Certificate of Interment Rights
For (Insert name of Cemetery)
This is a Nonperpetual Care Cemetery
Name of Purchaser(s):
Name of Seller:
Interment Spaces: Section: Lot: Grave Number:
Purchase Price: $
The purchase price shall be paid ___[when creating your own document select one from these options or create you own wording.]
$ __________ cash at the time of purchase. All sales are final and binding by both parties.
$ __________ per month beginning ______________ and ending ____________. and/or
_[You’re your own option ]
[Add this section if applicable] No interest will be charged if payments are made as set forth. The price set forth is guaranteed, absent Owner’s default of these payment terms. Interment(s) in the interment space(s) will not be permitted until the purchase price has been paid in full. The Cemetery will notify the Owner of any default. If payment is not received, the Cemetery shall have the right, 30 days after notification of the default, to revoke this agreement and retain all sums retained by it as liquidated damages.
total purchase price, _____ percent (____ %) shall be deposited in the
Cemetery’s (Insert “Maintenance Fund” or “Endowment Fund”) and devoted to
the cemetery’s care and maintenance. [Add this if use a trust fund] under
the terms of the (Insert name of the applicable trust agreement).
Conditions of Interment: [Select those conditions applicable to the cemetery.]
interment space(s) is to be used for interment purposes only and the Purchaser’s
rights are limited by and subject to the Cemetery’s rules and regulations as now
existing or as amended in the future.
certificate of interment rights conveys only a right to be interred in the
interment space(s) and in no way is any real estate title conveyed to the
Purchaser. Furthermore, only one interment will be permitted in the interment
space unless specifically authorized by the Cemetery.
Services related to interment in the interment space(s) are not included in the
rights conveyed and are subject to the Cemetery’s service charges and
availability. These charges will be determined at the time they are purchased
and are subject to change.
4. The Cemetery must receive the following information prior to any interment. The notice must include the name of the deceased, the deceased’s birth date, the deceased’s date of death, next-of-kin, funeral establishment (if any) and any other required information.
Purchaser has the right to sell and convey the interment space, but any transfer
of ownership by will or otherwise will be recognized by the Cemetery only after
it is recorded at the Cemetery and a new certificate of interment rights is
issued to the new owner.
Cemetery shall use the Purchaser’s address for any official notices concerning
the interment space. The purchaser shall notify the cemetery of any change in
terms and conditions described herein are binding upon the Purchaser’s heirs,
successors and assigns and enforceable only by the Cemetery.
Cemetery Representative Signature:
Title or Authorization:
Written inquires or complaints should be mailed to: Iowa Securities and regulated Industries Bureau, 330 Maple Street, Des Moines, Iowa 50319.