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Guiding Families for Over 100 Years

Family Owned and Operated
By the Vigliante Family

190 East Main St. Smithtown, NY 11787
631-724-9500
551 Route 25A
Miller Place, NY 11764
631-744-9700

Forms

 

Obituary Form

Deceased Information
 

Name of deceased:

Sex:

 Female     Male

Age:

Maiden name (if married):

Place of death 
(home/name of hospital/other):

Date of death:

Long/short illness:

Place of residence 
(specific community/town/city):

Dates of residence in the 
Buffalo or surrounding area:

Date deceased left the area (if applicable):

Birthplace (city/state):

Spouse:

Date of spouse’s death
(if applicable):

Occupation:

Name of Firm:

Job Title:

Dates of employment:

Date of retirement (if applicable):

Education (0-12):

College 1-5+:

Branch of Service:

Serial Number:

Date Enlisted:

Rank At Discharge:

Date Discharged:

Discharge On File At:

Religious affiliations: 
 

Clubs, organizations, memberships, hobbies: 
 

Honors/awards:

  Survivors

(The newspaper will only use names of the immediate family as listed below. The city or town and state of the survivors must be included)

Daughters: 
 

Sons: 
 

Parents: 
 

Sisters: 
 

Brothers: 
 

Grandparents: 

Number of grandchildren:

Great-grandchildren:


  Funeral Service Information
 

Time of Service:

 

 

 




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Our Locations:

190 East Main St., Smithtown, NY 11787
Smithtown Funeral Homes

551 Route 25A, Miller Place, NY 11764
Miller Place funeral homes

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Proudly Serving the Communities of Smithtown, St. James, Hauppauge, Nesconset, Lake Grove, Kings Park, Commack, Centereach, Village of the Branch, Head of the Harbor, Nissequogue, Stony Brook, Miller Place, Mount Sinai, Wading River, Rocky Point, Sound Beach, Port Jefferson, and Ridge

631-724-9500 190 East Main St. | Smithtown, NY 11787 | Fax: 631-724-7824 | Email: info@branchfh.com
551 Route 25A | Miller Place, NY 11764 | Fax: 631-744-8700 | Email: info@branchfh.com