my death wish list - after death...
TRANSCRIPT
Where I have placed my will:
My Death Wish List - After Death Guide
Organ Donor Foundation/Tissue Bank/Medical School
Living Will:
Guardianship of Children:
Full name:
ID number:
Arrangements for organ/tissue/body donation have already been made with:
Organ/tissue donation / entire body for research:
Where I keep my ID Card/ID Book:
I am providing the following information to close friends and relatives to assist with the
handling of my affairs in the event of my death.
My Pet's Needs:
Personal Details
Please make an announcement of my death on facebook/twitter/whatsapp/other, e.g. notify
my old high school facebook page:
Name: Relationship to me Contact details, tel/e-mail
Friends, relatives, neighbours and colleagues to be contacted in the event of my death:
Payment for funeral:
Funeral Details
If more than one funeral policy, provide details:
Requests regarding burial / cremation / placement of ashes
Provide cemetery name, address, contact details and plot number:
Name of burial scheme/funeral insurance:
Financial Institution where policy is held:
Policy number:
If you own a burial plot or mausoleum / ash niche, where is the deed kept?
Name and address of preferred cemetery / memorial park:
* Duplicate this page to add more names and contact details - for a funeral guest list *
If you prefer a specific type of coffin - provide details:
What I want done with my ashes: interned / memorial wall / buried with spouse or child /
kept at home / planted with a tree / scattered...
Ash details and final resting place:
Preferred funeral home / funeral director:
7. Name
Contact details:
8. Name
4. Name
Contact details:
5. Name
Contact details:
6. Name
Contact details:
1. Name:
Contact details:
2. Name
Contact details:
3. Name
Contact details:
I would like the following people to act as pallbearers:
Contact details:
10. Name
Contact details:
I wish to be dressed in:
I prefer not to have a formal service, but rather…
I would like the ceremony to be at my place of worship / retirement village / family home /
graveside / crematorium / funeral venue - provide details:
I wish to have an open casket / closed casket / no coffin present:
9. Name
Contact details:
I want my funeral / end of life ceremony to be religious / secular, provide details:
I want the service to be run by a particular speaker/minister/priest/imam/rabbi/other:
Prayers:
I wish to be buried / cremated with (favourite possession):
I have the following preferences:
Readings:
Music:
My favourite song is:
Eulogy Notes (to help with a eulogy speech)
My philosophy / causes I strongly believe in:
Milestones in my life:
I want the following to be written on my ash niche / tombstone / grave marker:
People I want to thank, my favourite things, what I love most, what I live for:
The Executor of my estate is:
E-mail: Tel:
E-mail:
Funniest moments:
* Add another page if you wish to expand on any of these items, or add a special message
that you would like to be read at your end of life ceremony *
Tel:
If my executor is unable or unwilling to carry out their duties, I nominate the following
person/people: (whatever is written in my last will - shall override this document)
Estate Information
Name: ID Number:
Name: ID Number:
Preferred estate attorney - name:
Financial Details:
E-mail: Tel:
Income Tax Number:
Accountant name:
Accountant e-mail:
All the information you provide in this section will be an enormous help to your executor. It
will enable them to wind up your estate easily and timeously.
Tel:
Account number: Tel:
Credit Card - name of financial institution
Card number: Tel:
Account number: Tel:
1. Primary residential property details, home loan / bond / mortgage - financial institution
name:
Erf number:
Banking details:
Name of bank: Type of account:
Primary residential property address:
If bonded the bank holds the deed, if not, state where the deed is kept:
Erf number:
Details of rates / electricity / body corporate / managing agents accounts:
Account details:
2. Secondary / additional property details, home loan / bond / mortgage - financial
institution name:
Account number:
Account number: Tel:
Deed in the name of:
Account details:
Account number: Tel:
Tel:
Account details:
Account number: Tel:
Details of rates / electricity / body corporate / managing agents accounts:
Account details:
If bonded the bank holds the deed, if not, state where the deed is kept:
Property address:
Account number
Account number: Tel:
List of additional bank accounts / investments / retirement plans / car, home, life insurance /
unit trusts / shares / offshore accounts / trusts / hire purchase agreements / car loans / any
debts owed to others. Remember to include your broker / investment advisor / trust
administrators contact details (for your executor) in the spaces provided.
1. Financial institution:
Type of account: Account number
Contact name: Tel:
2. Financial institution:
Type of account:
Deed in the name of:
Contact name: Tel:
3. Financial institution:
Type of account: Account number
Contact name: Tel:
4. Financial institution:
Account number:
Service provided:
List of accounts to be paid up and services to be discontinued. Example of services: medical
aid /telephone accounts / internet service provider / security services / television
subscription services (DStv) / gardening services / clothing accounts / post office box / other
Account number:
Service provided:
Account number:
1. Name of business: Tel:
2. Name of business: Tel:
Service provided:
3. Name of business: Tel:
Type of account: Account number
Contact name: Tel:
5. Financial institution:
Tel:
Type of account: Account number
Contact name: Tel:
6. Financial institution:
Type of account: Account number
Contact name: Tel:
7. Financial institution:
Type of account: Account number
Contact name:
Business address:
Your managers name:
Details of Holiday Club or Timeshare
Reference/account/week number:
Tel:
Resort: Tel:
Service provided:
Account number:
Account number:
4. Name of business: Tel:
Reference/account/week number:
1. Details of income source/ business name:
Business address:
Company name:
Your title / designation:
E-mail address: Tel:
If you have other sources of income, for example, agent or tenants details for rental income /
websites / affiliate advertising / payments from Google ads account / debts owed to you by
others / other employers if employed in more than one place.
Your function / designation:
Employment details
5. Name of business: Tel:
Service provided:
Resort:
Notes:
1. Full Name: Tel:
ID Number: UIF Number:
Notes:
2. Full Name: Tel:
ID Number: UIF Number:
3. Details of income source/ business name:
Contact name: Tel:
4. Details of income source/ business name:
Business address:
Your function / designation:
Contact name: Tel:
Domestic Employee's details / contracts / UIF, etc
Business address:
Your function / designation:
Your function / designation:
2. Details of income source/ business name:
Contact name: Tel:
Business address:
Contact name: Tel:
Password for computer:
Where I keep other necessary passwords to websites, etc:
Firearm details:
Location of firearm licenses:
Contact details of administrators who have access to your websites/Google account…
Password for tablet:
Password for phone:
Safety deposit box:
Access to safe:
Access to + location of important items
Access to home (keys/alarm code):
Car keys:
Important documents:
www.funeralguide.co.za
Date:
I give my sincerest thanks to those special people in my life that I have been able to trust
with this information. May your continued journey on this earth plain be filled with
inspiration, prosperity and love.
Name:
Signature:
Any other items that have not been mentioned in this list, business agreements, contracts,
partnership agreements, ante nuptial contracts, divorce agreements, hiring / letting
contracts, hidden treasures / where the gold is buried: