St Lawrence

 

 

5221 N. Himes Ave
Tampa, FL 33614
813-875-4040

 

 

 
 
 
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Additional Requested Information Form

(For priest or deacon)

*Please use additional sheets of paper if necessary

Name of Deceased Loved One: _______________________________

Beloved Deceased's Information:  

  Hobbies: _______________________________________________________________________
  _______________________________________________________________________
  Quotes: or Sayings of the Loved One:___________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  Significant Accomplishments: _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  Special Memories: _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  Words or Phrases that Describe the Person: _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  Personal Challenges the Loved One Overcame: _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  Last Words, if any: _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
 

Did your loved one write poetry or have other Writings that the Family would like read at the Funeral?

Yes ______       No ______    (If yes, please attach to this form.)

   
 

Is there anything else the family would like to share about your loved one?

  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________
  _______________________________________________________________________

 

 

 
 
     
     
 


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