Obituaries

Donald Sansoussi
B: 1939-02-03
D: 2017-11-07
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Sansoussi, Donald
Elizabeth Palvolgyi
B: 1929-07-27
D: 2017-11-05
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Palvolgyi, Elizabeth
Thelma Rhoades
B: 1918-04-15
D: 2017-11-04
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Rhoades, Thelma
James Reagan
B: 1947-09-21
D: 2017-11-02
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Reagan, James
Thomas Dillon
B: 1935-02-19
D: 2017-10-27
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Dillon, Thomas
Esther Johnson
B: 1928-09-21
D: 2017-10-26
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Johnson, Esther
Stephan Starbird
B: 1943-08-02
D: 2017-10-25
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Starbird, Stephan
Meredith Schoonover
B: 1938-10-03
D: 2017-10-15
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Schoonover, Meredith
Mary MacCarthy
B: 1927-02-17
D: 2017-10-15
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MacCarthy, Mary
Dale Forney
B: 1941-08-22
D: 2017-10-11
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Forney, Dale
Roy Lesky
B: 1946-08-21
D: 2017-10-10
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Lesky, Roy
Scott Dowda
B: 1965-01-04
D: 2017-10-06
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Dowda, Scott
Harry Geissler
B: 1926-09-24
D: 2017-09-29
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Geissler, Harry
David Tremper
B: 1958-06-16
D: 2017-09-24
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Tremper, David
Ed Long
B: 1946-12-24
D: 2017-09-19
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Long, Ed
Bradley Fuller
B: 1951-07-26
D: 2017-09-19
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Fuller, Bradley
David Kocik
B: 1961-01-07
D: 2017-09-15
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Kocik, David
Jackey Donaldson
B: 1937-06-11
D: 2017-09-13
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Donaldson, Jackey
Elizabeth Simmons
B: 1951-11-14
D: 2017-09-05
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Simmons, Elizabeth
Betty Adams
B: 1928-07-02
D: 2017-08-27
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Adams, Betty
Herbert Taylor
B: 1930-03-19
D: 2017-08-24
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Taylor, Herbert

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504 W. Interlake Blvd.
Lake Placid, FL 33852
Phone: (863) 465-4134
Fax: (863) 465-5666

Immediate Need

First, let us say that we are so sorry for your loss.

To report a death to Scott Seawinds Funeral Home & Crematory, please notify us first by phone at (863) 465-4134.

After that call, we will take your loved one into our care and will confirm a time/date for the arrangement conference. If you would prefer to expedite your time with our staff during that arrangement process, you may enter your loved one's basic information in this form below.


I. Informant Information

Full Name of Informant:
Relationship to Deceased:
Informant's Phone Number:
Informant's Email Address:

II. Decedent's Biographical Information

Full Name of Decedent:
Date of Death:
Decedent's Address:
City Name:
State:
Zip Code:
Telephone Number:
Date of Birth:
City of Birth:
State of Birth:
Highest Education Level:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names/Residence
Preceded Relatives
Occupation:
Industry:
Employer's Name:
Church Membership:
Club Affiliations:

III. Decedent's Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted:
Date of Discharge:
Rank at Discharge:
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Cemetery Name:
Cemetery Location:

Miscellaneous Notes and Instructions:


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