The document outlines the procedures for estate planning consultations at Kenneth Vercammen's law office, including required forms and information clients need to bring. It explains the importance of having a will, the consequences of not having one, and provides details on legal fees and payment options. Additionally, it contains instructions for filling out questionnaires and preparing necessary documents such as powers of attorney and living wills before the client’s appointment.

1. Why Traditional
Planning Fails Seniors:
August 10, 2013
Kenneth Vercammen, Esq.
Edison, NJ 08817
VercammenLaw@njlaws.com
www.njlaws.com
www.CentralJerseyElderLaw.com

2. #1 Email- Letter to Client for Appointment date & time
This is Small to read- no problem
This is all in the CD of materials
If you want ppt email Ken-
VercammenLaw@njlaws.com
Thank you for contacting our law office in connection with
your matter.
Your appointment is for _______________
You should bring:
1. The completed interview sheet
2. Your questions
3. All papers you want to discuss
When you come in we will discuss the matter, and provide
a written retainer statement. Client can now pay fees by check,
Visa, Master Charge, American Express, Discovery, cash or money
order. Once retained we will represent your interests vigorously.

3. 2 "CONFIDENTIAL WILL QUESTIONNAIRE- Online
To be filled out prior to interview”
1. Your Full Name____________________________________
First Last
2. IF MARRIED OR SEPARATED, complete (a) and (b) below:
(a) Spouse's Full Name:
______________________________________________
First Last
3. Your Street Address: ________________ City _______ State __
4. Telephone Numbers: Cell: __________________________
5. E-mail address: _______________________________________
6. Referred By: _________________ _ 7. Today's Date ____________
If referred by a person, is this a client or attorney? _____________________
-Do you want a Living Will telling hospitals and doctors not to prolong
your life by artificial means, i.e. Terri Schiavo; Karen Quinlan? Yes ___ No
__Do you want a Durable Power of Attorney in the event of your physical or
mental disability to help you with financial affairs? Yes ________ No ___

4. 3 Will Questionnaire How can we help you?
What are your questions/other important info?
______________________________________________________________
[It is required that all pages be filled out in person's own handwriting prior to seeing the
attorney]
Your Marital Status: [ ] Single [ ] Married [ ] Separated [ ] Divorced [ ] Widowed [ ]
Domestic Partner/ Civil Union
Your Date of Birth: ___________________
Month Year
Spouse Date of Birth: _________________
Month Year
ESTATE EXECUTOR- Please provide the following information about the person you
wish to name to serve in this capacity.
1. PRIMARY Choice of Executor/ POAl Representative:
Name: _______________________ _______________________
First Last
Relationship: _______________ Address: ____________________
2. SECOND Choice of Executor/ POA Rep:
Full Name: ___________________________ _________________
The two proposed Executors must be filled out prior to meeting the attorney.

5. 4 Will Questionnaire Asset Information- Must Be Completed -
If none, write “none”
House/Real Estate Address ____________________________________
Estimate Total Real Estate Value: _____________ Approx mortgage ________
Bank Accounts, Stocks, CDs and Assets: _______________________________
Approximate Amount ____________________________________________
Other Major Assets (if none, write "none"): _____________________________
Approximate Life Insurance: _________________ Beneficiary ______________
In the Will- Who do you want to get your assets:
Beneficiary (1) _______________________ Relationship _______________
Beneficiary (2) _______________________ Beneficiary (3) ___________
[We require that assets and beneficiaries be filled out prior to seeing the attorney]
Any Specific Bequests of Money and Property: ____________________________
Names of Children: ______________________________ Ages: ____
LIST THE NAMES AND AGES OF ALL CHILDREN EVEN IF THEY ARE OLDER THAN
EIGHTEEN. IF NO CHILDREN, WRITE NONE.

