interest monthly,
- then entire
- principal; or
- (d) Minimum monthly
- payments.^
- @7 16 N 3 6a INSTALLMENT
- ^Enter the total number of monthly
- installments.
-
- [Example: 12, 24, 36, etc.]^
- ^Installments are
- periodic payments (e.g.
- monthly) of equal
- amounts. Enter the
- figure in numbers. Do
- not use '0'. Calculate
- the number of payments
- based on twelve per
- year.^
- @7 17 $ 13 6b INSTALL_AMT
- ^Enter the amount of each installment.
-
- [Example: 100.00]^
- ^Enter the figure in
- numbers. This amount
- is due the first day of
- each month. The
- language of the note
- makes any unpaid
- interest and principal
- due on the date of the
- last payment.^
- @7 18 D 8 7a START_DATE
- ^Enter the date of the first installment.
-
- [Example: 09/28/90]^
- ^This is the date on
- which the first payment
- must be made.^
- @7 19 D 10 7b END_DATE 29 29
- ^Enter the date of the last installment.
-
- [Example: 09/28/1991]^
- ^This is the date on
- which the last payment
- must be made.^
- @7 20 D 10 8 DUE_DATE 29 29
- ^Enter the date when payment of the
- principal and any unpaid interest is due.
-
- [Example: 09/28/1991]^
- ^Maker will make
- interest only payments
- on the first of each
- month until this date.
- On this date, the
- principal and accrued
- interest are due.^
- @7 21 $ 13 9 MONTH_PAYMNT
- ^Enter the minimum monthly payment to be
- made.
-
- [Example: 100.00]^
- ^This is the smallest
- amount payee will
- accept each month.
- Enter this amount in
- numbers.^
- @7 22 D 10 10 DUE_DATE 29 29
- ^Enter the date when payment of the
- principal and any unpaid interest is due.
-
- [Example: 09/28/1991]^
- ^Maker's monthly
- payments will be
- credited first against
- interest and then
- against principal. On
- this date, the balance
- of the principal and
- any accrued interest
- are due.^
- @7 23 X 1 11 HOW_PAY 24 28 29
- Equal monthly installments
- Payment in full by date
- Payment in full on demand
- ^How will principal payments be made on
- this note?
-
- Enter a letter A-C.^
- ^(a) Equal monthly
- installments;
- (b) Payment in full by
- a certain date; or
- (c) Payment in full on
- demand.^
- @7 24 N 3 12a NO._INSTALL
- ^Enter the total number of monthly
- installments on this interest free note.
-
- [Example: 12, 24, 26, etc.]^
- ^Installments are
- periodic payments of
- equal amounts. Enter
- the figure in numbers.
- Do not use '0'. The
- language of the note
- makes the balance of
- the principal due on
- the date of the last
- payment.^
- @7 25 $ 13 12b INSTALL_AMT
- ^Enter the amount of each installment.
-
- [Example: 100.00]^
- ^Enter the figure in
- numbers. This amount
- is due the first day of
- each month. The
- language of the note
- makes the balance of
- the principal due on
- the date of the last
- payment.^
- @7 26 D 8 13a START_DATE
- ^Enter the date of the first installment.
-
- [Example: 09/28/90]^
- ^This is the date that
- the first installment
- (payment) is due.^
- @7 27 D 10 13b END_DATE 29 29
- ^Enter the date of the last installment.
-
- [Example: 09/28/1991]^
- ^This is the date that
- the last installment
- (payment) is due.^
- @7 28 D 10 14 PRINCIPAL_DUE
- ^Enter the date on or by which the
- principal amount is to be paid to the
- holder of the note.
-
- [Example: 09/28/1991]^
- ^This is the date that
- the principal amount is
- due.^
- @8 1 A 50 1 CORP_NAME
- ^Enter the employer's name.
-
- [Example: ABC Corporation]^
- ^If the employer uses a
- fictitious business
- name (D/B/A), enter the
- employer's actual name,
- D/B/A, and the
- fictitious name (e.g.
- Jim Johnson, D/B/A,
- Johnson Delivery
- Service).^
- @8 2 A 50 2 CORP_BUSINESS
- ^What is the form of the employer's
- business?
-
- [Example: corporation]^
- ^Enter the form of
- business (e.g. sole
- proprietorship,
- corporation, or
- partnership). Press
- [F1] and choose
- Glossary of Terms
- for brief explanations
- of these terms.^
- @8 3 A 50 3a CORP_ADDRESS
- ^Enter the street address of the employer.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part. The address
- is usually the place
- where the job is. It
- may not be the
- headquarters of the
- corporation.^
- @8 4 A 40 3b CORP_CITY
- ^Enter the city of the employer.
-
- [Example: Cleveland]^
- ^It is not necessary to
- add a comma at the end
- of the name of the
- city.^
- @8 5 S 20 3c CORP_STATE
- ^Enter the state of the employer.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @8 6 A 10 3d CORP_ZIP
- ^Enter the zip code of the employer.
-
- [Example: 98101-1001]^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- helps speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @8 7 A 50 4 EMPLOYEE
- ^Enter the name of the employee.
-
- [Example: Mary S. Smith]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @8 8 M 1 5 MALE_FEMALE
- ^Enter "M" if the employee is Male or "F"
- if the employee is Female.^
- ^Enter the letter of
- your choice. Press
- [Enter] or [F10] to
- move to the next
- question.^
- @8 9 A 50 6a EMPLOYEE_ADDR
- ^Enter the street address of the employee.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @8 10 A 40 6b EMPLOY_CITY
- ^Enter the city of the employee.
