Personal Record

PERSONAL INFORMATION
(for registration of death)

Listed below you will find vital details that your survivors will need to know at your death. A few minutes spent filling them in now, can save your relatives or friends hours (perhaps even days or weeks) of needless searching and worry. Print this out and keep in a safe place.

Family name:
Christian name(s):
Usual residence:
Postcode:
Telephone Number:
Sex:
Date of birth:
Place of birth:
Period of residence in Australia:
Usual occupation (during working life): If pensioner, give details - type & number:
Current marital status:
Name of Spouse 1st
Spouse 2nd
Spouse 3rd
Age at date of marriage: 1st
Age at date of marriage: 2nd
Age at date of marriage: 3rd
Children:living males
Children:deceased males
Children:living females
Children: deceased females
Parents:Father:
Parents:Mother:
Parents:Mothers Maiden Name:
Funeral preferences:
Religion:
Church or Chapel, give details:
Minister/Celebrant:
Name of funeral firm:
Address:
Pre-arranged Pre-paid
Total monies paid:
Account number:
Location of related documents:
Existing grave or cremation deeds:
If yes, give details
People to contact: Name: 4 Next of kin Address:
Phone:
Relationship:
Estate details
These details will assist those charged with the responsibility of administrating your affairs at some stage in the future.
Solicitor:
Will in storage at:
Executor:
Bank or building society accounts:
Mortgage: Hire Purchase agreements:Bankcard or credit cards: Health benefit and medical insurance:
Details of assurance & insurance policies (eg. life, car, home, contents, etc.)
Superannuation:Other assets:

 


Turnbull Family Funerals
71 Letitia Street, North Hobart
Email: info@familyfunerls.com.au

Tel: 03 6234 4711 - 24 hours Fax: 03 6231 1210