final wishes planning guide - americo · within these pages i have outlined my final wishes. i have...
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Compliments of:
Americo Financial Life and Annuity Insurance Company
A personal guide
Final WishesPlanning Guide
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To My FaMily and Friends
I am aware of the emotional upset one mayexperience at a time such as this. So that I may spareyou any additional unrest, I have prepared thisbooklet to help you with the planning and decision-making that must be done.
Within these pages I have outlined my final wishes. Ihave specified the arrangements that should be madeand provided a list of those who should be informedof my passing.
I have also provided a detailed list of all legal andfinancial information that will be needed when settling my estate. I hope this somewhat lessens thedifficulties you may face upon my passing.
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Personal inForMaTion
NameFirst Middle Last Social Security Number
Address:Street City CountyState/ZIP Phone
BirthplaceCity State Date of birth Country
Occupation Date retired: Employer
Marital Status cMarried c Single cDivorced cWidowed 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
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NameFirst Middle Last Social Security Number
Address:Street City CountyState/ZIP Phone
BirthplaceCity State Date of birth Country
Occupation Date retired: Employer
Marital Status cMarried c Single cDivorced cWidowed 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
Funeral requesTs
Funeral DirectorName: Address
Phone
I want my funeral to be c Public c Private
Funeral Home Name Address
Phone
Church Name Address
Phone
Clergyman Name Address
Phone
Participating Organizations (i.e., military or other)
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Funeral requesTs (cont.)
PallbearersName Phone
Name Phone
Name Phone
Name Phone
Name Phone
Name Phone
Special Service Requests
Favorite Hymns/Songs
Clothing to be worn
Flowers or Arrangements
Donations can be made to the following organizations
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Funeral requesTs (cont.)
I expect expenses for a casket and Mortuary Service to total approximately $ and to consist of a:
I would prefer: cEarth Burial cCremation/Inurnment cMausoleum/Entombment c Plot already purchasedcOther
Type of casket:cCloth Covered Casket (moderate cost) cMetal Casket (average selection) cMetal Sealer Casket (finest protection)
Mortuary Service usually includes:î Charges of first call at hospital or homeî Preservation and preparationî Use of funeral coach/directorî Automobile for family and pallbearersî Use of mortuary chapel for service and music
Cemetery Name Address
Phone
Flag: c Folded cDraped cNo flagPresented to:
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announceMenTs
The following Publications/Newspapers should be notified
Information to be contained in the Public AnnouncementSpouse’s NameIf deceased, place and date of death
Family to be listed (brothers, sisters, children, etc.)
Family Member Names (Include Spouses) Relationship
Education highlights Date of Marriage Religious, charitable, social, fraternal or lodge affiliations or specialachievements you wish to mention
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FaMily inForMaTion
Father Full Name Address
Phone
Mother Full Name Address
Phone
Father-In-Law Full NameAddress
Phone
Mother-In-Law Full NameAddress
Phone
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If different
from above
If different
from above
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FaMily inForMaTion
List children’s names (If married, list spouse’s name and grandchildren’s names)
NameAddress
PhoneGrandchildren
NameAddress
PhoneGrandchildren
NameAddress
PhoneGrandchildren
NameAddress
PhoneGrandchildren
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noTiFicaTion
By providing the names and addresses of people who are significant in mylife, I would like to ensure that these people will be notified of my death.
Name Relationship Address
Phone
Name Relationship Address
Phone
Name Relationship Address
Phone
Name Relationship Address
Phone
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noTiFicaTion (cont.)
By providing the names and addresses of people who are significant in mylife, I would like to ensure that these people will be notified of my death.
Name Relationship Address
Phone
Name Relationship Address
Phone
Name Relationship Address
Phone
Name Relationship Address
Phone
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Name of Estate Executor
Last Will and Testament
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
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legal docuMenTs
(location of papers and documents)
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Financial inForMaTion
(record of checking/savings accounts)
Checking Accounts
Institution:Account Number Address
Institution:Account Number Address
Savings AccountsInstitution:Account Number Address
Institution:Account Number Address
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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
Credit CardsInstitution:Account Number
Institution:Account Number
Institution:Account Number
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legal
(record of life/health and accidental insurance policies)
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
DocumentLocation
DocumentLocation
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sPecial ThoughTs i Would like To
share WiTh My FaMily
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addiTional inForMaTion
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addiTional inForMaTion
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Americo Financial Life and Annuity Insurance CompanyHome Office: Dallas, Texas
Administrative Office: PO BOX 410288, Kansas City, MO 64141-0288
07-157-1 (11/08) © Americo
A personal guide