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Monument Setting Permission Form

2. Must be Filled Out if Purchaser DOES NOT Own Burial Spaces

4. For Permission From the Living Owner of the Space(s) to be Used

6. Name

   Original Owner of the Space(s)

8. Having Ownership and legal burial rights to the Following Location

10. Cemetery

    1. Sunset Lawns
    2. Walnut Valley
    3. Belle Vista

12. Section/Block

14. Lot

16. Spaces(s)

18. Deed #

20. The Owner, is Giving Permission for the following Person(s) to Have a Monument set on the Above Mentioned Space(s)

22. Name

24. Below the Original Owner(s) Will Type their Name and Date for Permission to be Granted

26. Name

27. Date
    Date

29. Name

    (If More Than One Owner)

30. Date
    Date

34. For Permission Through Heirship

36. Name

    (Living Heir to the Original Owner)

38. Having Heirship and Legal Burial Rights to the Following Location

40. Cemetery

    1. Sunset Lawns
    2. Walnut Valley
    3. Belle Vista

42. Section/Block

44. Lot

46. Spaces(s)

48. Deed #

50. Below the Heir(s) to the Original Owner(s) Will Type their Name and Date for Permission to be Granted

52. Name

53. Date
    Date

55. Name

    (If More Than One Heir)

56. Date
    Date

60. For Permission with the Deaceased having NO Living Family or Heirs

62. Name

    (Executor/Caregiver/Friend of the Deceased)

64. As the Executor/Caregiver/Friend Having Legal Rights to the Following Location

66. Cemetery

    1. Sunset Lawns
    2. Walnut Valley
    3. Belle Vista

68. Section/Block

70. Lot

72. Space(s)

74. Deed #

76. Below the Executor/Caregiver/Friend to the Original Owner(s) Will Type their Name and Date for Permission to be Granted

78. Name

79. Date
    Date

81. Name

    (If more than one Executor/Caregiver)

82. Date
    Date

Leave This Blank:


84. 1. Receive an email copy of this form.
85. Email address

    This field is not part of the form submission.

86. Submit Submit and Print

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