TURRENTINE-JACKSON-MORROW Hwy 75 - McKinney, TX 75070 Phone: (972) 542-2601 -- Metro (972) 424-7834 BIOGRAPHICAL INFORMATION The following information will be necessary to complete the death certificate, obituary notices, social security statement of death by funeral director, veteran benefit forms and general business information. Full name___________________________________________/______________________________ (First).Middle)(Last)(Maiden) Address__________________________________________________________________________ .(Street)(City) (State) __________________________________________Inside City Limits [.. ] Yes.. [ ..] No (County)(Zip Code) Sex [..] Male . [..] Female....Race__________ Are you of Hispanic Origin? ..[..] Yes .. [..] No If Yes, Specify ..[ .. ] Mexican... [,,] Cuban... [..] Puerto Rican ... [.. ] Other__________________________ Social Security Number ______________________________________________________________ Marital Status ....[..] Maried.....[..].....Widowed.....[..] Divorced.....[..] Never Marrried Date of Birth_______________________________________________________________________ Place of Birth.______________________________________________________________________ ..................................(City)..........................(County)................................(State) Name of Father_____________________________________________________________________ Name of Mother (Maiden):____________________________________________________________ Occupation _______________________________________________________________________ Type of Business or Industry__________________________________________________________ Employed By or Retired From __________________________________________________________ Married to Whom (If wife, give maiden name) ______________________________________________ Date Married:_______________ Place Married ____________________________________________ ............................................................................................(City)..........(State) Religious Affiliation _________________________________________________________________ Veteran .. [..] Yes..... [..] No..... Branch of Service____________________________________________ Theater(s) of Service ________________________________________________________________ (If deceased was a veteran, discharge papers will be necessary to file for veteran benefits) Serial Number_______________Date of Enlistment___________Date of Discharge________________ Other Organizations. ________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Education (Circle Highest Grade Completed) 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 15 - 16 - 17 High School Attended_______________________________________________________________ College Attended ___________________________________________________________________ Other Information___________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________