New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 44J - CEMETERIES
Subchapter 14 - SALES OF INTERMENT SPACES
Appendix A

I certify that I, _______________________, am purchasing

(Purchaser's name)

___________________________________ interment spaces

(Number of spaces or niches)

or niches from _______________________________________________________

(Name of Cemetery Company selling the spaces or niches)

for the use of those whom I may designate without remuneration or compensation to me in any form. I understand that resale of interment spaces or niches is prohibited by 45:27-32.

I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment.

____________________________

Purchaser's signature