Northcutt & Son
Home for Funerals

Preplanning

Preplanning is "the option that relives the burden from your family."

One of the most loving, caring things that an individual can do is complete details and information in regard to preplanning.

Advantages of Planning Your Funeral Arrangements

  • allows you to express your wishes in every aspect of the funeral service.
  • relieves your family from the emotional strain of making difficult decisions at a time of emergency.
  • gives you and your family the security and satisfaction knowing that all arrangements have been planned and paid for.
  • permits you ample time to reflect and to select from a number of choices and payment plans.
  • money is insured and funeral services never increase in costs.

If you wish to discuss preplanning without any obligation or begin the confidential process, give us a call at (606) 784-6491 or complete the form to the right.

Complete only the information you want to enter. We will call to complete the form unless you check the please do not call box at the bottom of the form.

On-Line Preplanning Form

Presonal Information

First Name:

Middle Name:

Last Name:

Telephone Number:

E-Mail Address:

Address:

Town/City:

State:

Zip Code:

Date of Birth:

Place of Birth:
(city & state or county & state)

Marital Status:

Spouses Name:
(Maiden name & full name of wife or husband)

Occupation:
(for longest period during working life)

Father's Full Name:

Mother's Full Name:
(include her maiden name)

Person who will be in charge of funeral arrangements:

Name:

Address:

Town/City:

State:

Zip Code:

Telephone Number:

Military Information

Branch of Service:

Description of Service:
(Wars fought in, medals earned, military campaigns)

Veteran's Service Number:

Rank:

Location of Discharge Papers:

Family Members

Spouse:
(Addresses and phone numbers)

Daughters:
(Hometowns and phone numbers)

Sons:
(Hometowns and phone numbers)

Grandchildren:
(Hometowns and phone numbers)

Sisters:
(Hometowns and phone numbers)

Brothers:
(Hometowns and phone numbers)

Other Relatives:
(List relation, hometowns, and phone numbers)

My Funeral Service Preferences

Place of Service:

Funeral Home

Church

Graveside

Other

Clergy:
(Minister's hometown and phone number)

Type of Disposition:

Burial

Entombment

Cremation

Other (Describe Below)

Cemetery Property Owned:

Yes

No

Name of Cemetery:
(Include: Location of Cemetery, City, & State)

Cemetery Preference:
(If property not owned, include location of cemetery, city & state)

Music Selections:
(Organ or piano background, live vocal, or recorded music)
(If live vocal, include the vocalist, and their phone number)

Pallbearers or Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)

Lodge, Society, Fraternal Organization:
(List involvement and if you would like an honor guard)

Flowers:

Memorial Contributions / Donations:

Obituary Information:
(List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)

Information or Special Instructions:
(Not Previously Listed)

Please check as many as apply.

Please contact me so that I may select my casket and vault in advance.

Please forward me a copy of my information for my records.

Please contact me if any of my submitted information needs clarification.

File my information for future reference at Northcutt & Son Home for Funerals, but please do not contact me.

I would like to discuss my pre-payment options with no obligation, please contact me.


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Northcutt & Son Home for Funerals, Inc.400 Fraley Dr.Morehead, Kentucky 40351(606) 784-6491

Northcutt and Son Home for Funerals, Inc.

Preplanning

Preplanning is "the option that relives the burden from your family."

One of the most loving, caring things that an individual can do is complete details and information in regard to preplanning.

Advantages of Planning Your Funeral Arrangements

  • allows you to express your wishes in every aspect of the funeral service.
  • relieves your family from the emotional strain of making difficult decisions at a time of emergency.
  • gives you and your family the security and satisfaction knowing that all arrangements have been planned and paid for.
  • permits you ample time to reflect and to select from a number of choices and payment plans.
  • money is insured and funeral services never increase in costs.

If you wish to discuss preplanning without any obligation or begin the confidential process, give us a call at (606) 784-6491 or complete the form to the right.

Complete only the information you want to enter. We will call to complete the form unless you check the please do not call box at the bottom of the form.

On-Line Preplanning Form

Presonal Information

First Name:

Middle Name:

Last Name:

Telephone Number:

E-Mail Address:

Address:

Town/City:

State:

Zip Code:

Date of Birth:

Place of Birth:
(city & state or county & state)

Marital Status:

Spouses Name:
(Maiden name & full name of wife or husband)

Occupation:
(for longest period during working life)

Father's Full Name:

Mother's Full Name:
(include her maiden name)

Person who will be in charge of funeral arrangements:

Name:

Address:

Town/City:

State:

Zip Code:

Telephone Number:

Military Information

Branch of Service:

Description of Service:
(Wars fought in, medals earned, military campaigns)

Veteran's Service Number:

Rank:

Location of Discharge Papers:

Family Members

Spouse:
(Addresses and phone numbers)

Daughters:
(Hometowns and phone numbers)

Sons:
(Hometowns and phone numbers)

Grandchildren:
(Hometowns and phone numbers)

Sisters:
(Hometowns and phone numbers)

Brothers:
(Hometowns and phone numbers)

Other Relatives:
(List relation, hometowns, and phone numbers)

My Funeral Service Preferences

Place of Service:

Funeral Home

Church

Graveside

Other

Clergy:
(Minister's hometown and phone number)

Type of Disposition:

Burial

Entombment

Cremation

Other (Describe Below)

Cemetery Property Owned:

Yes

No

Name of Cemetery:
(Include: Location of Cemetery, City, & State)

Cemetery Preference:
(If property not owned, include location of cemetery, city & state)

Music Selections:
(Organ or piano background, live vocal, or recorded music)
(If live vocal, include the vocalist, and their phone number)

Pallbearers or Honorary Pallbearers:
(Include pallbearers hometown, home phone number, and bearer type designation)
(A = Active Bearer, H = Honorary Bearer)

Lodge, Society, Fraternal Organization:
(List involvement and if you would like an honor guard)

Flowers:

Memorial Contributions / Donations:

Obituary Information:
(List education and place of schooling, wedding date and place, work history and places I lived and worked, Clubs, Lodges, Hobbies, what I liked doing, significant accomplishments, Boards, Committees and community and Church involvement, etc.)

Information or Special Instructions:
(Not Previously Listed)

Please check as many as apply.

Please contact me so that I may select my casket and vault in advance.

Please forward me a copy of my information for my records.

Please contact me if any of my submitted information needs clarification.

File my information for future reference at Northcutt & Son Home for Funerals, but please do not contact me.

I would like to discuss my pre-payment options with no obligation, please contact me.


Captcha

We have added the following captcha to help reduce spam and improve the security of the website.

Please enter the following number below. For example, if you see eighty three, then enter 83 in the field.


two hundred twenty five


Please Enter Captcha Here:


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