HTML Preview Ownership Transfer Letter Format page number 1.
Sample provided by the Iowa Insurance Division
, March 2007
Page
1
of
3
[Insert name of cemetery]
[Insert address of cemetery]
OWNERSHIP
TRANSFER CERTIFICATE
DESCRIPTION OF INTERMENT RIGHTS, MERCHANDISE AND SERVICES
[Insert description of interment rights, merchandise and services to be transferred.]
OWNER INFORMATION
& A
TTESTATION
Name
:
____________________________________________________________
Address:
____________________________________________________________
________________________________________________________________________
Name:
_______________________
_____________________________________
Address:
____________________________________________________________
________________________________________________________________________
I/We, hereby
attest that I/we are the
owner(s) of
the above
-
described
in
terment 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.
Des
cribe 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 i
ts 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.
ASSIGNMENT OF RIGHTS AND OWNERSHIP
I/We
do hereby irrevocably give,
assign
and transfer
any and all interest in the above
-
described
interment rights, merchandise and services
t
o the following individual(s):
Name(s):
______________________________________
______________________