6. 5 Will Questionnaire- Last page [Ethics- Stockdale 196 NJ 275 (2008)
PLEASE WRITE DOWN ANY QUESTIONS YOU HAVE HERE or anything else
important that we should be aware. Use back of this page for additional important
information:
_____________________________________________________
ESTATE PLANNING
Your estate may be subject to NJ Estate Taxation if the assets are over $675,000.
Your estate will be subject to Federal Estate Taxation in 2013 if the total of your assets
exceeds $5,250,000. If you desire estate planning to avoid or reduce your estate tax or
require a Trust to protect a spouse, please advise Mr. Vercammen. A basic Will is not
designed to address estate tax issues. Tax Planning or Medicaid Planning fees exceed
$3,000.
WILLS:
T 1- Parents with minor children and trust for children ____________
T 2- Parents no spouse ____________
T 3- Unmarried ____________
T 4- Parents without trust ____________
T 5- Spouse/ children Trust if assets over $1 million? ____________
PAYMENT WILL BE MADE BY: (Please circle one)
Check, Credit Card (Visa, MasterCard, American Express) or Cash
Payment is required for Will, Power of Attorney and other document preparation at
the first consult and prior to any documents being drafted. We charge a $250.00
consultation fee, which is credited to the preparation of the Will or other document. This
$250.00 fee is non-refundable even if the documents are not prepared. This form was
filled out by: _____________

7. 6 Will Bill Date to sign _______
ESTATE ADVICE AND WILL PREPARATION: SERVICES TO BE PROVIDED AND
LEGAL FEE
1. Office interview with client, office consult fee is $250.00, which is included in the Will
preparation fee. ……
- Preparation of draft Will and Testament with Provisions regarding debts and
taxes, distribution of estate, Trust for beneficiaries under 21, provisions for
primary Executor and one successor Executor, include provisions regarding no
bond required and self- proving Will meaning your family will not need to locate
witnesses later.
- Prepare letter to client enclosing draft of Will for client to carefully read.
- Office conference, attend to execution/ signing of Last Will and Testament, -Answer
Questions and explain provisions……..
-Preparation of post Will letter to client with instructions
AMOUNT DUE for Wills: $ ______________
Power of Attorney $__________________
Living Wills $ _______________________
Please make Checks payable to Kenneth Vercammen, PC. Visa, Master Card and
American Express accepted. Please pay the front desk legal secretary at first meeting.
Payment is required prior to any documents being drafted.
…………..The Will needs to be signed within 21 days of initial consult or additional fee
will be charged. There is an additional $100.00 charge for canceled, rescheduled, or
missed Will signing appointments. The fee paid is non refundable.

8. 7 Appointment to Sign:
Last Will and Testament
Dear
Enclosed is a draft of your proposed Will. Please read this document
carefully.
If there are any changes, amendments or revisions, please mark up the
draft Will in blue pen, and fax or mail back at least four days prior to
scheduling the appointment to execute the Will. Changes usually cannot be
done on the same date as signing. Please bring your draft Will and any other
documents we sent you. If you have not already done so, please also advise my
office immediately if you would like a Power of Attorney prepared and a
Living Will as well. …….
Remember that if you have assets such as bank accounts in joint
names, or bank accounts payable upon death, these go directly to the
beneficiary. Your Will cannot change who the beneficiary is on a joint
account, payable upon death accounts, or other assets such as Life
Insurance policies. You would have to go directly to the bank or company
where the assets are held and either direct that they change the
beneficiary or not list any beneficiary at all other than your Estate.

9. 8 Doctor Certification of Patient Capacity to Sign Legal
Documents
Certification by Dr. ___________________________
Patient __________________________
Patient Date of Birth _________________________
I, being duly sworn says:
1. I am a physician licensed to practice medicine in the State of New
Jersey.
2. I am not a relative either through blood or marriage of the patient.
3. In my opinion, the patient is able to govern and manage their affairs.
4. The patient is competent to sign [initial all which apply]:
Last Will and Testament ____________
Power of Attorney ____________
Living Will ____________
Trust ____________
Deed on house ____________
I certify that the foregoing statements made by me are true. I am aware that
if any of the foregoing statements made by me are willfully false, I am subject to
punishment. ____________________________

10. 9 Please read draft Power of Attorney
Date to sign: _____
Dear
Please carefully read the Power of Attorney which I have
prepared at your request. If there are any changes, amendments or
revisions, Please mark up the draft Power of Attorney in blue pen,
and fax or mail back at least four days prior to scheduling the
appointment to execute the Will. Changes usually cannot be done
on the same date as signing.
A Power of Attorney is an appointment of another person as
one's agent. A Power of Attorney creates a principal-agent
relationship. You, the grantor of the Power of Attorney, are the
principal. The person to whom you grant the Power of Attorney is
your agent. The agent is normally called an "attorney-in-fact." The
attorney-in-fact does not become the owner of your property, but is
merely permitted to deal with it within the terms set out in the
Power of Attorney.

