Final Wishes Planning Guide - Americo

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Final WishesPlanning GuideA personal guideCompliments of:Americo Financial Life and Annuity Insurance Company

To My FaMily and FriendsI am aware of the emotional upset one mayexperience at a time such as this. So that I may spareyou any additional unrest, I have prepared thisbooklet to help you with the planning and decisionmaking that must be done.Within these pages I have outlined my final wishes. Ihave specified the arrangements that should be madeand provided a list of those who should be informedof my passing.I have also provided a detailed list of all legal andfinancial information that will be needed whensettling my estate. I hope this somewhat lessens thedifficulties you may face upon my passing.1

Personal inForMaTionNameFirstMiddleLastSocial Security laceCityDate of birthStateCountryOccupationEmployerDate retired:Marital Status c Married c Single c Divorced c WidowedSpouse’s NameFather’s NameBirthplaceMother’s NameBirthplaceIf you are a Veteran, please complete this information:Service NumberName of WarBranchRankDate EnlistedDate DischargedLocation of original discharge papers2

Funeral requesTsFuneral DirectorName:AddressPhoneI want my funeral to be c Public c PrivateFuneral nNameAddressPhoneParticipating Organizations (i.e., military or other)3

Funeral requesTs honeNamePhoneNamePhoneSpecial Service RequestsFavorite Hymns/SongsClothing to be wornFlowers or ArrangementsDonations can be made to the following organizations4

Funeral requesTs (cont.)I expect expenses for a casket and Mortuary Service to totalapproximately and to consist of a:I would prefer: c Earth Burial c Cremation/Inurnmentc Mausoleum/Entombmentc Plot already purchasedc OtherType of casket:c Cloth Covered Casket (moderate cost)c Metal Casket (average selection)c Metal Sealer Casket (finest protection)Mortuary Service usually includes:î Charges of first call at hospital or homeî Preservation and preparationî Use of funeral coach/directorî Automobile for family and pallbearersî Use of mortuary chapel for service and musicCemeteryNameAddressPhoneFlag: c Folded c Draped c No flagPresented to:5

announceMenTsThe following Publications/Newspapers should be notifiedInformation to be contained in the Public AnnouncementSpouse’s NameIf deceased, place and date of deathFamily to be listed (brothers, sisters, children, etc.)Family Member Names (Include Spouses)RelationshipEducation highlightsDate of MarriageReligious, charitable, social, fraternal or lodge affiliations or specialachievements you wish to mention6

FaMily inForMaTionFatherFull NameAddressPhoneMotherFull NameAddressIf differentfrom abovePhoneFather-In-LawFull NameAddressPhoneMother-In-LawFull NameAddressIf differentfrom abovePhone7

FaMily inForMaTionList children’s names (If married, list spouse’s name andgrandchildren’s ressPhoneGrandchildren8

noTiFicaTionBy providing the names and addresses of people who are significant in mylife, I would like to ensure that these people will be notified of my onshipAddressPhone9

noTiFicaTion (cont.)By providing the names and addresses of people who are significant in mylife, I would like to ensure that these people will be notified of my onshipAddressPhone10

legal docuMenTs(location of papers and documents)Name of Estate ExecutorLast Will and TestamentBirth CertificateMarriage CertificateStock CertificatesBond CertificatesMilitary RecordsPassportTrust Fund InformationInsurance DocumentsAutomobile Insurance DocumentsHome Owners Insurance DocumentsMortgage PapersDeed to HouseCar Title or loansCitizenship Papers (if applicable)Income Tax InformationPasswords/PIN NumbersSafe Deposit Box Location(s) and Persons with access to it11

Financial inForMaTion(record of checking/savings accounts)Checking AccountsInstitution:Account NumberAddressInstitution:Account NumberAddressSavings AccountsInstitution:Account NumberAddressInstitution:Account NumberAddress12

Financial inForMaTion(record of credit card/ira accounts)IRA, CDs, 401(k), or Additional InvestmentsInstitution:Account NumberAddressInstitution:Account NumberAddressInstitution:Account NumberAddressInstitution:Account NumberAddressCredit CardsInstitution:Account NumberInstitution:Account NumberInstitution:Account Number13

legal(record of life/health and accidental insurance policies)Life, Health, and Accidental Insurance PoliciesInstitutionPolicy NumberAgentBeneficiaryInstitutionPolicy NumberAgentBeneficiaryInstitutionPolicy NumberAgentBeneficiaryInstitutionPolicy NumberAgentBeneficiaryRecord of other important documentsDocumentLocationDocumentLocation14

sPecial ThoughTs i Would like Toshare WiTh My FaMily15

addiTional inForMaTion16

addiTional inForMaTion17

Americo Financial Life and Annuity Insurance CompanyHome Office: Dallas, TexasAdministrative Office: PO BOX 410288, Kansas City, MO 64141-028807-157-1 (11/08) Americo

Funeral requesTs (cont.) I expect expenses for a casket and Mortuary Service to total approximately and to consist of a: I would prefer: cEarth Burial cCremation/Inurnment cMausoleum/Entombment cPlot already purchased cOther Type of casket: cCloth Covered Casket (moderate cost) cMetal Casket (av

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Annuity Insurance Company Administrative Services— Legacy Exclusive Americo Business PO Box 410288 Kansas City, MO 64141-0288 300 W. 11th Street Kansas City, MO 64105-1618 www.legacynet.com E-Mail: General status requests/New Business requirements: agent.services@americo.com Policyholder Services: customer.service@americo.com

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