On-line Pre-planning Form

Planning in advance of need provides peace of mind. The death of a loved one is a time of great loss and advance planning can reduce stress for your family with the knowledge that your preplan has been completed. This allows your loved ones to devote more time to coping with and understanding the loss and less time concerned with funeral arrangements and financial details. Neil R. Rapuano discusses funeral arrangements in advance with an increasing number of people each year. Families are relieved of the anxious responsibility and receive the gratifying assurance that such a matter received sound judgment and that all details were handled with the utmost confidence. 

 How You Prepay For a Funeral

There are several ways to accomplish this. You may assign ownership or beneficiary rights of insurance proceeds or by establishing a preneed burial trust with either full or installment payments. 

There are basically two types of funeral contracts available, the choice of which one being dictated by the individual preferences or circumstances at hand. An irrevocable funeral service contract consists of a statement of merchandise and services selected, an explanation of additional terms and conditions and ownership certificate. We will deposit in escrow with a qualified escrow agent, 100% of all funds received. The contract purchaser shall receive an annual report directly from the escrow agent relating to the balance of the account with the same data available monthly through Maresca & Sons.

The escrow agent only releases funds to the funeral home upon receipt of a legal death certificate validating the contract’s performance. Irrevocable trusts are primarily designed for Title 19 recipients in conformity with State guidelines specifically restricting them from cancellation. Upon request of the beneficiary, a transfer may be made from one funeral service establishment to another.

The revocable funeral service contract provisions are basically the same as those of an irrevocable account except that they may be canceled at any time before performance. Escrow funds are then returned to the purchaser. The revocable trust allows the most flexibility and liquidity and are most often used when a purchaser desires such options.

The most important element of both contract types is the provision of third party custodial responsibility and accountability of all related transactions, separate and distinct from the funeral service establishment.

All monies are deposited and conservatively invested under a master trust program endorsed by the Connecticut Funeral Directors Association. The funds immediately earn interest at a rate designed to protect against any loss of buying power in the future. 

 Benefits Of Pre-Planning

There are numerous benefits to pre-planning a funeral, some of which include:

  • Provides peace of mind
  • Relieves your loved ones of unnecessary concern
  • Reflects your expressed wishes
  • Alleviates financial burden on your family

Please take a few minutes to fill out the Online Pre-planning form below. Once the information is submitted, a Maresca & Sons Funeral Home representative will review and file it and will be in touch with you to further discuss the details of your arrangements.

If you'd prefer, a printer-friendly version of this form is also available for you to download and fill out manually. CLICK HERE for further instructions and the download link, if interested.



NOTE: Fields marked with an asterisk ( * ) are required. Any information you submit will be held in the strictest confidence - we do not release any information to outside parties under any circumstances.

Information about the Person Completing this Form:

* First Name:
* Last Name:
Middle Name:
* E-mail:
Street Address:
City:
County:
State:
Zip Code:
Phone:
Person for Whom I Am Pre-planning:

Vital Information about the Person for Whom Pre-planning Is Being Done:

Last Name:
First Name:
Middle Name:
Sex:
Marital Status:
Social Security #:
Date of Birth: (ex. 1999)
Place of Birth:
Spouse's Full Name:
Spouse's Maiden Name:
Place of Marriage:
Date of Marriage: (ex. 1999)
Father's Full Name:
Mother's Name:
Mother's Maiden Name:

Work and Education:

Education:
Usual Occupation (most of life):
Kind of Business:
Company:

Military Records:

Branch of Service:
Serial Number:
Date Enlisted:
Rank At Discharge:
Date Discharged:
Discharge On File At:
Copy of Discharge Papers: Yes     No
Name(s) of War(s)/Conflict(s) Toured:


Funeral Service Information:

Place of Service:
Name of Funeral Home:
Address:
Phone:
Place of Visitation:
I Prefer the Funeral Service To Be:
Viewing for Family: Yes    No
Viewing for Friends: Yes    No
Religious Denomination:
Place of Worship:
Lodge / Union:

Person(s) to Finalize Arrangements at Time of Death:

Check here and skip this section if the person filling out
this online form is also the person making the final arrangements.
 
Full Name:
Street Address:
City:
County:
State:
Zip Code:
Phone:

Special Instructions:

Flower Preference:
Music
Casket Bearers (x6):
Jewelry:
Glasses:
Clothing:
Other:

Disposition Options:

I Prefer:
Cemetery:
Address:
Phone:
Section:
I Have Made A Last Will And Testament: Yes    No

Other Information & Instructions:

Please list any other instruction or information you would like us to have:


Memorials & Charities:

Please list any memorials or donations to charity that you would like to declare:


Options:

Please select one of the options below:
Send Information About Pre-planning
Contact Me To Set An Appointment
Please Keep My Information On File




Pre-planning Form - Printer-friendly Version:

You can download the printer-friendly version of the Pre-planning form to your local computer from the link below. Once downloaded, open the PDF *, and enter your information on the form, then print it out on your printer. You may then either mail or fax it to us at the address or fax number below, or bring it with you when you visit.

»   CLICK HERE to download the form - choose to, 'Save to Disk,' in the dialog box that appears (download times will vary depending upon connection.)

Get Adobe Acrobat Reader* NOTE: Adobe Acrobat Reader software is required to view this file - if you don't already have the Reader installed on your computer, it is available for free from Adobe's website - please click the icon at right to be taken to the download page.

Mail completed forms to the following address:

Maresca & Sons Funeral Home
592 Chapel Street
New Haven, Connecticut 06511

Please call with any questions: 203-624-3411


Newly renovated and remodeled facilities which NOW provide complete Handicap Accessibility. 

592 CHAPEL STREET      NEW HAVEN CT 06511       203-624-3411       info@marescafuneralhome.com

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