Obituary Form

First Name

Middle Name

Last Name

Other Names

Date of Birth

Place of Birth

Date of Death

Fathers FULL Name

Mothers FULL Name

Grew Up Where

High School

College

Degrees

Honors

Military Service (including rank and war served in, if any, and where stationed)

Career History

Memberships in civic and fraternal organizations and clubs (including offices held)

Church - Religious affiliations

Hobbies and other activities

Marriage(s)

Date of Marriage

Funny or Interesting Stories

Survivors in the following order: spouse, children, grandchildren, great-grandchildren (and so on), parents, grandparents, brothers, sisters, nephews, nieces, cousins, friends

Family and friends previously deceased

Memorial Funds or other requests Just the name, we’ll provide the addresses

Miscellaneous informationincluding thanking caregivers, etc.

Visit www.prepaidfunerals.texas.gov for information relating to the purchase of pre-need funeral contracts including descriptions of the trust and insurance funding options available under state law.

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