Final Wishes Planning Guide

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Final Wishes PLANNING GUIDE www.gleanerlife.org | 800.992.1894

For my loved ones

I know this is a difficult time in numerous ways. It is my desire that you be spared additional worry and complications, so I have prepared these pages to assist you in planning and carrying out my closing matters. My last wishes include a list of people who should be notified of my passing, necessary arrangements, and financial and legal information for settling my estate. I hope that these directions ease the burden. I am grateful for these final favors you perform in my memory.

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PERSONAL INFORMATION

Name

First Middle Last Maiden name

Social Security Number

Address Street City County State/zip Phone

Birthplace City State

Date of birth Country

Occupation_______________________________Date retired

Employer

Marital Status  Married  Single  Divorced  Widowed

Spouse’s Name

Father’s Name

Birthplace

Mother’s Name

Birthplace

If you are a Veteran, please complete this information:

Service Number Name of war

Branch Rank

Date Enlisted Date Discharged

Location of original discharge papers

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FUNERAL REQUESTS

Funeral Director Name Address Phone

I want my funeral to be  Public  Private

Funeral Home Name Address Phone Church Name Address Phone Clergyman Name Address Phone

Participating Organizations (i.e., military or other)

Pallbearers Name Phone

FUNERAL REQUESTS (CONT.)

Special Service Requests

Favorite Hymns/Songs

Clothing to be worn

Flowers or Arrangements

Donations can be made to the following organizations

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Name Phone Name Phone Name Phone Name Phone Name Phone

FUNERAL REQUESTS (CONT.)

I expect expenses for a casket and Mortuary Service to total approximately $___________________ and to consist of a:

I would prefer:  Earth Burial  Cremation/Inurnment

 Mausoleum/Entombment

 Plot already purchased

 Other

Type of casket:

 Cloth Covered Casket (moderate cost)

 Metal Casket (average selection)

 Metal Sealer Casket (finest protection)

Mortuary Service usually includes:

• Charges of first call at hospital or home

• Preservation and preparation

• Use of funeral coach/director

• Automobile for family and pallbearers

• Use of mortuary chapel for service and music

Cemetery

Name

Address

Phone

Flag:  Folded  Draped  No flag

Presented to:

ANNOUNCEMENTS

The following Publications/Newspapers should be notified:

Information to be contained in the Public Announcement

Spouse’s Name

If deceased, place and date of death

Family to be listed (brothers, sisters, children, etc.) Relationship

Education highlights

Date of Marriage

Religious, charitable, social, fraternal or lodge affiliations or special achievements you wish to mention

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Father

Full Name

Address Phone

Mother Full Name Address

If different from above Phone

Father-In-Law

Full Name

Address Phone

Mother-In-Law

Full Name Address

If different from above Phone

FAMILY INFORMATION

FAMILY INFORMATION

List children’s names (If married, list spouse’s name and grandchildren’s names) Name Address Phone

Grandchildren Name Address Phone

Grandchildren Name Address Phone

Grandchildren Name Address Phone

Grandchildren

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LEGAL DOCUMENTS

(LOCATION OF PAPERS AND DOCUMENTS)

Name of Estate Executor

Primary Decision Maker

Last Will and Testament

Durable POA for Health Care

Attorney

Birth Certificate

Marriage Certificate

Stock Certificates

Bond Certificates

Military Records

Passport Trust Fund Information

Insurance Documents

Automobile Insurance Documents

Home Owners Insurance Documents

Mortgage Papers

Deed to House

Car Title or loans

Citizenship Papers (if applicable)

Income Tax Information

Passwords/PIN Numbers

Safe Deposit Box Location(s) and Persons with access to it

FINANCIAL INFORMATION

(RECORD OF CHECKING/SAVINGS ACCOUNTS)

Checking Accounts

Institution

Account Number

Address

Institution

Account Number

Address

Savings Accounts

Institution

Account Number

Address

Institution

Account Number

Address

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FINANCIAL INFORMATION

(RECORD OF CREDIT CARD/IRA ACCOUNTS)

IRA, CDs, 401(k), or Additional Investments

Institution

Account Number

Address Institution Account Number

Address Institution

Account Number

Address Institution

Account Number

Address Institution

Account Number

Address Institution

Account Number

Address

Credit Cards

Institution

Account Number

Institution

Account Number

Institution

Account Number

Financial Advisor________________________ Phone

RECORDS

(LIFE/HEALTH AND ACCIDENTAL INSURANCE POLICIES)

Institution Policy Number Agent

Beneficiary

Institution Policy Number Agent

Beneficiary

Institution

Policy Number Agent

Beneficiary

Institution

Policy Number Agent

Beneficiary

Record of other important documents

Document Location

Document Location

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NOTIFICATION

By providing the names and addresses of people who are significant in my life, I would like to ensure that these people will be notified of my death. Name Relationship Address Phone

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Name
Name
Name
Name
Name Relationship Address Phone
Relationship Address Phone Name Relationship Address Phone NOTIFICATION Name Relationship Address Phone
Relationship Address Phone
Relationship Address Phone
Relationship Address Phone
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Address
Name Relationship Address Phone Name Relationship Address
Name
Address
NOTIFICATION Name Relationship
Phone
Phone
Relationship
Phone
Name
Address
Name
Name
NOTIFICATION Name Relationship Address Phone
Relationship
Phone
Relationship Address Phone
Relationship Address Phone

SPECIAL THOUGHTS I WOULD LIKE TO SHARE WITH MY FAMILY

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ADDITIONAL INFORMATION

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www.gleanerlife.org 5200 West U.S. Highway 223, Adrian, Michigan 49221 p 800.992.1894 | f 517.265.7745

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