Application & notice of Interment.

HUNTINGTON BURIAL AUTHORITY

APPLICATION AND NOTICE OF INTERMENT  IN NEW LANE CEMETERY

Date Of Payment:……………………………………..       For Burial Clerk Use Only
                                                                                            Receipt No:……………………………….
.                                                                                           Grant of Exclusive Right to Burial No:……………..
.                                                                                           Register of Burial No:………………………………………..

Funeral Director (or other applicants)
Name…………………………………………………………………………………………………………….
Address…………………………………………………………………………………………………………
………………………………………………………………………………………
Tel No…………………………………………………………………………..
Full Name of the Deceased
…………………………………………………………………………………………
Home Address of deceased………………………………………………………………………………………………….
…………………………………………………………………………….………………………………………………………………..
Date of Death……………………………………….Aged………………………………………………….
Place of Death …………………………………………………………………………
Your relationship to the deceased …………………………………………………….

Next of Kin
Name…………………………………………………………………………………………………..
Address……………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………….
Tel No…………………………………………………………………………
Email address…………………………………………………………………………………………………………………….

FUNERAL ARRANGEMENTS
If Re-open please include the name of the person interred………………………………………………………….
Reserved or Selected Plot No…………………    Row………………     Right/Left hand side
Date…………………………….Time………………………….                                
FEES DUE
Please circle: Double grave / Single grave / Cremated remains

Plot Fee…………………………………………………………….
Interment Fee……………………………………………………………..
Admin Fee                  £28.00
_________________________________
TOTAL  FEES      _________________________________

To be paid by bank transfer to Barclays Bank plc sort code 20-98-98 account no: 43368440 in the name of Huntington Burial Authority.

NOTE: The digging of the grave is required to be arranged by the Funeral Director together with the disposal of soil.   The Clerk to the Council will arrange to mark the grave site and provide access to the necessary gear for committal.
MAXIMUM depth of grave is 6 feet and after committal the grave will be back filled, turf replaced and the site left in a properly clean and tidy condition.
This Cemetery is governed by Rules and Regulations as laid down by the Burial Authority at the time of the Funeral, and a copy is attached.
If you have not received a copy of the Rules please contact the Clerk, or a copy can be printed from the website, signed and returned to the clerk.
Please sign and return this acknowledgement.
Name and signature of Funeral Director/person giving the order:
………………………………………………………Date………………………………………….
To be signed by the next of kin:
I hereby certify that
I,……………………………………………………………………………being  the ………………………….…… of the above deceased, have read the above application and received a copy of the Rules and Regulations governing the Cemetery,  which I understand, and I and my family agree to act within these rules at all times.
The  fees charged are specifically a commuted sum for the perpetual maintenance of the cemetery and NOT a right of ownership.
Any grant of exclusive right of burial is for a maximum of 50 years as laid down by current legislation.
Please complete and return to:
Huntington Cemetery, New lane, Huntington, YO329LY. A
t least 7 days before the day of the funeral service if possible but otherwise not less than 48 hours in advance.

If delivering by hand the post box is at the cemetery gates.