11. Will Execution Checklist- see ID
[NJ Opinion 691-Will property of client ]
1. Did you read the Will/POA/Living Will?”
2. Did you fax or mail in any changes? Changes are not made the day
of signing
3. If changes were mailed, faxed, or called in, have them read our
original file copy of the revised documents, even if we mailed it to them.
We want to make sure that we are signing the correct revised version.
4. Ask them "Are you ready to sign the Will/POA/Living Will?"
5. We need to see some ID, either a driver’s license or other ID to
write in the file proof of competency.

12. 11 Post Will letter -Future revisions to Your Will
…. Please be sure to keep this letter with your copy of your Will.
Please advise your Executors where the original Will is going to be stored.
Please also provide your Executor with our business card and instruct your
Executor to contact us prior to going to the Surrogate's Office or probating a
Will. We recommend you make copies of your Will and give the copies to your
Executor and family. If you have a Living Will, please be sure to give a copy to
your doctor.
I caution you against making any marks upon your Will because this
can lead to a Will contest. If you want to make a change in your Will, please
come back to my office and we will either make a Codicil (a short addition) to
your Will or a new Will depending upon your needs and wishes. Changes
should be made whenever you believe such changes are necessary.
In the event that a death occurs in your family, may I suggest that you
contact my office immediately in order to determine what, if anything, must be
done in order to settle that person's estate.

13. 12 Post Will- [send us referrals
] It has been a pleasure for me to handle your legal affairs. If I can
be of any help to you in the future, please be sure to call on me again.
The file is now closed.
To improve our service to clients, we hope you can fill out
the enclosed Client Questionnaire and return it to our office in the
stamped, self-addressed envelope.
We welcome additional business and accept referrals for:
1) Wills, Power of Attorney, Living Wills and Estate Planning.
2) Personal Injury- Car Accidents
3 Injuries caused by Fall downs
4) Municipal Court, Traffic Tickets and DWI.
5) Probate/ Administration of Estates
6) Criminal cases
7) Civil Litigation for cases over $15,000.

14. 13. CLIENT QUESTIONNAIRE- End of Case
- Were you always treated courteously on the telephone when you
called? ______
-Were you courteously treated by staff working on your file?
______
- Would you use our firm again if you had another legal problem?
Please give us your comments. [use back of page if more space
needed] ______
- Would you recommend our firm to a friend, relative or business
associate who needed a lawyer?
Please give us your comments.
___________________________________
-. May we use your comments in 7 and 8 as testimonial in our
newsletter and website? Yes ______ No ____
-. Please rate how you feel about the overall quality of the legal
services you received.
Excellent ____; Good ____; Adequate _____ Fair _____; Poor _

15. #14 End of Case Client Questionnaire- Page 2- [marketing ]
13. Suggest ways in which any of our services might be improved. Is there anything you
feel we should have done for you that we did not do? What did you dislike about your
experience, or the way we do things?
_____________________________________________________________
_____________________________________________________________
14. Suggest additional services that you would like us to provide now or in the future: ___
15. Check items that you would like to receive from our firm:
______ General brochure describing firm services ______ Lawyer bio info
__ 1. WHAT TO DO IN AN CAR ACCIDENT __ 11. PROBATE & ADMINISTRATION
__ 2. WILLS - Protecting Loved Ones. __12. LIVING WILLS and ADVANCE
DIRECTIVES.
__ 3. MUNICIPAL COURT. __13. COMPEL INSURANCE TO PAY BILLS
__ 4. PERSONAL INJURY CASES. __14. CAR INSURANCE
__ 5. COOPERATING WITH YOUR ATTORNEY.__15. DWI PENALTIES.
__ 6. TRAFFIC FINES AND PENALTIES. __16. DRIVING WHILE SUSPENDED.
__ 7. REAL ESTATE SALES. __17. POWER OF ATTORNEY.
__ 8. DMV POINTS AFTER TRAFFIC TICKET __18. TRUSTS
__ 9. WORKER'S COMPENSATION __19. EXPUNGEMENT OF CRIMINAL
ARRESTS
__ 10. STARTING YOUR OWN BUSINESS. __20. FIRM BROCHURE & WEBSITE