-
- [Example: Cleveland]^
- ^It is not necessary to
- add a comma at the end
- of the name of the
- city.^
- @8 11 S 20 6c EMPLOY_STATE
- ^Enter the state of the employee.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @8 12 A 10 6d EMPLOY_ZIP
- ^Enter the zip code of the employee.
-
- [Example: 98101-1002]^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- helps speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @8 13 A 40 7 TERM
- ^Enter the length of time for which the
- employment agreement will run.
-
- [Example: one year]^
- ^You may agree upon as
- long or short a term as
- both parties wish.
- Many employment
- agreements are for a
- term of one year.^
- @8 14 A 40 8 NOTICE
- ^How much notice must be given for either
- party to terminate the employment
- agreement?
-
- [Example: thirty days]^
- ^You may agree upon as
- much or as little
- notice as both parties
- wish before the
- employment agreement
- can be canceled. The
- length of the notice is
- often arranged at the
- time of employment.^
- @8 15 $ 20 9 ANNUAL_SALARY
- ^Enter the annual salary the employee will
- receive.
-
- [Example: 50,000.00]^
- ^Enter this figure in
- numbers, dollars and
- cents. Do not use a
- dollar sign. Use
- commas for readability.
- For example, use
- 1,500.00 not 1500.^
- @8 16 N 3 10 VACATION
- ^Enter the amount of paid vacation time in
- weeks the employee will receive annually.
-
- [Example: 2]^
- ^The program is
- designed to indicate
- vacation time in weeks.
- Use numbers, not words,
- to show how much leave
- the employer will pay
- each year. Paid
- vacation is normally in
- addition to the usual
- holidays.^
- @8 17 Y 1 11 YES_NO 18 19
- ^Will the employee receive paid sick days?
-
- <Y>es or <N>o^
- ^This will allot sick
- days with full
- compensation.^
- @8 18 N 2 11a SICK_DAYS
- ^Enter the number of paid sick days the
- employee will receive annually.
-
- [Example: 5]^
- ^This indicates sick
- leave in days. The
- number is the maximum
- number of days the
- employee may take
- annually.^
- @9 1 A 50 1 CORP_NAME
- ^Enter the employer's name.
-
- [Example: XYZ Corporation
- James T. Williams]^
- ^If the employer uses a
- fictitious business
- name, enter the
- employer's actual name,
- D/B/A, and the
- fictitious name
- (e.g. Jim Johnson,
- D/B/A, Johnson
- Delivery Service).^
- @9 2 A 50 2 CORP_ADDRESS
- ^What is the form of the employer's
- business?
-
- [Example: a partnership
- an individual]^
- ^Enter the form of
- business (e.g. sole
- proprietorship,
- corporation, individual
- or partnership). Press
- [F1] and choose
- Glossary of Terms
- for brief explanations
- of these terms.^
- @9 3 A 50 3a CORP_ADDR
- ^Enter the street address of the
- employer.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @9 4 A 20 3b CORP_CITY
- ^Enter the city of the employer.
-
- [Example: Cleveland]^
- ^It is not necessary to
- add a comma after the
- city. Use the same
- name for the community
- as used by the United
- States Post Office.^
- @9 5 S 20 3c CORP_STATE
- ^Enter the state of the employer.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @9 6 A 10 3d CORP_ZIP
- ^Enter the zip code of the employer.
-
- [Example: 98101-1001]^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- helps speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @9 7 A 50 4 CONSULTANT
- ^Enter the name of the independent
- contractor/consultant.
-
- [Example: Mary S. Smith]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @9 8 M 1 5 MALE_FEMALE
- ^Enter "M" if the consultant is Male or
- "F" if the consultant is Female.^
- ^Enter the letter of
- your choice. Press
- [F10] or [Enter] to
- move to the next
- question.^
- @9 9 A 50 6a CONSULT_ADDR
- ^Enter the street address of the
- consultant.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @9 10 A 20 6b CONSULT_CITY
- ^Enter the city of the consultant.
-
- [Example: Cleveland]^
- ^It is not necessary to
- add a comma at the end
- of the name of the
- city. Use the name of
- the community as named
- by the United States
- Post Office.^
- s
- @9 11 S 20 6c CONSULT_STATE
- ^Enter the state of the consultant.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @9 12 A 10 6d CONSULT_ZIP
- ^Enter the zip code of the consultant.
-
- [Example: 98101-1001]^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- helps speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @9 13 B 750 7 CONSULT_DUTY
- ^Enter a description of the consultant's
- duties.
-
- Note: Begin each duty with the word "to"
- and separate the duties with semicolons.^
- ^You may enter up to 12
- lines of duties. Do
- not include a period at
- the end. Press [Enter]
- to move to the next
- line. Press [F10] to
- move to the next
- question.^
- @9 14 D 8 8a CONSULT_START
- ^Enter the starting date of this
- Agreement.
-
- [Example: 09/28/90]^
- ^The starting date
- indicates the date you
- expect the consulting
- arrangement to begin.^
- @9 15 D 10 8b END_DATE
- ^Enter the ending date of this
- Agreement.
