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Turcotte-Piper Mortuary
EASY FUNERAL PRE-PLANNING FORM
 

To be placed in the permanent files of Turcotte-Piper Mortuary.
*Require fields

Person Completing this Form*:
Relationship*:
Email*:
 
Pre-arrangement Guide For
Full Legal Name*:
(no initials please)
Address:
(no P.O. Box)
City:
State:
Zip:
Date of Birth:
(mm/dd/yyyy)
Place of Birth:
Father's Full Name:
Mother's Full Maiden Name:
Highest Level of Education Completed:
Degree:
Veteran: Yes No
Military Branch:
Dates of Service:
Occupation:
Spouse's Full Name:
(Wife's maiden name, if applicable)
Religious Affiliation/Congregation:
 
Family Member Information

Family Member #1

 
Funeral Arrangement Details
Person in charge of arrangements:
 
Place of service or gathering:
If Other, please specify:

 

Preference for final disposition:
If Other, please specify:
Cemetery:
Disposition of cremated body:
 

In the space provided below, please share any information that would be helpful in creating a meaningful service. (ie. favorite hobbies, places, music selections, poems, scripture, etc.)

Any final thoughts that should be shared?

 

Do you wish to be contacted to discuss the details
of these arrangements, cost or payment options? Yes No

If yes, how should we contact you:
Phone Number:

If no, we will keep this information on file until you or your surviving family requests it.

  security code
Enter Security Code:

 

NOTE:
Texas law requires sellers of prepaid funeral contracts to hold a permit issued by the Texas Department of Banking. For additional information regarding prepaid funeral contracts, go to the website located at: www.prepaidfunerals.texas.gov.

Wash Thomas
Born: 8/10/1924
Died: 10/14/2017
Delia Lerma
Born: 7/18/1939
Died: 10/13/2017
Edward Bahn
Born: 10/20/1925
Died: 10/10/2017
Alvin Guyette
Born: 2/13/1947
Died: 10/6/2017
Angela Mata
Born: 10/9/1967
Died: 10/6/2017
Melissa Harper
Born: 4/3/1991
Died: 10/6/2017
Julio Hernandez
Born: 12/28/2016
Died: 10/1/2017
George Meyer
Died: 9/28/2017
Gracie Chapa
Born: 11/6/1962
Died: 9/21/2017

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Turcotte-Piper Mortuary | 205 General Cavazos Blvd | Kingsville, TX 78363 | 361-592-9394
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