TOWNSHIP OF LAKE OF THE WOODS

CEMETERY

INTERMENT RIGHTS HOLDER TRANSFER

DATE: ______________________________

To Whom it May Concern:

I _________________________________________, Interment Rights Holder or Executor of the Estate, transfer the following certificate:

CERTIFICATE: # ______________

PLOT LOCATION: _____________________________ Bergland ___ Morson ___

INTERMENT RIGHTS HOLDER: _____________________________________

TO: __________________________________________________________________

Print name

_____________________________________________________________________

Address

_____________________________________________________________________ Interment Rights Holder Signature! Executor of the Estate

______________________________________________________________________ Address

____________________________________ ____________________________ Cemeterian: Morson Bergland Cemeteries Date

FEE: ___________________

Collection of Information Notice:

Personal information contained on this form is col1ected pursuant to, the Municipal Act. 2001 and will be used for the purpose of authorizing the requested interment rights holder transfer. Questions about this col1ection should be directed to: The Freedom of Information and Privacy Coordinator. Township of Lake of the Woods , PO Box 427 Rainy River ON P0W 1L0 807 852-3529

TOWNSHIP OF LAKE OF THE WOODS

BERGLAND CEMETERY AND M0RSON CEMETERY

PROCEDURE FOR ISSUANCE OF INTERMENT OR MOUNMENT CERTIFICATE IN THE ABSENCE OF PROOF OF INTERMENT RIGHTS CERTIFICATE OR RIGHTS HOLDER

ISSUE: In the past certificate of interment rights were either not issued or were lost. This then makes it difficult to ascertain who holds the interment rights on a particular plot or plots in our cemeteries.

LEGAL SITUATION: Only the rights holder(s) can determine or authorize either the interment of a casket and or urns or placement of monuments on the cemetery plot.

PROCEDCRE: In addition to application for either interment or placement of a monument, applicable fees, the applicant shall also provide an affidavit that covers the

following:

a) The applicant is the legal interment rights holder.

b) The list of other heir(s) to the original rights holder(s).

c) The fact that all other heirs(s) agree to the interment or placement.

APPROVAL: When all procedures have been complied with and subject to the applicable rules and conditions of the cemetery permission to inter or placement of the approved monument will be given.

REFUSAL: Permission to inter or place a monument will not be granted unless the rights holder(s) can be determined.

TRANSFER OF RIGHTS: Interment rights are granted only to the person(s) listed on the certificate of interment rights issued by the cemetery. Those rights can be transferred to another person but only by way of an approved transfer form.