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Advance
Planning Guide
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| Bryan-Lee Funeral Home always strives to provide quality
service to meet the nedds of the families we are privileged to serve.
We firmly believe that the greatest service we provide to the community
is Advance Planning of funerals. It is a sure and certain way to diminish
the heartaches and difficulties involved in making those decisions
when death does occur. As a funeral home we are motivated to look
for the best possible options for out families. We are proud to present
Columbian Life Insurance to out families. Call for your advance planning
today. |
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| 1. |
Print Name (as you prefer to be called) ________________________________________
Full Legal Name (include maiden) ____________________________________________ |
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| 2. |
Address ________________________________________________________________
Do you live in the city limits? ________________________________________________
Are you Married, Widowed, Divorced, or Never Married? __________________________
Spouse's Name (include maiden) ____________________________________________
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| 3. |
Current Age _______________________ Date of Birth ___________________________
County of Birth _____________________ State of Birth __________________________
Social Security Number _______________ Nationality ____________________________
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| 4. |
Father's Full Name _______________________________________________________
Mother's Full Name (include maiden) _________________________________________
Are your parents living or deceased? _________________________________________
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| 5. |
How many years of formal education have you had? (0-17) ________________________
Occupation for most of your life. (Eg. homemaker, builder) ________________________
What type of business or line of work? (Eg. Police Officer) ________________________
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Are you a veteran? ___________________ Branch of Service ____________________
Where did your serve? ___________________________________________________
Any special awards or decorations? _________________________________________
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| 7. |
List information for your children:
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Name of Children
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Living or Deceased
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Child's Spouse
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City & State
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| 8. |
List information for your brothers and sisters:
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Name of Brother or Sister
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Living or Deceased
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Brother/Sister's Spouse
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City & State
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| 9. |
List information for your Grandchildren or Great-Grandchildren:
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Name of Individual
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Relationship
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Name of Individual
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Relationship
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| Please call any of our three locations to schedule your
Advance Planning appointment. We'll be glad to assist in any way we
can. |