-
- [Example: 09/28/1991]^
- ^This date is the date
- you expect the
- consulting arrangement
- to end. It may be
- extended by mutual
- agreement.^
- @9 16 X 1 9 TYPE_PAY 17 17 17
- By the hour
- By the week
- By the job
- ^How will the contractor be paid?
-
- A. By the hour (e.g. $10.00/hr)
-
- B. By the week (e.g. $500.00/week)
-
- C. By the job (e.g. $1500.00 upon
- completion^
- ^Enter the letter of
- your choice.^
- @9 17 $ 20 9a HOURLY_RATE
- ^Enter the pay rate the consultant will
- receive.
-
- [Example: 10.00 (if hourly)
- 500.00 (if weekly)
- 1500.00 (if upon competion)]^
- ^Enter pay in numbers,
- dollars and cents. Do
- not use a dollar sign.
- Use commas for
- readability. Add '.00'
- at the end when the
- value is in even
- dollars. For example,
- use 1,500.00 not 1500.^
- @9 18 X 1 10 HOW_PAY 20 20 20 19
- Weekly
- Twice Per Month
- Upon Completion
- Other
- ^When will the contractor be paid?
-
- A. Weekly, every Friday
- B. Twice per month, the 1st and 15th
- C. Upon completion of duties
- D. Other^
- ^This describes when
- the contractor will
- receive payment for his
- or her performance.^
- @9 19 B 750 10a HOW_PAY_DESC
- ^Enter the description of how the
- contractor will be paid.
-
- [Example: one half the amount before the
- service is performed and the
- balance upon completion]^
- ^Begin with a lower
- case letter and do not
- end with a period (.).
- Press [Enter] to move
- down one line and [F10]
- to move to the next
- question^
- @9 20 Y 1 11 NON_COMPETE
- ^Do you want the contractor bound not to
- compete?
-
- <Y>es or <N>o^
- ^In business
- consulting situations,
- you may want to
- prohibit the contractor
- from working with a
- competitor while
- servicing your
- account.^
- @9 21 Y 1 11A CONFIDENTIAL
- ^Should the contactor be bound to keep
- information regarding your job
- confidential?
-
- <Y>es or <N>o^
- ^"Y" if the contractor
- will be exposed to
- valuable sales or
- financial information
- to be kept
- confidential. Enter
- "N" otherwise.^
- @9 22 Y 1 11b EXPENSE
- ^Do you want to reimburse the contractor
- for reasonable expenses relating to this
- job?
-
- <Y>es or <N>o^
- ^"Y" to entitle the
- contractor to
- reimbursement for all
- "reasonable and
- necessary" expenses
- incurred as a result of
- duties performed.
- Enter "N" otherwise.^
- @10 1 Y 1 1 Yes_No 2 4
- ^Is there more than one seller?
-
- <Y>es or <N>o^
- ^This program allows
- up to two sellers.
- Answer "Y" if the
- certificate of title
- shows the name of two
- owners. Answer "N" if
- the title shows the
- name of only one.^
- @10 2 A 50 1a SELLER_1
- ^Enter the full legal name of the
- first seller.
-
- [Example: Susan B. Doe]^
- ^Enter the seller's
- name (the owner)
- exactly as it appears
- on the certificate of
- title for the motor
- vehicle being sold.^
- @10 3 A 50 1a SELLER_2 5 5
- ^Enter the full legal name of the
- second seller.
-
- [Example: Jonathan A. Doe]^
- ^Enter the seller's
- name (the owner)
- exactly as it appears
- on the certificate of
- title for the motor
- vehicle being sold.^
- @10 4 A 50 1b SELLER_1
- ^Enter the full legal name of the
- seller.
-
- [Example: Susan B. Doe]^
- ^Enter the seller's
- name (the owner)
- exactly as it appears
- on the certificate of
- title for the motor
- vehicle being sold.^
- @10 5 $ 13 2 SALE_PRICE
- ^Enter the sale price of the motor vehicle
- described in this Bill of Sale.
-
- [Example: 5,000.00]^
- ^Enter the price in
- numbers, dollars and
- cents. Do not end with
- a period. Do not use a
- dollar sign. Use
- commas for readability.
- Add '.00' at the end
- when the value is in
- even dollars (i.e.,
- 1500.00).^
- @10 6 Y 1 3 YES_NO 7 9
- ^Is there more than one buyer?
-
- <Y>es or <N>o^
- ^The program allows you
- to enter up to two
- buyers.^
- @10 7 A 50 3a BUYER_1
- ^Enter the full legal name of the first
- buyer.
-
- [Example: Mary A. Smith]^
- ^Do not use any
- nicknames or
- abbreviations.
-
- [F1] for additional
- comments.^
- @10 8 A 50 3b BUYER_2 10 10
- ^Enter the full legal name of the second
- buyer.
-
- [Example: William C. Smith]^
- ^Do not use any
- nicknames or
- abbreviations.
-
- [F1] for additional
- comments.^
- @10 9 A 50 3a BUYER_1
- ^Enter the full legal name of the first
- buyer.
-
- [Example: Mary A. Smith]^
- ^Do not use any
- nicknames or
- abbreviations.^
- @10 10 A 50 4a BUYER_ADDRESS
- ^Enter the street address of the buyer.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @10 11 A 50 4b BUYER_CITY
- ^Enter the city of the buyer.
-
- [Example: Cleveland]^
- ^It is not necessary to
- follow the city with a
- comma. Use the name of
- the community as named
- by the United States
- Post Office.^
- @10 12 S 25 4c BUYER_STATE
- ^Enter the state of the buyer.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @10 13 A 10 4d BUYER_ZIP
- ^Enter the zip code of the buyer.
