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End-of-Life Task Team - Fairbanks, Alaska Helping our community learn about death, prepare for death, and cope with end of life issues. |
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EXAMPLE OF A LETTER OF LAST INSTRUCTIONS I, Jane Marie Doe , have written this letter of last instructions to indicate my personal preferences regarding funeral and burial. 1. Anatomical donations or organ donation. See donor card in wallet 2. Location of the will and name of the executor or executrix. Safety deposit box at Key Bank #1039A: Executor Marion Glass 3. Instructions regarding funeral and burial. Funeral Director: Alaska Memorial Chapel Cicely, Mark Hall Clergy: Reverend Gary Smith Visitation/Viewing: One evening viewing for family and close friends Disposition of Body: Cremation & ashes buried on home property Music: You are My Sunshine, Amazing Grace Flowers: Wildflower baskets if in season Pallbearers: Gary Mears, Gordon Wallace, Steven Carr, Leonard Doe, Eric Masic, Scott & Milton Hurley Casket/outer enclosure: Simple homemade urn Clothing: Clothes in bedroom closet in box marked funeral Cemetery location: Northwest corner of property on Alaska 70 Grave number ____ Lot ____ Section ____ Block ____ Special instructions: Area marked on deed, marker from VA Obituary location: Draft in safe in den 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. All located in safe in den. Army discharge, marriage and birth certificates are at Cicely clerk office and in safe deposit box at Key Bank. 5. Location of membership certificates in lodges, fraternal organizations, or Native corporations which may provide death or cemetery benefits. Member at American Legion Post #69 6. Location of safe deposit boxes and the keys. Safe despot box at Key Bank #1039A. Key with manager and in safe in den. 7. List and location of all insurance policies. All insurance policies in safe deposit box with copies in den safe. 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. Social Security, Veterans Administration, employer pension plan. 9. List and location of all bank, saving, or credit union accounts. Key Bank #45763289 savings: National Bank of Alaska #124345098 checking and savings: USA Alaska Credit Union #19283746 saving and business accounts. 10. List and location of all stocks and bonds. Prudential Equity & Growth: Fidelity Aggressive Mngr & Contra: TCT Growth: American Funds Group: Mutual of America located in den safe. 11. List of all real property personal, business, or other. Include land, houses, vehicle, recreational equipment, heirlooms, etc. Twenty acres in Vermont. Five acres at Alaska Way in Cicely. Ten acres at Burns Creek in Fairbanks: 4-wheeler, Arctic Cat and Polaris Sno-Gos. Cessna 172 float plane: Chevy 4-wheel truck, 1990 Subaru GL. 12. Instructions concerning all businesses, if any. Partnership contract located with records in den safe. 13. An explanatory statement of action taken in the will, if desired. All funds are placed in an educational loan trust for siblings, and their descendants. 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. Lawyer Jim Miller; life insurance Steven Copus; executor and education trustee Marion Glass; accountant Mike Cost; investment counselor Gordon Kall; business partner Jake Booksey. 15. Personal Information: Full Name: Jane Marie Doe Maiden Name: Dear Telephone: (907) 888-2901 Marital Status: Widow Address: 211 Alaska Way, Cicely, Alaska 99999 Social Security: 889-32-7654 Birth Date: 2/11/15 Schools and Colleges Attended: Lathrop High School, Fairbanks. University of Alaska, Fairbanks. Honors Awarded: Who Among American Students 1934: Honorary Doctorate of Humanities University of Alaska Fairbanks 1967 Employers and Positions Held: Sprague Electric 1935-45: Gough Memorial Hospital 1950-1969: Cicely Health Clinic 1970-1980. Immediate Family Members: Name Address Relationship Date & Place of Birth Ralph B. Doe Cicely, AK brother 4/17/20 Vermont Marie Anne Doe Northfield, VT sister 11/10/17 Vermont Steven C. Doe Rome, NH son 12/31/45 Alaska A copy of the individuals prewritten obituary may be included. If more space is needed, additional pages may be added. |
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Last updated:
01/13/2006 |