Reporting a death to Bespoke Executor Services (BEXs)

Part A - Person Reporting the death

First

Middle

Last

Mobile Number

Relationship to Deceased

Part B - Deceased Details

First

Middle

Last

Identity Number

South African Resident

Date of Birth

Place of Birth

Nationality

Occupation

Date of Death

Place of Death

Marital Status

Address

Suburb

ZIP/Postal Code

Did the deceased leave a will

Who was appointed as Executor

Appointed Executor

Did the deceased have a predeceased spouse

First

Last

Are deceased parents alive

Father

First

Last

Mother

First

Last

To which Master's Office was the estate reported

Was the deceased previously divorced

Date of divorce

Names of Previous Spouse

First

Last

High court where divorce was issued

Did the deceased have any children

Part C - Spouse Details

*No Information required

How many previous spouses

Spouse

First

Last

Mobile Number

Marital Status at Death

Identity Number

South African Resident

Place of Birth

Nationality

Date of Birth

Spouse 2

First

Last

Mobile Number

Marital Status at Death

Identity Number

South African Resident

Place of Birth

Nationality

Date of Birth

Spouse 3

First

Last

Mobile Number

Marital Status at Death

Identity Number

South African Resident

Place of Birth

Nationality

Date of Birth

Spouse 4

First

Last

Mobile Number

Marital Status at Death

Identity Number

South African Resident

Place of Birth

Nationality

Date of Birth

Spouse 5

First

Last

Mobile Number

Marital Status at Death

Identity Number

South African Resident

Place of Birth

Nationality

Date of Birth

Part D - Children Details

*No Information required

How many Children

Child 1

First

Last

Date of Birth

Child 2

First

Last

Date of Birth

Child 3

First

Last

Date of Birth

Child 4

First

Last

Date of Birth

Child 5

First

Last

Date of Birth

Part E - Beneficiary / Legatee Information

Beneficiaries

Beneficiaries
Full names Mobile Number Email Identity Number

Part F - Insurance Policies

Policies

Policies
Name of Insurance Company Type of Policy Life Insured Beneficiary Value at Death(R)

Part G - Details of Deceased's Assets and Liabilities

Assets

Assets
Description Estimated Market Value

Liabilities

Liabilities
Description Estimated Market Value

Part H - Offshore Assets

Offshore Assets

Offshore Assets
Country of Investment Investment Type Value Contact Details of Institution

Part I - Upload Documents

Documents

Unlimited number of files can be uploaded to this field.
128 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.