-
- [Example: 98101-1001]^
- ^Use the nine-digit zip
- code when possible.
- The five-digit zip code
- is required on most
- documents and for most
- mailing addresses. The
- nine-digit zip code
- helps speed mail
- delivery.^
- @10 14 A 50 5a SELL_ADDRESS
- ^Enter the street address of the seller.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @10 15 A 50 5b SELL_CITY
- ^Enter the city of the seller.
-
- [Example: Cleveland]^
- ^It is not necessary to
- follow the city with a
- comma. Use the name of
- the community as named
- by the United States
- Post Office.^
- @10 16 S 25 5C SELL_STATE
- ^Enter the state of the seller.
-
- [Example: OH]^
- ^Use the two-letter
- abbreviation for the
- state.^
- @10 17 A 10 5d SELL_ZIP
- ^Enter the zip code of the seller.^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- help speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @10 18 A 4 6a YEAR
- ^Enter the year of the vehicle being sold.
-
- [Example: 1986]^
- ^Be sure to use all
- four numbers. Do not
- abbreviate the year to
- the last two digits:
- 1989 not 89.^
- @10 19 A 50 6b MAKE
- ^Enter the make of the vehicle being sold.
-
- [Example: Chevrolet]^
- ^This blank is for the
- make of the vehicle
- only.^
- @10 20 A 50 6c MODEL
- ^Enter the model of the vehicle being sold.
-
- [Example: Blazer]^
- ^This blank is for the
- model of the vehicle
- only.^
- @10 21 A 50 6d BODY_STYLE
- ^Enter the style of the vehicle being sold.
-
- [Example: 2-door, 4x4]^
- ^Make the style
- completely descriptive.
- For example: 3─door
- hatchback; station
- wagon.^
- @10 22 A 50 6e COLOR
- ^Enter a description of the vehicle being
- sold.
-
- [Example: Red]^
- ^The description
- includes the color and
- other special features.
- When the vehicle has
- more than one color,
- include both. List the
- predominant color
- first.^
- @10 23 A 50 6f SERIAL_NUMBER
- ^Enter the serial or vehicle identification
- number of the vehicle being sold.
-
- [Example: 1A2BC34D5EF678900]^
- ^Enter the serial or
- vehicle identification
- number (VIN) exactly as
- it appears on the
- certificate of title
- and the vehicle being
- sold.^
- @11 1 $ 20 1 SALE_PRICE
- ^What is the price for which the item
- covered by this Bill of Sale is
- being sold?
-
- [Example: 10,000.00]^
- ^Enter the full amount
- (dollars and cents) of
- the sale price. Be
- sure to put the value
- in figures, not words.
- Do not use a dollar
- sign. Use commas for
- readability.^
- @11 2 A 50 2 BUYER
- ^Enter the full legal name of the buyer.
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name. [F1] for
- additional comments.^
- @11 3 A 50 3a BUYER_ADDRESS
- ^Enter the street address of the buyer.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @11 4 A 50 3b BUYER_CITY
- ^Enter the city of the buyer.
-
- [Example: Cleveland]^
- ^It is not necessary to
- follow the city with a
- comma.^
- @11 5 S 20 3c BUYER_STATE
- ^Enter the state of the buyer.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @11 6 A 10 3d BUYER_ZIP
- ^Enter the zip code of the buyer.
-
- [Example: 98000-1234]^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- helps speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @11 7 A 50 4 SELLER
- ^Enter the full legal name of the seller.
-
- [Example: Mary S. Smith]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @11 8 A 50 5a SELLER_ADDR
- ^Enter the street address of the seller.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @11 9 A 20 5b SELLER_CITY
- ^Enter the city of the seller.
-
- [Example: Cleveland]^
- ^It is not necessary to
- follow the city with a
- comma. Use the name of
- the community as named
- by the United States
- Post Office.^
- @11 10 S 20 5c SELLER_STATE
- ^Enter the state of the seller.
-
- [Example: OH]^
- ^Use the two-letter
- state abbreviation.^
- @11 11 A 10 5d SELLER_ZIP
- ^Enter the zip code of the seller.
-
- [Example: 98101-1001]^
- ^Use the nine-digit zip
- code when possible.
- The nine-digit zip code
- helps speed mail
- delivery. The five-
- digit zip code is
- required on most
- documents and for most
- mailing addresses.^
- @11 12 B 750 6 PROPERTY
- ^Enter a description of the item being
- sold.^
- ^Describe the item
- being sold as
- completely and
- accurately as possible.
- (Include manufacturer,
- type of property, model
- number, serial number,
- color, etc.). [F1] for
- additional comments.^
- @12 1 A 50 1 CORP_NAME
- ^Enter the employer's name.
-
- [Example: XYZ Corporation]^
- ^If the employer uses a
- fictitious business
- name (D/B/A), enter the
- employer's actual name,
- D/B/A, and the
- fictitious name
- (e.g. Jim Johnson,
- D/B/A, Johnson Delivery
- Service).^
- @12 2 A 50 2a CORP_ADDRESS
- ^Enter the street address of the employer.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @12 3 A 50 2b CORP_CSZ
- ^Enter the city, state and zip code of the
- employer.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @12 4 D 8 3 LETTER_DATE
- ^Enter the date you intend to send this
- offer of employment.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @12 5 A 10 4a EMPLOY_SAL
- ^Enter the courtesy title of the employee
- to be used in the salutation.