16. 15 Thank you for Referral FAX out
TO: ___________________________________________
REFERRAL OF: __________________________________
Thank you very much for referring the above potential
client to us. We are most appreciative of your expression of
confidence in us. Client recommendation is a very important
source of new clients to us. We are grateful for your
recommendation.
We continue to accept probate, municipal court, criminal, personal
injury, and other serious legal matters. Any matter handled by this firm will
be handled in an efficient and courteous manner after we are retained.
Comments: ____ [ex- they did not want to spend money for experienced
attorney ]

17. 16 REFERRAL OUT TO ANOTHER ATTORNEY
To: _______________ Type of Case: _______________
Referral of _________________________________________
The above referenced individual has contacted me in a professional
relationship. I have provided my client with your name and phone number as a
referral. I am confident you can handle this matter in an efficient and
courteous manner and provide excellent representation. Please contact this
potential client to schedule a consult. Please advise me via fax whether this
potential client has a consult with your office. Please advise via fax after four
days. If appointment set, please fax back below.
If I can ever be of service to you in the future, please do not hesitate to contact
me. We welcome referrals for:
- Contested Probate and Estate Administration
- Criminal/ Municipal Court & DWI
- Litigation
Date and Time of Appointment: ____________________
Never Contacted our Office:
________________________________________
Canceled Appointment: ______________________________________

18. 17 No Representation
Dear
Thank you for contacting my office. We will not be able to serve as your attorney in
your matter. We are required by Supreme Court decisions to send you this letter to
state we will not open a file and will not take any action.
Under New Jersey law formal suit must be filed within the applicable statute of
limitations. The statute of limitations for an injury or tort is two (2) years from the date
of the injury/accident. There may be other statutory limitations which pertain to your
matter. If a lawsuit is not filed within the statute of limitations, it will be forever barred.
We are not advising you that you do not have a case but that this office has decided
it will not take the case.
We recommend you speak with another attorney immediately to possibly retain
an attorney to preserve any of your rights and responsibilities in your case. The
phone number of the Middlesex County Bar, Lawyer Referral is 732-828-0053. The
phone number for the Mercer County, Lawyer Referral is 609-585-6200.
We encourage you, your family or friends to contact us if you have a different
legal matter in the future. Please visit our website at www.njlaws.com. You will find
many legal articles and information.
Very truly yours,

19. 18 Recommend Last Will and Testament
Dear
Owners of real property (land) and personal property (money,
furniture, bank accounts, cars, personal effects, etc.) have the privilege
to select those who will receive these items upon death. If an owner
does not have a Will she/he loses that privilege and the law decides.
More importantly, as any one who has been through it with family or
friends, the time and money for probating much more expensive and
time consuming without a Will. Changes in one's marital status, financial
status and family often will require some changes to an existing Will.
Our office records indicate that you have not prepared a recent Will.
Please find enclosed a brochure dealing with Wills and Estate
Planning. I will be happy to discuss this matter further with you by free
in-office consultation by appointment.

21. We invite you to the
NJ Municipal Court Section
December 6
Happy Hour 5-7pm
Bar Anticipation, Belmar/ Lake
Como

22. 20 Email of this
PowerPoint and
newsletter on probate &
litigation matters
Vercammenlaw@njlaws.com
for news and articles on legal matters
http://njwills.blogspot.com
www.njlaws.com
www.CentralJerseyElderLaw.com