Preplanning

Preplanning a service allows you to make decisions during a calm time. Making the many decisions needed to plan a funeral when the need arises can be a daunting task; the emotionally difficult time makes the planning more demanding than it otherwise would be.

Please contact us whenever you feel we may be of service. We have provided the following preplanning form for those who wish to begin their preplanning on-line. Complete as little or as much of the form as you like. We will contact you after you submit the form unless you check the box at the end of the form asking us not to contact you.

Personal Information


First Name:
Middle Name(s):
Last Name:
Telephone Number:
E-mail Address:
 
 
Address:
Town/City:
State:
Zip Code:
Date of Birth:
Place of Birth:
(city&state or County & state)
Marital Status:
Spouses Name:
(Maiden name and full name of wife or husband?s full name)
Occupation:
(for longest period during working life)
Social Security Number:
Father?s Full Name:
Mother?s Full Name:
(include her madien name)

Person who will be in charge of my funeral arrangements:


Name: 
Address: 
Town/City: 
State: 
Zip Code: 
Telephone Number: 


Military Information


Branch of Service:
Description of Service:
(Wars fought in, medals earned, military campaigns)
Veteran?s Service Number: 
Rank 
Location of Discharge Papers: 


Family Members


Spouse:
(Address and phone numbers)
Daughters:
(Hometowns and phone numbers)
Sons:
(Hometowns and phone pumbers)
Grandchildren:
(Hometowns and phone numbers)
Sisters:
(Hometowns and phone numbers)
Brothers:
(Hometowns and phone numbers)
Other Relatives:
(List relation, hometowns, and phone numbers)


My Funeral Service Preferences


Place of Service:
(Funeral Home, Church, Graveside, or other)

Clergy:
(Minister's hometown and phone number)


Type of Disposition: Burial
Entombment
Cremation
Other (Describe Below)


Cemetery Property Owned? Yes No
Name of Cemetery:
(Include: Location of Cemetery, City, & State)
Cemetery Preference:
(If property not owned, include location of cemetery, city & state)

Music Selections:
(Organ or piano background, live vocal,
or recorded music)
(If live vocal, include the vocalist,
and their phone number)
(List of songs)


Pallbearers or Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)


 
Lodge, Society, Fraternal Organization:
(List involvement and if you would
like an honor guard)


Flowers:

Memorial Contributions / Donations:

Obituary Information:

(List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)



Any information or special instructions not previously listed:




Please check as many of the following as apply.


Please contact me so that I may select my casket and vault in advance.
Please forward me a copy of my information for my records.
Please contact me if any of my submitted information needs clarification.
File my information for future reference at Scobee Funeral Home, but please do not contact me.
I would like to discuss my pre-payment options with no obligation, please contact me.


Contact Us

Scobee Funeral Home
219 West Lexington Ave.
P.O. Box 16
Winchester, KY 40391

Phone: (859) 744-2422
Fax: (859) 744-4904

Email:
info@scobeefuneralhome.com

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