-
- [Example: Mr., Mrs., Ms., or Dr.]^
- ^See the examples
- provided as a guide.^
- @12 6 A 20 4b EMPLOY_FIRST
- ^Enter the first name of the employee.
-
- [Example: Mary]^
- ^Do not use any
- abbreviations or
- nicknames.^
- @12 7 A 2 4c MIDDLE_INIT
- ^Enter the middle initial of the employee
- (optional).
-
- [Example: B.]^
- ^Use of the initial is
- optional. Include the
- period after the
- initial.^
- @12 8 A 30 4d EMPLOY_LAST
- ^Enter the last name of the employee.
-
- [Example: Smith]^
- ^Do not use any
- nicknames or
- abbreviations.^
- @12 9 A 50 5a EMPLOYEE_ADDR
- ^Enter the employee's street address.
-
- [Example: 1234 Anystreet, Suite 200]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @12 10 A 50 5b EMPLOYEE_CSZ
- ^Enter the employee's city, state and zip
- code.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @12 11 A 50 6 JOB_TITLE
- ^Enter the new employee's job title.
-
- [Example: Administrative Assistant]^
- ^Spell out the complete
- job title. Do not use
- abbreviations. The job
- title should be the one
- agreed upon between the
- employer and the new
- employee.^
- @12 12 D 8 7 START_DATE
- ^Enter the start date of the new employee.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @12 13 A 10 8 START_TIME
- ^Enter the time at which the new employee
- should report on the first day.
-
- [Example: 8:00 a.m.]^
- ^Enter the complete
- time of day (for
- example, 9:00 a.m.).
- Be sure to include a.m.
- or p.m. as
- appropriate.^
- @12 14 A 50 9 SUPERVISOR
- ^Enter the name and job title of the person
- to whom the new employee will report.
-
- [Example: James Smith, General Manager]^
- ^Do not use nicknames
- or abbreviations. Use
- the legal name of the
- supervisor, and his or
- her organization
- title.^
- @12 15 $ 20 10 ANNUAL_SALARY
- ^Enter the annual salary the new employee
- will receive.
-
- [Example: 20,000.00]^
- ^Enter this figure in
- numbers, dollar and
- cents. Do not use a
- dollar sign. Use
- commas for readability.
- Add '.00' at the end
- when the value is in
- even dollars.^
- @12 16 A 60 11 PAY_DAYS
- ^Enter the company's pay period and pay
- days.
-
- [Example: monthly, on the first day of
- each month]^
- ^State the company
- policy carefully and
- clearly. For example,
- use monthly, on the
- first day of each month
- or twice a month, on
- the 15th and the last
- day of each month.^
- @12 17 A 50 12 PREPARER
- ^Enter the name of the person to sign the
- letter.
-
- [Example: Anne M. Thomas]^
- ^Type the name as you
- will sign it. In the
- letter, it is not
- necessary to use the
- legal name of the
- preparer, but it is
- preferred.^
- @12 18 Y 1 13 LETTERHEAD
- ^Will you be printing this letter on
- letterhead?
-
- <Y>es or <N>o^
- ^"N" will cause the
- program to print your
- return address at the
- top of the document.
- "Y" will add blank
- lines to accomodate
- letterhead paper.^
- @13 1 A 50 1 CREDITOR
- ^Enter your full legal name.
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @13 2 A 50 2a CREDITOR_ADDR
- ^Enter your street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @13 3 A 50 2b CREDITOR_CSZ
- ^Enter your city, state and zip code.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @13 4 D 8 3 LETTER_DATE
- ^Enter the date of this demand letter.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @13 5 A 10 4a DEBTOR_SAL
- ^Enter the courtesy title of your debtor
- for use in the salutation.
-
- [Example: Mr., Mrs., Ms., or Dr.]^
- ^See the examples
- provided as a guide.^
- @13 6 A 20 4b DEBTOR_FIRST
- ^Enter the first name of your debtor.
-
- [Example: Mary]^
- ^Do not use any
- abbreviations or
- nicknames.^
- @13 7 A 2 4c MIDDLE_INIT
- ^Enter the middle initial of your debtor
- (optional).
-
- [Example: B.]^
- ^Use of the initial is
- optional. Include the
- period.^
- @13 8 A 30 4d DEBTOR_LAST
- ^Enter the last name of your debtor.
-
- [Example: Smith]^
- ^Do not use any
- abbreviations or
- nicknames.^
- @13 9 A 50 5a DEBTOR_ADDR
- ^Enter the street address of your debtor.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @13 10 A 50 5b DEBTOR_CSZ
- ^Enter the city, state and zip code
- of your debtor.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @13 11 $ 20 6 AMOUNT
- ^Enter the amount you are demanding in this
- letter.
-
- [Example: 1,000.00]^
- ^Enter the full amount
- (dollars and cents).
- Be sure to put the
- value in figures, not
- words. Do not use a
- dollar sign. Use
- commas for readability.^
- @13 12 X 1 7 ACT_NOTE_AGMT 15 15 15 13 14
- Note
- Agreement
- Personal Loan
- Account No.
- Other
- ^On what do you base your demand for
- payment?
-
- A. Note
- B. Agreement
- C. Personal Loan
- D. Account No.
