IMPORTANT PERSONAL INFORMATION
Pastor: Jay M. Carlson
Church 612-729-8358
Holy Trinity Lutheran Church, 2730 East 31st Street, Minneapolis, MN 55406
Attorney:
Name: ________________________________________________
Address: _______________________________________________
Phone: ________________________________________________
Power of Attorney (Exercised During One's Life):
Name: ________________________________________________
Address: _______________________________________________
Phone: ________________________________________________
Personal Representative (Exercised Following One's Death):
Name: ________________________________________________
Address: _______________________________________________
Phone: ________________________________________________
Mortician:
Name: ________________________________________________
Address: _______________________________________________
Phone: ________________________________________________
Preference for Disposal of Body: _______________________________
Cemetery Plot Location:______________________________________
Social Security #: ___________________________________________
Location of Safety Deposit Box: ________________________________
Location of Account(s):
Checking: _____________________ Retirement: __________________
Savings: ______________________ Insurance: ___________________
Investments: ___________________ Will/Living Will: _______________
Preferences for Memorial/Funeral Service:
Hymns: ____________________________________________________
Scriptures: __________________________________________________
Other: ______________________________________________________
Arrangements to pay for funeral expenses: ___________________________
Memorial Preferences: __________________________________________