Preneed

We offer several different options for prearrangements. We offer prearrangements that can be prepaid but this is not a requirement. If a prearrangement is to be prepaid, we offer both Revocable or Irrevocable Trust. (An Irrevocable Trust is required for Medicaid Recipients).

We use NY Preplan as our trust company. NY Preplan is administered through the NYS Funeral Directors Association in Albany.

Please contact our office for a no obligation consultation or to have information mailed to you.

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Personal Information
Name (First Middle Last):    
Marital Status:    
Date of Birth:    
Place Of Birth:    
Address:
City: State:
County: Zip:
Phone: E-mail:
Spouse's Name: Spouse's Maiden Name:
Place of Marriage: Date of Marriage:
Father's Name: Mother's Name:
Mother's Maiden Name:    
Informant:    
Address:    
Phone:    
Work/Education History
Education (0-12): College 1-5+:
Occupation:
Business: Company:
Military Record>
Branch of Service: Serial Number:
Date Enlisted: Rank At Discharge:
Date Discharged: Discharge On File At:
Participated in Wars
Funeral Service Request
Place Of Service:    
Funeral Home:
Address:
Phone:    
Place of Visitation:
Religious Denomination:
Place Of Worship:
Newspaper Information
 

Please list family members

  
Children:
Brothers/Sisters:
Number of Grandchildren:    
List any other significant relatives:
Special Instructions
Organizations: 1.
2.
3.
Jewelry:
Glasses:
Person in Charge of Arrangements:
Other Instructions
 
Memorials/Donations To Charity