APPLICATION FOR PURCHASE OF EXCLUSIVE RIGHTS OF BURIAL - PURCHASE AGREEMENT FOR LITTLEDEAN CEMETERY

This application should be completed by representatives of the deceased, such as Funeral Directors, legal representatives or next of kin, who may have also applied for the deceased’s internment and who in addition, require Exclusive Rights of Burial to be purchased for the grave.

All sections of this form should be completed and returned with the appropriate fee to; The Parish Clerk, Littledean Parish Council and Burial Authority, 2 Knights Way, Newent, Glos, GL18 1QL. Cheques should be made payable to Littledean Parish Council.

Please complete this form in BLOCK CAPITAL letters using a black pen.

DETAILS OF DECEASED
Title / MR /MRS/MISS/MS
(delete as appropriate)
Full name
Address / Postcode:
Grave location / Littledean Cemetery
Grave plot no.
DETAILS OF THOSE WISHING TO PURCHASE EXCLUSIVE RIGHTS OF BURIAL
Title / MR /MRS/MISS/MS
(delete as appropriate)
Full name
Relationship to the deceased
Address / Postcode:
Daytime tel. No.
Evening tel. No.
EXCLUSIVE RIGHTS OF BURIAL CONDITIONS FOR PURCHASERS
1.  The Grant of Exclusive Right of Burial must be purchased at or before the time of the first interment from the Burial Authority. The Exclusive Right of Burial is granted for a period not exceeding 80 years from the first internment or date of purchase, whichever is sooner.
2.  The Exclusive Right of Burial Grant must be produced to the Burial Authority when arranging the initial opening or any subsequent re-openings of the associated grave.
3.  If the Exclusive Right of Burial Grant cannot be produced at the time of the initial or any subsequent interments, the owner of such a grant or his/her legal representative must produce a completed form of formal declaration to the Burial Authority.
4.  The owner of the Exclusive Right of Burial in a grave space shall not dispose of such right without the consent of the Burial Authority. All transfer of such rights shall be prepared by the Burial Authority at the expense of the applicant.
5.  Where the Exclusive Right of Burial in a grave space is not purchased prior to or at the time of burial, the Exclusive Right shall remain with the Burial Authority.
As purchaser of the Exclusive Rights of Burial for the grave plot specified in section A, I clearly understand and agree to these conditions.
Signature:
Date:
For office use only:
Plot no......
Right of Exclusive Burial grant no: ...... / Exc. Burial Rights fee
Correct payment received:
Cheque number:
Details entered on dbase: / £......
Yes/No
......
Yes/No