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.
1
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
3 2
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
5 4
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
7 6
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
9 8
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
11 10
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
13 12
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
15 14
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
17 16
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
19 18
ADDITIONAL INFORMATION
20
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www.gleanerlife.org 5200 West U.S. Highway 223, Adrian, Michigan 49221 p 800.992.1894 | f 517.265.7745