Certificate of Ownership Template 02
Certificate of Ownership Template 02
Certificate of Ownership Template 02
OWNERSHIP CERTIFICATE
Name: ____________________________________________________________
Address: ____________________________________________________________
________________________________________________________________________
Name: ____________________________________________________________
Address: ____________________________________________________________
________________________________________________________________________
I/We, hereby attest that I/we are the owner(s) of the above-described interment rights,
merchandise and services. I/We attest that no other person has any legal or equitable ownership
interest therein. I/We relinquish all rights, interest and ownership therein and understand that
this release and surrender is irrevocable.
Describe any necessary proof of ownership and any attached document(s) (such as the current
certificate of ownership, if any, and/or a copy(ies) of any purchase agreements):
[Insert description]
I/We herby release and hold (Insert name of cemetery) and its employees, officers, affiliates and
agents harmless and indemnify the cemetery against any and all damages, injuries, claims, causes
of action, demands, or liability of any kind whatsoever arising in whole or in part from this
transfer of ownership.
I/We do hereby irrevocably give, assign and transfer any and all interest in the above-described
interment rights, merchandise and services to the following individual(s):
Name(s): ____________________________________________________________
________________________________________________________________________
_____________________________________________________
Notary Public
My Commission Expires: _____________________________
ADDITIONAL INFORMATION
Some sales will not include all three types of items: interment rights, merchandise and
services. The language should be modified appropriately or the description should specifically
state that the transfer includes the sale of “interment rights only”, “merchandise only”,
“merchandise and services only”, etc.
2. Proof of identity.
3. A release statement signed by all possible heirs or proof that there are no other
heirs, if applicable.