Transfer Your Prearrangement to Chancellor Funeral Homes

Perhaps you prearranged your funeral services before our two locations were built or you are new to our service area.  Join the families from across the central Mississippi area who are transferring their prearrangement to Chancellor Funeral Homes.  Chancellor Funeral Homes located conveniently to families in Copiah, Rankin and Hinds county and the surrounding areas with two locations to serve you in Byram and Florence.  Transferring  a prearrangement ensures that we will carry out one’s wishes as expressed in his or her prearrangement at Chancellor Funeral Homes at NO additional cost.  Our family would consider it a privilege to serve the funeral wishes of all our communities.

                                    It’s easy to do...please fill out the transfer form below and email it to us. We will contact you soon..

Please complete as much information as possible
and someone will contact you very soon!
* Required

*Today's Date:

 

*Name of Insured/Covered Individual:

 

Date of Birth:

Social Security Number:

*Address:

 

*City:

 

*State:

 

*Zip Code:

 

*Phone:

 

Email:

Next-of-Kin Name:

Next-of-Kin Phone:

Next-of-Kin Address:

Current Prearrangement with:

Funeral Home Address:

Prearrangement Insurance/Trust Company:

PN Insurance Co. Phone:

Balance as of Today's Date:

Monthly Payment:

Beginning Date of Contract:

Ending Date:

Do You Have A Copy of Contract:

Burial Insurance Co.:

Amount:

  Please forward my prearrangement file to Chancellor Funeral Homes.

  I hereby direct that my prearranged contract or insurance be transferred to and/or Chancellor Funeral Homes be designated as beneficiary of said contract or insurance.  This transfer is voluntary and at my direction.  I was not pressured in any way and made this important decision regarding my funeral services.

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