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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:
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Hobbies: _______________________________________________________________________ |
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Quotes: or Sayings of the Loved One:___________________________________________________________________ |
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Significant Accomplishments: _______________________________________________________________________ |
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Special Memories: _______________________________________________________________________ |
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Words or Phrases that Describe the Person: _______________________________________________________________________ |
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Personal Challenges the Loved One Overcame: _______________________________________________________________________ |
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Last Words, if any: _______________________________________________________________________ |
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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.) |
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Is there anything else the family would like to share about your loved one? |
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