LETTER OF LAST INSTRUCTIONS

 

I,                                             , have written this letter of last instructions to indicate my personal preferences regarding funeral and burial.

 

1.               Anatomical donations or organ donation.

                                                                                                      

 

2.               Location of the will and name of the executor or executrix.

                                                                                                      

                                                                                                      

 

3.     Instructions regarding funeral and burial.

Funeral Director:                                                                    

        Clergy:                                                                                   

        Visitation/Viewing:                                                                

        Disposition of Body:                                                              

        Music:                                                                                    

        Flowers:                                                                                 

        Pallbearers:                                                                            

        Casket/outer enclosure:                                                         

        Clothing:                                                                                

        Cemetery location:                                                                 

Grave number            Lot            Section         Block        

        Obituary location:                                                                   

Special instructions:                                                               

 

4.     Location of birth or baptismal certificates, social security card, marriage or divorce certificates, naturalization and citizenship papers, and discharge papers from the Armed Forces.

                                                                                                      

                                                                                                      

 

5.     Location of membership certificates in lodges, fraternal organizations, or Native corporations which may provide death or cemetery benefits.

                                                                                                      

                                                                                                      

6.     Location of safe deposit boxes and the keys.

                                                                                                      

                                                                                                      

 

7.     List and location of all insurance policies.

                                                                                                      

                                                                                                      

 

8.     List of pension systems which may allow death benefits, for example Social Security Administration, Veterans Administration, government or state pension programs, railroad retirement, and other retirements.

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

 

9.     List and location of all bank, saving, or credit union accounts.

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

 

10.   List and location of all stocks and bonds.

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

 

11.   List of all real property – personal, business, or other.  Include land, houses, vehicle, recreational equipment, heirlooms, etc.

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

 

12.   Instructions concerning all businesses, if any.

                                                                                                      

                                                                                                      

13.   An explanatory statement of action taken in the will, if desired.

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

 

14.   List of advisors and their addresses:  executor of estate, lawyer, life insurance underwriter, accountant, investment counselor, physicians, preferred funeral director, business partners, clergy, etc.

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                                      

 

15.   Personal Information:

Full Name:                                    Maiden Name:                   

Telephone: (       )                          Marital Status:                   

Address:                                                                                 

Social Security:                              Birth Date:                         

Schools and Colleges Attended:                                              

                                                                                              

                                                                                                      

Honors Awarded:                                                                   

                                                                                              

        Employers and Positions Held:                                               

                                                                                                                               

Immediate Family Members:

Name  Address    Relationship   Place and Dateof Birth

                                                                                                      

                                                                                                      

                                                                                                      

                                                                                              

                                                                          s                  

 

Enclosed in envelope marked “TO BE OPENED IMMEDIATELY IN THE EVENT OF MY DEATH”, place with other important papers, and give copies to family members.  DO NOT place in a safe deposit box.