- E. Other^
- ^Enter the letter of
- your choice. [F1]
- for additional
- comments.^
- @13 13 A 50 7a ACCT_NUMBER 15 15
- ^Enter your Account Number.
-
- [Example: 000 123 456 7890]^
- ^Enter the account
- number carefully and
- check it again for
- accuracy.^
- @13 14 B 750 7a Other
- ^Using full sentences explain the basis for
- the debt.
-
- [Example: You owe me for the money I gave
- you to buy the Mexican Blanket
- on our trip. I did not get the
- blanket or the money back.^
- ^Press [Enter] to move
- from line-to-line and
- [F10] for the next
- question.^
- @13 15 Y 1 8 LETTERHEAD
- ^Will you be printing this letter on
- letterhead?
-
- <Y>es or <N>o^
- ^"N" will cause the
- program to print your
- return address at the
- top of the document.
- "Y" will add blank
- lines to accomodate
- letterhead paper.^
- @14 1 A 50 1 CREDITOR
- ^Enter your name as you intend to sign this
- letter.
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @14 2 A 50 2a CREDIT_ADDR
- ^Enter your street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @14 3 A 50 2b CREDITOR_CSZ
- ^Enter your city, state and zip code.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @14 4 D 8 3 LETTER_DATE
- ^Enter the date of this bad check notice
- letter.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @14 5 A 50 4a DEBTOR_SAL
- ^Enter the courtesy title of your debtor to
- be used in the salutation.
-
- [Example: Mr., Mrs., Ms., or Dr.]^
- ^See the examples
- provided as a guide.^
- @14 6 A 20 4b DEBTOR_FIRST
- ^Enter the first name of your debtor.
-
- [Example: Mary]^
- ^Do not use any
- abbreviations or
- nicknames.^
- @14 7 A 2 4c MIDDLE_INIT
- ^Enter the middle initial of your debtor
- (optional).
-
- [Example: B.]^
- ^Use of the initial
- is optional. Include
- the period.^
- @14 8 A 30 4d DEBTOR_LAST
- ^Enter the last name of your debtor.
-
- [Example: Smith]^
- ^Do not use any
- abbreviations or
- nicknames.^
- @14 9 A 50 5a DEBTOR_ADDR
- ^Enter the street address of your debtor.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @14 10 A 50 5b DEBTOR_CSZ
- ^Enter the city, state and zip code of your
- debtor.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @14 11 D 8 6 CHECK_DATE
- ^Enter the date of the check.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @14 12 $ 20 7 CHECK_AMOUNT
- ^Enter the amount for which the check is
- written.
-
- [Example: 1,000.00]^
- ^Enter the full amount
- (dollars and cents).
- Be sure to put the
- value in numbers, not
- words. Do not use a
- dollar sign. Use
- commas for
- readability.^
- @14 13 Y 1 8 Yes_NO 14 15
- ^Are you taking or withholding some action
- as a result of the bad check?
-
- <Y>es or <N>o^
- ^Answer "N" if there
- will be no action taken
- Answer "Y" will allow
- you to explain what you
- intend to do (i.e.
- withhold service).^
- @14 14 B 750 8a ACTION
- ^In a complete sentence, describe any
- action you are taking or withholding as a
- result of the returned check.
-
- [Example: I will be unable to send you
- the quilt you requested until I receive
- this payment.]^
- ^If the returned check
- was written as payment
- for some service or
- product, your letter
- should include a
- statement of how the
- returned check is
- delaying receipt of the
- product or service.^
- @14 15 Y 1 13 LETTERHEAD
- ^Will you be printing this letter on
- letterhead?
-
- <Y>es or <N>o^
- ^"N" will cause the
- program to print your
- return address at the
- top of the document.
- "Y" will add blank
- lines to accomodate
- letterhead paper.^
- @15 1 A 50 1 CONSUMER
- ^Enter your name as you intend to sign this
- letter.
-
- [Example: Mary B. Smith]^
- ^Do not use any
- nicknames or
- abbreviations.^
- @15 2 A 50 2a CONSUMER_ADDR
- ^Enter your street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @15 3 A 50 2b CONSUMER_CSZ
- ^Enter your city, state and zip code.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @15 4 D 8 3 LETTER_DATE
- ^Enter the date you intend to send this
- defective product complaint.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @15 5 A 50 4a STORE
- ^To which store or manufacturer are you
- sending this letter?
-
- [Example: Nancy's Discount]^
- ^Both the store and the
- manufacturer are
- responsible for product
- defects. For
- convenience, it may be
- easier to deal with the
- local store from which
- you purchased the
- defective product.^
- @15 6 A 50 4b COMPANY_ADDR
- ^Enter the street address of the store.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @15 7 A 50 4c COMPANY_CSZ
- ^Enter the city, state and zip code of the
- store.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use
- the name of a real
- estate sub-division
- unless it is used as a
- Post Office address.^
- @15 8 D 8 5 PURCHASE_DATE
- ^On what date was the defective product
- purchased?
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @15 9 A 50 6 PURCHASER
- ^Identify the person who made the actual
- purchase.
-
- [Example: I
- my daughter]^
- ^If you purchased the
- defective product,
- enter "I". If the
- purchaser was someone
- in your family, enter
- that person's
- relationship to you
- (e.g., "my husband",
- "my daughter", etc.).^
- @15 10 A 60 7 PRODUCT
- ^Describe the product.
