Abc Cemetery Company

ABC CEMETERY COMPANY

(Address & Phone Numbers)

CONTRACT FOR AT NEED CEMETERY PROPERTY MERCHANDISE AND SERVICES

Date: Contract No:

This At Need Cemetery Contract is entered into this day of of

20 by and between the ABC Cemetery Company, an Illinois corporation, as Seller and ; as Purchasers for the benefit of decedent).

Seller hereby agrees to sell and Purchasers hereby agree to purchase the following cemetery property, merchandise and services:

ItemPrice

1.Space in Lot Section at ABC Cemetery $

2.Cryptin Mausoleum at ABC Cemetery $

3.Niche in Mausoleum at ABC Cemetery $

4.Grave Box or Burial Container; $

5.Interment Services (Opening & Closing); $

6.Memorial or Headstone; $

7.Care Fund Deposit (if applicable) $

8.Installation of vault or memorial$

9.TOTAL PRICE $

The Cemetery Property, Merchandise and Services are being sold in accordance with the following terms and conditions:

(a)The Interment Space, Entombment Crypt or Niche is a permanent place for the disposition of the decedent’s remains and ABC Cemetery will be issuing a Deed or Certificate of Ownership to evidence the Purchasers ownership in these rights of interment.

Purchaser Initials

(b)Alternatively, the Interment Space is located in a multi-interment area and is not a permanent place for the disposition of the decedent’s remains. Purchasers understand and hereby confirm that at the end of the twenty (20) year term of use the remains of another person will be buried above the decedent(s).

Purchaser Initials

(c) ABC Cemetery is a care cemetery licensed under the Cemetery Care Act. General Care for the cemetery will be provided from the net income of the endowed care fund as provided in the Care Act.

Purchaser Initials

(d) The Interment Space, Entombment Crypt or Niche purchased herein is subject to the Rules and Regulations of the ABC Cemetery as they presently are in effect and as the Board of Directors of the ABC Cemetery may amend them from time to time. A current copy of the Rules and Regulations is kept at the cemetery office and may be reviewed during normal business hours. Copies of parts or all of the Rules and Regulations may be obtain after the payment of a reasonable copying costs.

Purchaser Initials

IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal this the day and year first above written.

Purchasers:

(address – City State Zip)

(phone number)

Accepted by ABC Cemetery: