Online Estate Entry Form

On behalf of Phillips & Cohen Associates, and our client, please accept our most sincere condolences for your loss.

Because we know this is a sensitive time for you, Phillips & Cohen Associates provides you with the choice to review and manage your account or submit information regarding an estate without having to speak to a Phillips & Cohen Associates Care Agent.

For your convenience, we have provided a section below where you may enter any available contact or estate information.

We very much look forward to helping you resolve any outstanding estate issues in the manner that accommodates your needs.

Enter Requested Estate Information
There was a problem with your submission. Please correct the higlighted fields below.
Deceased's last name:
Deceased's first name:
PCA Reference Number, if available: (DO NOT provide any credit card information or social security numbers in this space)
YOUR last name:
YOUR first name:
Relationship to deceased:		Select One Relative Non-Relative Spouse
YOUR phone number should we need to contact you:
Was an Estate opened regarding the deceased:		Select One Yes No
If yes, are you the Executor of the estate:		Select One Yes No
If not you, what is the EXECUTOR'S last name:
EXECUTOR'S first name:
EXECUTOR'S phone number:
EXECUTOR'S street address:
EXECUTOR'S city:
EXECUTOR'S state:
EXECUTOR'S zip code:
Last name of the ATTORNEY handling the probate process:
ATTORNEY'S first name:
ATTORNEY'S phone number:
ATTORNEY'S street address:
ATTORNEY'S city:
ATTORNEY'S state:
ATTORNEY'S zip code:
Date Estate opened: (please provide opening date as: yyyy-mm-dd)
Docket number: (may be called "estate number")
If there was an Estate, is the Estate closed:		Select One Yes No
If no Estate, will an Estate be opened in the future:		Select One Yes No
If yes, when was the Estate closed: (please provide closing date as: yyyy-mm-dd)