-
- [Example: a white, travel size Lotsa Curls
- curling iron (Model C8)]^
- ^Describe the article
- completely. Include the
- model, size, color and
- any other
- distinguishing
- characteristics.^
- @15 11 A 50 8 STORE_LOC
- ^Enter the name and location of the store
- from which the product was purchased.
-
- [Example: Nancy's Discount at Southend
- Mall]^
- ^Provide the name of
- the store and the
- store's location.^
- @15 12 X 1 9 PAYMNT_METHOD 13 13 13
- Check
- Cash
- Credit card
- ^Identify how the product was paid for.
-
- A. Check
- B. Cash
- C. Credit card^
- ^When a credit card has
- been used, it may take
- some weeks before a
- credit appears on your
- bill. Enter the letter
- of your choice. Press
- [F10] or [Enter] to
- move to the next
- question.^
- @15 13 B 750 10 DEFECT
- ^In one or two complete sentences, describe
- the product defect.
-
- [Example: The curling iron my daughter
- purchased failed to heat up. Despite
- testing it at several electrical outlets,
- the heat sensor light failed to turn colors
- from red to black.]^
- ^Be specific in your
- description. Simply
- saying, "It didn't
- work," fails to provide
- adequate information
- regarding the nature of
- the defect.^
- @15 14 B 750 11 ACTION
- ^In one or two complete sentences, identify
- what action you expect the store or
- manufacturer to take.
-
- [Example: Please send me a replacement
- curling iron, and arrange for the return of
- the defective one. If this is not
- possible, I expect a full refund of the
- purchase price.]^
- ^The seller or
- manufacturer has the
- right to replace or
- repair the defective
- product. You have a
- right to a refund only
- if the repair or
- replacement cannot be
- reasonably made.^
- @15 15 A 20 12 CONSUMER_TELE
- ^Enter a telephone number at which you can
- be reached during the day.
-
- [Example: 206-555-1234]^
- ^Be sure to include the
- area code. The store
- or manufacturer may
- have questions
- regarding your
- complaint. [F1] for
- additional comments^
- @15 16 Y 1 13 LETTERHEAD
- ^Will you be printing this letter on
- letterhead?
-
- <Y>es or <N>o^
- ^"N" will cause the
- program to print your
- return address at the
- top of the document.
- "Y" will add blank
- lines to accomodate
- letterhead paper.^
- @16 1 A 30 1 USER_NAME
- ^Enter the full legal name of the person
- requesting the report.
-
- [Example: Jonathan A. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @16 2 Y 1 2 YES_NO 3 19
- ^Are you married?
-
- <Y>es or <N>o^
- ^If you are married,
- this program assumes
- that you want to obtain
- a joint (rather than an
- individual) credit
- report. If you want
- your own credit report,
- even though you are
- married, answer 'No'.^
- @16 3 A 30 3 SPOUSE_NAME
- ^Enter your spouse's full legal name.
-
- [Example: Mary B. Doe]^
- ^Do not use any
- nicknames or
- abbreviations. The
- name must be the legal
- name, not the social
- name.^
- @16 4 A 30 4a USER_ADDRESS
- ^Enter your street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^When the mailing
- address is more than
- one line, use commas to
- separate each part.^
- @16 5 A 30 4b USER_CSZ
- ^Enter your city, state and zip code.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @16 6 D 8 5 LETTER_DATE
- ^Enter the date you intend to send this
- request for credit report.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @16 7 A 30 6a CREDIT_BUREAU
- ^Enter the name of the local credit bureau
- to which you are mailing your request.
-
- [Example: ABC Credit Company]^
- ^Use the full name of
- the credit bureau you
- select. There may be
- several credit bureaus
- or agencies in your
- community.
-
- Press [F1] for
- additional comments.^
- @16 8 A 30 6b CR_BUREAU_ADD
- ^Enter the street address of the local
- credit bureau to which you are mailing your
- request.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @16 9 A 30 6c CR_BUREAU_CSZ
- ^Enter the city, state and zip code of the
- local credit bureau to which you are
- mailing your request.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @16 10 Y 1 7 YES/NO 13 11
- ^Have you lived at your current address for
- three or more years?
-
- <Y>es or <N>o^
- ^The credit bureau uses
- your name and your
- address to find your
- records.^
- @16 11 A 30 7a PREV_ADDRESS
- ^Enter your previous street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^Because you have lived
- at your current address
- less than three years,
- the credit bureau
- requires that you
- provide your previous
- address when requesting
- a credit report.^
- @16 12 A 30 7b PREV_ADD_CSZ
- ^Enter the city, state and zip code of your
- previous address.
-
- [Example: Seattle, WA 98104]^
- ^Because you have lived
- at your current address
- less than three years,
- the credit bureau
- requires that you
- provide your previous
- address when requesting
- a credit report.^
- @16 13 A 30 8a USER_EMPLOYER
- ^Enter the name of your employer.
-
- [Example: XYZ Manufacturing]^
- ^If you are not
- employed at this time,
- enter "Not Currently
- Employed".^
- @16 14 A 30 8b SPOUSE_EMPLR
- ^Enter the name of your spouse's employer.
-
- [Example: Harris Publishing]^
- ^If your spouse is not
- employed at this time,
- enter "Not Currently
- Employed".^
- @16 15 D 10 9a USER_DOB
- ^Enter your date of birth.
-
- [Example: 08/25/1956]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @16 16 D 10 9b SPOUSE_DOB
- ^Enter your spouse's date of birth.
