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TROTT BROOK CEMETERY BURIAL LOT RIGHTS TRANSFER APPLICATION <br />Date: <br /> <br />Petitioner Background Information <br /> <br /> Name: <br /> Address: <br /> Phone #'s: <br /> E-marl: <br /> <br />Transfer Information <br /> <br /> l) Trott Brook Cemetery <br /> <br /> 2) Are you the lot owner? <br /> <br /> 3) Name of' lot owner(s) on record. <br /> attach additional sheets of paper on the sam~ information below on each one): <br /> <br />Plot: Lot(s): <br />"Yes NO (If yes, skip.to question 8). <br /> <br />(If there is more than one lot owner on record, please <br /> <br />4) Is the lot owner(s) living? ~ Yes __ No Spouse living? ~ Yes ~ <br /> <br />5) If lot owner(s) is deceased, was there a Last Will and Testament? Yes __ <br />(Please attach a copy) <br /> <br />6) Relationship to the lot owner(s): <br />Spouse __ Executor of Estate ~ Power of Attorney Heir Other ~ <br /> <br />7) List all surviving heir(s) of lot owner: spouse, children, grandchildren, great- <br />grandchildren, etc.: <br /> <br />Name, Relationship and Address <br /> <br />No <br /> <br /> <br />