Obituary Announcement Template printable pdf download

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Obituary Announcement

Name of person providing information ____________________________________________________________________

Relationship to deceased ______________________________

Daytime phone No. _____________________________

Signature ______________________________________________________

Full name of deceased _________________________________________________________________________________

Age _______ City, State ______________________________________________________________________________

Date of death _________________

Date of birth ____________________

Parents’ names _______________________________________________ Survive (Y) (N)

Date and place of marriage _____________________________________________________________________________

Spouse’s maiden name, if applicable _______________________________ Survive (Y) (N)

If yes, where?________________________________________________________________________________________

If no, give date of death, if known _______________________________________________________________________

Other survivors, list by relationship/give town of residence ____________________________________________________

___________________________________________________________________________________________________

Names of any deceased children of the decendant ___________________________________________________________

___________________________________________________________________________________________________

Biographical information for deceased ____________________________________________________________________

___________________________________________________________________________________________________

Service information, including place of burial and officiating clergy _____________________________________________

___________________________________________________________________________________________________

Obituary Announcement Template