Lima Street Continuum

Prepare your own WILL, see sample.

 

 

Final Wishes Planning Guide, A Personal Guide*

*NOTE: Add and/or subtract as many topics and/or lines as needed.

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Compliments of:

The Lima Street Continuum

Aurora, Colorado 80010-4145

WS: www.neighborhoodlink.com/Lima_Street

EM: limastreetcontinuum@gmail.com

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Mission Statement

 

The Lima Street Continuum, hereinafter Lima Street, is a non-profit entity that considers its community a place in the hearts, mind and hopes of those who live here and is dedicated to fostering a safe and vital community where its peoples live, work, play and raise families. Inclusive in this, Lima Street also believes that in order for a community to be strong, it has to recognize and value all of its members. Further, communities are about connections and commitments, thus Lima Street is committed to programs that bring tolerance, gender acceptance, age and/or physical challenges to the fore. Overall Lima Street seeks to cooperatively embrace, widen and enhance the common good and sense of all its residents via mutual interaction and cooperation. Lima Street with input from YOU plans to advance into the future while partnering with the City of Aurora, Arapahoe County and other entities in efforts to enhance the values of its community.

 

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To My Family and Friends

 

I am aware of the emotional upset one may experience at a time such as this. So that I may spare you any additional unrest, I have prepared this document to help you with the planning and decision-making that must be done.

 

Within these pages I have outlined my final wishes. I have specified the arrangements that should be made and provided a list of those who should be informed of my passing.

 

I have also provided a detailed list of all legal and financial information that will be needed when settling my estate. I hope this somewhat lessens the difficulties you may face upon my passing.

 

Personal Information:

Name:

 

First _________________________________________________

 

Middle _______________________________________________

 

Last _________________________________________________

 

AKA:_________________________________________________

 

 

Address:

 

Street: ________________________________________________

 

City ________________________ County___________________

 

State/Zip ____________________

 

Phone(s) __________________________________

 

__________________________________

 

__________________________________

 

 

Birthplace:

 

City _____________________________ State __________________________

 

Date of birth ______________________ Country ________________________

 

 

Occupation________________________ Date retired_____________________

 

Employer ________________________________________________________

 

 

Martial Status:

 

Married__ Single__ Divorced__ Widowed__

 

Spouse’s Name ___________________________________________________

 

Father’s Name ____________________________________________________

 

Birthplace _______________________________________________________

 

Mother’s Name ___________________________________________________

 

Birthplace _______________________________________________________

 

 

Veterans, complete this information:

 

Service Number _____________________ Name of War _________________

 

Branch ____________________________ Rank ________________________

 

Date Enlisted________________________ Date Discharged _______________

 

Location of original discharge papers __________________________________

 

 

Funeral Request:

 

Funeral Director:  VA   ___Yes ___No        Leave everything to the Department of Veterans Affairs and/or their designee.

 

I/We are organ donators, contact the necessary agency(ies) for donations of organs.

 

 

Funeral Director

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

__________________________________________________________

 

__________________________________________________________

 

Phone ___________________________________________________________

 

I want my funeral to be Public __ Private ___

 

 

Funeral Home

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

__________________________________________________________

 

Phone __________________________________________________________

 

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Church

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

__________________________________________________________

 

Phone __________________________________________________________

 

 

Clergyman/woman

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

__________________________________________________________

 

Phone __________________________________________________________

 

 

Participating Organizations (i.e, military or other):

 

Names:

 

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Pallbearers

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

__________________________________________________________

 

Phone __________________________________________________________

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Special Service Requests:

 

Favorite Songs/Hymns:

 

Clothing to be worn:

 

Flower or Arrangements:

 

Donations can be made to the following organization:

 

 

 

I expect expenses for a casket and Mortuary Service to total approximatel $______________           and consist of the following:

 

I would prefer Earth Burial ___ Cremation/Internment __

Mausoleum/Entombment ___ Plot already purchased ___

 

Other _______________________________________

 

Type of casket:

 

Cloth Covered (moderate cost) __ Metal (average selection) __

 

Metal Sealer (finest protection) __

 

 

Mortuary Service, if necessary, usually include:

 

Charges of first call at hospital/home

 

Preservation and preparation

 

Use of funeral coach/director

 

Auto for family and pallbearers

 

Use of mortuary chapel for service and music

 

 

Cemetery:

 

Name ___________________________________________________________

 

Address _________________________________________________________

 

__________________________________________________________

 

Phone __________________________________________________________

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Flag:

Folded ___ Draped ___ No flag ___

Presented to: _____________________________________________________

 

Announcements:

 

The following publications/newspapers should be notified

 

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Information to be listed in the Public Announcement

 

Spouse’s Name ___________________________________________________

 

If 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 affiliation or special achievements you wish to mention

 

___________________________________________________________

 

___________________________________________________________

 

Family Information:

 

Father

 

Full Name ________________________________________________________

 

Address __________________________________________________________

 

___________________________________________________________

 

Phone ___________________________________________________________

 

Mother

 

Full Name ________________________________________________________

 

Address __________________________________________________________

 

___________________________________________________________

 

Phone ___________________________________________________________

 

Father-In-Law

 

Full Name ________________________________________________________

 

Address __________________________________________________________

 

___________________________________________________________

 

Phone ___________________________________________________________

 

Mother-In-Law

 

Full Name ________________________________________________________

 

Address __________________________________________________________

 

___________________________________________________________

 

Phone ___________________________________________________________

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List children’s names (if married, list spouses’s name and grandchildren’s names)

 

Full Name ________________________________________________________

 

Address __________________________________________________________

 

___________________________________________________________

 

Phone ___________________________________________________________

 

Grandchildren _____________________________________________________

 

Notification:

 

By providing the names and addresses of people who are significant in my life, I would like to ensure that they will be notified of my departure.

 

Full Name ________________________________________________________

 

Relationship _______________________________________________________

 

Address __________________________________________________________

 

___________________________________________________________

 

Phone ___________________________________________________________

 

 

Legal Documents:

 

 

Last Will and Testament Yes ___ No ___

 

Name of Executor Yes ___ No ___

 

Full Name __________________________________________________

 

Address ____________________________________________________

 

____________________________________________________

Phone _____________________________________________________

 

Birth Certificate Yes ___ No ___ Where _______________________

 

Citizenship Papers (if applicable) _____________________________________

 

 

Military Records Yes __ No __ Where _________________

 

 

Passport _________________________________________________________

 

 

Stock Certificates __________________________________________________

 

Bond Certificates __________________________________________________

 

Trust Fund Information ______________________________________________

 

Insurance Documents, personal _______________________________________

 

Auto/Truck/Van Insurance Documents _________________________________

 

Vehicle Titles or Loans ______________________________________________

 

Home Owners Insurance Documents ___________________________________

 

Mortgage Papers ___________________________________________________

 

Deed to Property ___________________________________________________

 

Income Tax Information _____________________________________________

 

Safe Deposit Box Location(s) and Persons with access to it/them

 

___________________________________________________________

 

___________________________________________________________

 

Website(s) (Personal and/or Business: Locations, Usernames, Passwords/PIN Numbers)

 

Location _______________ Username ________________ Password_______________

 

E-Mail(s) (Personal and/or Business: Locations, Usernames, Passwords/PIN Numbers)

 

Location _______________ Username ________________ Password_______________

 

 

Financial Information:

 

Checking Accounts

 

Institution ___________________________________________________

 

Account Number _____________________________________________

 

Address ____________________________________________________

 

_____________________________________________________

 

Saving Accounts

 

Institution ___________________________________________________

 

Account Number _____________________________________________

 

Address ____________________________________________________

 

_____________________________________________________

 

IRAs, CDs and/or Additional Investments

 

Institution ___________________________________________________

 

Account Number _____________________________________________

 

Address ____________________________________________________

 

_____________________________________________________

 

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Legal:

(Records of Life/Health, Accidental, etc Insurance Policies)

 

Institution ___________________________________________________

Policy/Account Number ________________________________________

 

Agent ______________________________________________________

 

Beneficiary __________________________________________________

 

Address _____________________________________________________

 

_____________________________________________________

 

Special Thoughts I Would Like to Share With My Family:

 

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Additional Information:

 

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* NOTE: Add and/or subtract as many topics and/or lines as needed.