Obituary Information Fact Sheet

Name of deceased: __________________________________
Age at death: _________
Location and date of death: __________________________________
Cause of death: __________________________________
Birthplace of deceased: __________________________________
Address of deceased: __________________________________
Length of time deceased lived in community: __________________________________
Religious affiliation or membership: __________________________________
High school, college, or graduate degrees: __________________________________
Professional degrees or affiliations: __________________________________
Military service: __________________________________
Profession: __________________________________
Interesting personal facts: __________________________________
Survived by: [Names of survivors—spouses, siblings, in-laws, children, grandchildren, etc—and their relationship to deceased] __________________________________
Predeceased by: [Names of spouses, siblings, and children who predeceased and when deaths occurred] __________________________________
Time and location of funeral arrangements and services: [often supplied by the funeral home] __________________________________
For further information contact: __________________________________