Final Wishes Planning Guide

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1 Final Wishes Planning Guide arrangement plan, please contact Dignity Planning at

2 Final Wishes Planning Guide (Your ) Dear This gift presented by: Representative Phone It is my wish that you be spared from anxiety, expense and inconvenience at the time of my death. Therefore, as a gift to you, I have taken the caring and loving steps to alleviate both the emotional and financial burdens my passing will create. By setting up this final arrangement plan I hope that you will celebrate my life the way I want you to. Within this plan I have documented my final wishes with specific arrangements that should be implemented at the time of my death. This document will also act as a road map as to where important documents can be found and which people should be notified. I sincerely hope you will find these arrangements helpful and that they will help you retain a warm memory of the wonderful years we have spent together. This information will be sent to you via mail: Username Password Website: www. Signature 2 3

3 Personal Information (Please provide, and Primary Next-of-Kin in the application located at the back of this Planning Guide.) Secondary Next-of-Kin Secondary Next-of-Kin Secondary Next-of-Kin Personal Information (cont.) Father s Birthplace Mother s Birthplace If you are a Veteran, please complete this information: Branch of Service Service Serial Number Date Enlisted Place Type of Separation or Discharge of Service Place of Separation Date Location of Military Discharge Papers (DD214) Highest Grade, Rank or Rating Received Wars/Conflicts Served Additional Information/Medals/Honors/Citations My Birthplace City Date of birth Occupation Employer(s) State Country Date retired Contact Person Completing Arrangements Informant s Phone # Additional Personal Information Marital Status Married Single Divorced Widowed Spouse s Education Highest Grade Completed Degree(s) 4 5

4 Funeral Requests Funeral Home/Mortuary/Crematorium Preferred Choose Closest Phone I want my funeral to be Public Private Service Plans Funeral Home/Mortuary Church Cemetery/Memorial Park Chapel Graveside Memorial Service Other Religious Preference Celebrant/Clergyman Participating Organizations (military, fraternal, lodge, etc.) Flag Draped Folded Presented to Wake/Rosary Service Yes No Location Viewing Public Private None Clothing Preference From Current Wardrobe New Other Description/Color Personal Accessories Wedding Band Stays On or Returns to Eyeglasses Stays On or Returns to Other Stays On or Returns to Floral Preference (type and color preferred) Memorial donations may be made to Music Organist Soloist(s) Musical Selections Religious Passages Selected Funeral Requests (cont.) 6 7 Casket Open during service Closed during service Type Hardwood Metal Cremation Coffin Other Eulogy Eulogy by Description Notations for Eulogy Pallbearers Phone/ Phone/ Phone/ Phone/ Phone/ Phone/ Additional Notes

5 Announcements The following Publications/Newspapers should be notified Public Announcement Information Spouse s If deceased, place and date of death Family to be listed (brothers, sisters, children, etc.) s (Include Spouses) Family Members & Relatives Children/Grandchildren/Relatives Education highlights Date of Marriage Religious, charitable, social, fraternal or lodge affiliations or special achievements you wish to mention 8 9

6 To Be Notified 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. Will & Important Documents Importance of a Will If you die without a Will, state law and the courts determine who will administer your estate, handle financial matters and act as guardian for your minor children. With a Will, you can choose. In some instances, joint ownership of property may not be a good substitute for a carefully drafted Will. As a result of a common accident, both you and your spouse may die before the survivor has had an opportunity to execute a proper Will. Your property will pass according to state law. The law is very exacting in its requirements with respect to the publications, signing and witnessing of Wills. It is recommended that this matter be handled by a competent attorney. Homemade Wills may not stand up in court. You should review your Will every few years, particularly if you have moved or your family situation has changed since you last executed a Will. State laws vary as to formal requirements and as to the rights of children and grandchildren born after a Will was executed. When you realize how much is at stake the well-being of your entire family and the protection of your property we believe that you will find that the attorney s fee for drafting your Will and planning your estate is a worthwhile investment. I have a Will Yes No Date of Will Location of Will Executor/Executrix: Prepared by (attorney) City Phone City Phone

7 Legal Documents Location of Papers and Documents Birth Certificate Marriage Certificate Stock Certificate(s) Bond Certificate(s) 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 Person(s) with access to it Additional Documents and their Location Insurance & Financial Information Location of Insurance & Financial Documents Life, Health and/or Accidental Insurance Policy of Company Type Policy Number Agent Beneficiary Checking Account of Company Account Number Saving Account of Company Account Number IRA, CDs, 401(k) and/or Additional Investments of Company Account Number Credit Cards of Company Account Number 12 13

8 Medical History This information may become very important for your spouse, children and grandchildren. It is also suggested that you keep an updated copy of your medical records for your family, as physicians often ask for it. I have had a treatment for Cancer Tuberculosis Kidney Disorder Diabetes Circulatory Problems Heart Other Other I am allergic to the follow drugs Physician Phone # I am an Organ Donor Yes No Additional Remarks Burial and Cremation Plans Whether you choose burial or cremation, Dignity Memorial providers offer three distinctive plans to fit every taste and budget. Whether you choose a Tribute, Honor or Heritage Plan, you are assured to receive the highest care and attention from the Dignity Memorial team of professionals. Burial Plans Each Burial Plan Includes 1 : Traditional Funeral Service Graveside Service Hearse Memorial Stationery Outer Burial Container (optional) 24-Hour Compassion Helpline Tribute Casket from the Tribute Collection Floral Selction Honor Casket from the Honor Collection Large Floral Selection Use of car and driver for immediate family Heritage Casket from the Heritage Collection Deluxe Floral Selection Use of car and driver for immediate family Omnilaw Legal Plans Visitation (one day) Service Vehicle(s) Your Choice of Plan Casket Floral Selection Aftercare Planner Everlasting Memorial Whichever plan you select, you have a choice of a quality wood or metal casket. Visit us online for a complete list of available products for each plan. 1 Plans and pricing vary by location. Cremation plans on next page

9 Burial and Cremation Plans (cont.) Cremation Plans 1 Each Cremation Plan Includes : Service Vehicle Cremation Casket/Container Memorial Stationery Aftercare Planner 24-Hour Compassion Helpline Tribute Private Family Gathering Floral Selction Tribute Cremation Container Honor Private Family Gathering Large Floral Selction Honor Cremation Container Memorial Service Heritage Service of Choice Deluxe Floral Selction Heritage Ceremonial Casket Use of car and driver for immediate family. Omnilaw Legal Plans Crematory Fee Memorial Urn Selection Floral Selection Everlasting Memorial Personal Requests Please list all family heirlooms and items of sentimental value below Article Beneficiary Items of financial value should also be recorded and addressed in a Will for legal assuredness. Special Thoughts I Would Like To Share With My Family Whichever plan you select, you have a choice of a quality wood or metal casket. Visit us online for a complete list of available products for each plan. 1 Plans and pricing vary by location

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13 This does not create a preneed funeral or cremation contract with Dignity Planning or a Dignity Memorial provider. Because there is no price guarantee, the merchandise and services will be provided at the retail prices in effect at the time of your death. 24 For questions or assistance in creating or changing your final

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