-
- [Example: 11/16/1956]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @16 17 A 11 10a USER_SSN
- ^Enter your Social Security Number.
-
- [Example: 123-45-6789]^
- ^Double-check the
- number to make sure you
- have entered it
- correctly. It is very
- important to record the
- number accurately.^
- @16 18 A 11 10b SPOUSE_SSN 31 31
- ^Enter your spouse's Social Security
- Number.
-
- [Example: 987-65-4321]^
- ^Double-check the
- number to make sure you
- have entered it
- correctly. It is very
- important to record the
- number accurately.^
- @16 19 A 30 3a USER_ADDRESS
- ^Enter your street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^When the mailing
- address is more than
- one line, use commas to
- separate each part.^
- @16 20 A 30 3b USER_CSZ
- ^Enter your city, state and zip code.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @16 21 D 8 4 LETTER_DATE
- ^Enter the date you intend to send this
- request for credit report.
-
- [Example: 09/28/90]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @16 22 A 30 5a CREDIT_BUREAU
- ^Enter the name of the local credit bureau
- to which you are mailing your request.
-
- [Example: ABC Credit Company]^
- ^Use the full name of
- the credit bureau you
- select. There may be
- several credit bureaus
- or agencies in your
- community. The same
- information should be
- provided regardless of
- the credit bureau you
- select.^
- @16 23 A 30 5b CR_BUREAU_ADD
- ^Enter the street address of the local
- credit bureau to which you are mailing your
- request.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^If the street address
- is more than one line,
- use commas to separate
- each part.^
- @16 24 A 30 5c CR_BUREAU_CSZ
- ^Enter the city, state and zip code of the
- local credit bureau to which you are
- mailing your request.
-
- [Example: Seattle, WA 98104]^
- ^Use the name of the
- community as named by
- the United States Post
- Office. Do not use the
- name of a real estate
- sub-division unless it
- is used as a Post
- Office address.^
- @16 25 Y 1 6 YES_NO 28 26
- ^Have you lived at your current address for
- three or more years?
-
- <Y>es or <N>o^
- ^The credit bureau uses
- your name and your
- address to find your
- records.^
- @16 26 A 30 7a PREV_ADDRESS
- ^Enter your previous street address.
-
- [Example: 1234 Anystreet, Suite 100]^
- ^Because you have lived
- at your current address
- less than three years,
- the credit bureau
- requires that you
- provide your previous
- address when requesting
- a credit report.^
- @16 27 A 30 7b PREV_ADD_CSZ
- ^Enter the city, state and zip code of your
- previous address.
-
- [Example: Seattle, WA 98104]^
- ^Because you have lived
- at your current address
- less than three years,
- the credit bureau
- requires that you
- provide your previous
- address when requesting
- a credit report.^
- @16 28 A 30 8 USER_EMPLOYER
- ^Enter the name of your employer.
-
- [Example: XYZ Manufacturing]^
- ^If you are not
- employed at this time,
- enter "Not Currently
- Employed".^
- @16 29 D 10 9 USER_DOB
- ^Enter your date of birth.
-
- [Example: 08/25/56]^
- ^Use the MM/DD/YY
- format. It is not
- necessary to spell out
- the date.^
- @16 30 A 11 10 USER_SSN
- ^Enter your Social Security Number.
-
- [Example: 123-45-6789]^
- ^Double-check the
- number to make sure you
- have entered it
- correctly. It is very
- important to record the
- number accurately.^
- @16 31 Y 1 11 YES_NO 32 33
- ^Have you been denied credit within the
- last 30 days?
-
- <Y>es or <N>o^
- ^If you have been
- denied credit within
- the last 30 days, your
- credit report should be
- provided free of
- charge. Otherwise,
- there is a small fee to
- obtain your credit
- report.^
- @16 32 A 30 12 WHO_DENY 35 35
- ^Enter the name of the company, agency or
- organization which denied you credit within
- the last 30 days.
-
- [Example: J. C. Penney]^
- ^Be sure to enter the
- full name of the
- company. Your credit
- report may also include
- the names of all
- persons or
- organizations who have
- seen your credit report
- over the last six
- months.^
- @16 33 C 1 13 HOW_PAY
- ^How are you paying the fee to obtain your
- credit report?
-
- C. Check
- M. Money order^
- ^The fee for your
- credit report must be
- enclosed with this
- letter. Payment must
- be made by check or
- money order payable to
- the credit bureau. The
- fee must accompany the
- letter.^
- @16 34 $ 14 14 REPORT_FEE
- ^Enter the amount of the fee to be paid for
- your credit report.
-
- [Example: 25.00]^
- ^Enter the amount in
- numbers, dollars and
- cents. Do not end with
- a period. Do not use a
- dollar sign. Use commas
- for readability. Add
- '.00' at the end when
- the value is in even
- dollars.^
- @16 35 A 20 15 BUSINES_PHONE
- ^Enter a telephone number at which you can
- be contacted during business hours.
-
- [Example: 206-555-1234]^
- ^Be sure to include
- your area code. Check
- the number for
- accuracy.
-
- Press [F1] for
- additional comments.^
- @16 36 Y 1 13 LETTERHEAD
- ^Will you be printing this letter on
- letterhead?
-
- <Y>es or <N>o^
- ^"N" will cause the
- program to print your
- return address at the
- top of the document.
- "Y" will add blank
- lines to accomodate
- letterhead paper.^
-