For the
SPLENDORs
Of LIFE
We thank thee LORD	For thy
RISING in
SPLENDOR
We praise thee	

My Funeral and Burial Wishes 
__________________________
Your Name

Trinity Lutheran Church
Moorhead, MN

My Funeral and Burial Wishes
To you whom I love:
In the spirit of the risen Lord and with the sure and certain hope of the fullness of life after death, it is my wish to spare you as much anxiety, expense and inconvenience as I can. These requests will help you carry out my wishes at the time of my death and are meant to be a reassurance to you in time of grief.
My signature below indicates my request that these wishes be faithfully implemented by my family and friends, as best they can:
Full Name:______________________________________________
__________First_____________Middle____________Last
Address:________________________________________________
Signature:_______________________________ Date:____________
When this booklet has been completed, please make copies for those who will be handling your funeral arrangements and have the original placed in your permanent file at the church office. You will note that each booklet is for one person's wishes only, married couples will each need to fill one out.
If you are interested in donating all or some of your bodily organs, please make that known when you renew your driver's license so that it can be stamped "Donor." If you are interested in preparing a "Living Will," you should make those arrangements. Inform others such as family members, hospitals, physicians, clergy, etc., of your wishes. After your death, it may be too late to carry out your wishes if these people have not already been informed of your intent to have your organs donated.

I request and authorize the following person(s) to see that the directives noted in this booklet are followed as fully as possible, and make additional necessary decisions concerning my funeral and burial service.

Kindly notify these persons as soon as possible at the time of my death.

Name_____________Address______________________Phone

Name_____________Address______________________Phone

Name_____________Address______________________Phone

Name_____________Address______________________Phone

Name_____________Address______________________Phone
My signed and executed last will and testament is located at:

A copy of my living will/health care declaration may be found at:

Social Security Number_____________________________________________________

Veterans Records__________________________________________________________
Identification Number______________________________________________________
VA Office to notify________________________________________________________
Location of discharge papers_________________________________________________
Pension benefits from employer - who should be notified?

Insurance Policies

Individual Retirement Accounts, Keogh Plans, etc. with the following institutions:

Safe Deposit Box__________________________________________________
Key location:_____________________________________________________
Bank Books and certificates__________________________________________
I have money deposits at the following places:

Personal Property insurance__________________________________________
Automobile insurance______________________________________________
Extra key for car located____________________________________________
Other important documents__________________________________________

To administer my estate I have appointed:______________________________

My attorney is____________________________________________________
In case my spouse and I should die at the same time, _______________ of ___________________ has/have consented to act as Guardians of our minor children.
I would like obituaries sent to the following publications:

Names of your parents:

Your birth date____________________________________________________
Your birthplace___________________________________________________
Names, addresses, relationship and phone numbers of relatives to be noted in obituary: (use additional paper if needed)

Other important dates (i.e. marriage, graduation):_________________________

Education:_______________________________________________________

Information about employment:______________________________________

Organizations, churches, special interests, honors and/or awards:

Making a last will and testament is one of your biggest responsibilities. If you die intestate, without a will, you may cause several difficult legal problems, additional expenses, and prolonged disputes between family members. Also, your property will be distributed to those relatives and in those proportions designated by the State.

My Funeral Service
The funeral home I request is ________________________________________
Type of casket ____________________________________________________
I desire the use of a pall on my casket (white cloth covering for the coffin)_____
I request a religious funeral service____________________________________
Church______________________ City____________________
            With afternoon ________ and/or evening _______________ reviewal
Service to be conducted by__________________________________________
Suggestions for organ music_________________________________________

Suggestions for hymns______________________________________________

Names of musicians________________________________________________

Scripture passages to be read_________________________________________

Prose/poetry______________________________________________________
Names of readers__________________________________________________
Favorite prayers to be offered________________________________________________

Active Pallbearers_________________________________________________

Honorary Pallbearers_______________________________________________

My body should be buried in __________________ Cemetery
I have a burial lot _____________ Number _________ Location________

Grave Marker_____________________________________________________

Memorial gifts can be sent to ________________________________________

Additional directives for my funeral and burial___________________________

I request only a memorial service _____________________________________
    At____________________________________________________________
I request only a graveside service _____________________________________
Please describe ___________________________________________________

I wish my body to be cremated _______________________________________
    The ashes to be present at the funeral service__________________________

In conclusion:
Everyone should fill out their own funeral booklet, including each spouse of a married couple. Please return the original to the church to be filed in your permanent file. It would be a good idea to have copies of the booklet made for those who will be planning your funeral. Send each person a copy or discuss it with them so they are aware that it exists, prior to your death. The name and address of the church is_______________________________.
Dear Lord,
Do you want me to think of dying? I think you do. But you have told us not be troubled, because you have gone on to prepare a room for us, and will come to get us when our time has come. Help me to think of death not so much as the end, but as the beginning of a wonderful life with you and with dear friends who already are with you. Amen.
Dr. Alvin Rogness
Additional notes or instructions to my loved ones: