Please fill in the information below:

Email address to which completed agreement should be sent:    

Wife Name   

Husband Name   

Our County of Residence is

Optional -- The "legal description" of our homestead is:

(example: Lot 1, Block 12, New City Block 123, City of San Antonio, Bexar County)

        I represent that the overall value of our estate (including life insurance) is below the exclusion amount for federal estate taxes (that is, our joint estates, both community property and any separate property either of us may own are worth less than $2,000,000 in year 2007-2008).

Clicking "submit and purchase" will send your data to Premack and enter this selection in your "shopping cart." Remember to "check out" when you are ready to pay. When payment is confirmed, Mr. Premack will prepare and Email your completed document to you.  

If you want to cancel without sending any data, then return to the Legal Documents Page