PLANNING FORM - BRATTON FUNERAL HOME, YORK, SC

DECEASED INFORMATION

NAME OF DECEASED: AGE: BORN:

ADDRESS:
PLEASE INCLUDE CITY, STATE, ZIP

PLACE OF DEATH: DATE DIED:

PLACE OF DEATH:

FATHERS NAME: MOTHERS NAME:

TRADE OR PROFESSION: SS#:

BIOGRAPHICAL INFORMATION:

EDUCATION: VETERAN: YES NO    HISPANIC: YESNO

MEMBER OF CHURCH:

FAMILY INFORMATION

HUSBAND OR WIFE: Surviving Deceased Divorced Separated

SURVIVING PARENTS

FATHER's ADDRESS
MOTHER's ADDRESS

CHILDREN

NAME OF CHILD ADDRESS

BROTHERS AND SISTERS

NAME OF SIBLING ADDRESS

GRANDCHILDREN (Number): GREAT GRANDCHILDREN (Number): GREAT/GREAT GRANDCHILDREN (Number):

FUNERAL INFORMATION

FUNERAL SERVICE HELD AT: DAY AND TIME:

MINISTER:

LIE IN STATE:

ASSISTED:

CEMETERY:

DOCTOR: DOCTORS ADDRESS:

VISITATION:

MEMORIALS:

PALLBEARERS:

NAME OF PALLBEARER NAME OF HONORARY PALLBEARER

ORGANIST:
PIANIST:    
SOLOIST: