HomeMy WebLinkAboutBy-law No. 2016-057 BY-LAW NO. 2016-057
OF THE
CORPORATION OF MUNICIPALITY OF BAYHAM
BEING A BY-LAW TO ADOPT SCHEDULES 'A' — 'H' FOR THE MANAGEMENT,
REGULATION & CONTROL OF CEMETERIES
WHEREAS on June 7, 2016 By-Law 2015-116, being a By-Law for the
Management, Regulation & Control of Cemeteries for the following cemetery
licenses:
00513 00518 00524 00529 00534
00514 00519 00525 00530
00515 00520 00526 00531
00516 00522 00527 00532
00517 00523 00528 00533
was approved by the Bereavement Authority of Ontario;
AND WHEREAS the Bereavement Authority of Ontario deems it necessary to remove all
schedules as follows from the By-Law for the Management, Regulation & Control of
Cemeteries:
Schedule 'A' —Contract for Purchase of Interment Rights, Cemetery Supplies or
Services;
Schedule 'B' — Interment Rights
Schedule 'C' — Interment Rights Resale Endorsement
Schedule 'D'— Interment Permission Form
Schedule 'E' — Interment Rights Transfer Form
Schedule 'F' — Repurchase of Interment Rights Request Form
Schedule 'G' — Columbarium
Schedule 'H'—Cemetery Rates & Fees
AND WHEREAS the Bereavement Authority of Ontario deems it necessary to enact a by-
law to adopt Schedules"A"—"H";
NOW THEREFORE, THE COUNCIL OF THE CORPORATION OF THE
MUNICIPALITY OF BAYHAM ENACTS AS FOLLOWS:
THAT effective upon passage of By-Law 2016-057 Schedules 'A' — 'H' attached hereto
and forming part of this by-law are hereby adopted and shall remain in effect until
amended or rescinded;
AND THAT this by-law shall come into full force and effect upon final passing.
READ A FIRST, SECOND AND THIRD TIME AND FINALLY PASSED THIS 21st DAY
OF JULY, 2015
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The Corporation of the Municipality of Bayham
9344 Plank Road, Box 160 Straffordville, ON NOJ 1Y0
Telephone: 519-866-5521
www.bavham.on.ca bavham(c�bavham.on.ca
CONTRACT FOR PURCHASE
OF INTERMENT RIGHTS,
CEMETERY SUPPLIES OR SERVICES
Schedule "A" to By-law 2016-057
Cemetery operator License # 3267732
2016
In Name and Address of Cemetery
CONTRACT INFORMATION
Contract Reference #
Date of issue
PURCHASER INFORMATION
Name
Address PC
Telephone Email address
Purchaser's relationship to the Recipient(s)
RECIPIENT #1 INFORMATION RECIPIENT #2 INFORMATION
Name Name
Address Address
Province Postal Code Province Postal Code
Telephone Telephone
Email Email
This contract is between the Purchaser
AND
The Corporation of the Municipality of Bayham
For cemetery Interment Rights, Supplies and/or Services for the recipient(s) as identified in this
contract.
To be made in DUPLICATE
Schedule"A" to B/L 2016-057 -2 -
The Purchaser (if different than the Recipient (s) represents being legally authorized or charged with
the responsibility for the Recipient(s) cemetery Interment Rights and cemetery pre-paid supplies and
services arrangements specified in this contract. This agreement will be enforceable to the benefit of
and be binding upon the parties hereto and their respective heirs, heirs, executors, administrators,
successors, and assigns.
Interment Rights per regular lot may include no more than one full size traditional body interment,
plus two (2) cremation interments, provided the first interment is in a vault.
Alternatively, up to four (4) cremation interments only, may be made in a regular lot.
No more than two (2) appropriately sized urns shall be placed in any single columbarium niche or in a
designated 3' x 3' cremation lot.
Cremation urns or containers may be used for burials in regular lots when used for cremation burials
only.
All cremated human remains interred in a regular 4'x10' lot on top of a full body casket in a vault shall
be placed in a small flat six by six inch (6"x6") box type container with a depth of no more than four (4)
inches to ensure at least two feet (2') of earth coverage over the cremation remains, at surrounding
ground level.
For each cremation interment on top of an existing body burial with a vault, permission forms must be
completed, signed and on file with the Municipality, in advance.
**The purchase price per regular lot, cremation lot or niche permits one interment only in the
respective lot or niche.
**Each additional interment in a regular lot, cremation lot or niche is subject to payment of an
additional fee, as may be in place at time of such interment, and must be properly authorized in
writing.
** Resale: Interment Rights may be resold to a third party, through the operator, subject to
restrictions.
The Purchaser agrees that in the event of resale of the said Internment Rights, this certificate shall be
returned with the completed and signed Part 1 and Part 2 of the Interment Rights Resale
Endorsement — Form "C", to the Cemetery Operator who, upon completion, approval and payment
of any required fees, will issue a new certificate to the new Interment Rights holder.
**( Examples of Care and Maintenance Fund contributions from purchase of interment rights:
1. The Purchase Price of$600.00 (six hundred dollars) per regular lot includes $300.00 to the
Care and Maintenance Fund and allows one interment in the regular lot.
2. The purchase price of$300.00 (three hundred dollars) per cremation lot includes $150.00 to
the Care and Maintenance Fund and allows one interment in the cremation lot.)
2016
Schedule "A" to B/L 2016-057 - 3 -
3. The Purchase Price of$1200.00 (twelve hundred dollars) per single columbarium niche
includes $300.00 to the Care and Maintenance Fund and allows one interment in a single
columbarium niche.
Interment Rights to Regular/ Cremation Lot or Columbarium Niche purchased:
Location & Details
Block Section Plot# _ Row
Grave(s):
No. of graves(s) Dimensions per lot Area of square feet.
OR: Columbarium Niche Unit 1 or 2 Side A or B #
The number of Regular Lot(s) / Cremation Lot(s) or columbarium niche purchased:
at ($600/ $300 or $1200) , each, equals , which
includes ($ 150, $300 or$300)_ to the Care and Maintenance Fund.
(Circle above as appropriate)
Interment Rights Purchases: Amount HST
Regular lot(s)
Cremation lot(s)
Columbarium Niche
Services:
Identification & marking of lot for burial
Identification & marking of lot for marker placement
Placement of up to four corner posts provided by interment
rights holder
Duplicate Interment Rights Certificate —Transfer
Duplicate Interment Rights Certificate— Resale Endorsement
Interment Permission Form No charge
Municipal fee for opening & closing Cremation grave
Municipal fee for opening & closing Columbarium Niche
Fee for each additional interment in a regular or cremation lot
or inurnment in a single columbarium niche (circle selection)
Name plate & engraving plus cast shipping
Extra copy of Cemetery By-law Booklet
Purchase of two (2) or four(4) corner markers (circle choice)
Ministry interment/inurnment fee N/C
Other
Sub-Totals
Total Contract Price $
2016
Schedule"A" to B/L 2016-057 -4 -
TERMS & CONDITIONS OF CONTRACT
1. THE FOLLOWING TRUSTING PROVISIONS ARE IN EFFECT:
Per each regular Lot: 40% of the Purchase price or$ 300, whichever is greater
Per each cremation lot: 40% of the Purchase price or$150, whichever is greater.
Per each columbarium niche: 40% of the Purchase price or$300, whichever is greater.
2. CONTRIBUTION TO CARE AND MAINTENANCE FOR MARKER INSTALLATION:
Flat marker 173 square inches or more: $ 50.
Upright monument up to 4 feet in height or width $100.
Upright monument more than 4 feet in height or width $200.
3. A CONTRACT FOR THE PURCHASE OF INTERMENT RIGHTS INCLUDES:
• In accordance with the cemetery By-law 2015-116, the following restrictions on the
exercising of interment rights and documents required are under the Interment Heading.
• If an interment rights holder desires to transfer an interment right, the rights holder shall
give notice on the appropriate form Schedule "E" to the cemetery owner and return the
original interment rights certificate. Upon full payment of all applicable fees, the cemetery
owner shall issue a new interment rights certificate to the Transferee.
• For Contract Cancellation within thirty days of purchase, refer to the By-law heading
"Cancellation".
• In accordance with By-law 2015-116, restrictions on the transfer of interment rights can be
found under the Transfers, Repurchases & Third Party Sales heading.
• The resale of interment rights after 30 days by the purchaser or interment rights holder, as
applicable, to a third party is now permitted. Please refer to "Resales" under the Transfers,
Repurchases & Third Party ReSale heading.
NOTE: ALL THIRD PARTY RESALES OF INTERMENT RIGHTS SHALL BE CARRIED OUT
THROUGH THE CEMETERY OPERATOR.
4. CANCELLATION OF CONTRACT
• If the above Interment Rights have been paid for in full, have not been used, and the
Interment Rights Certificate has not been issued, the Purchaser may, in writing to the
owner, within thirty (30) days from the signing of the contract, cancel this contract and
receive a full refund.
• If the above Interment Rights have been paid for in full, have not been used, and the
Interment Rights Certificate has been issued, the Interment Rights Holder(s) may, in
writing to the owner, within thirty (30) days from the signing of the contract, cancel this
contract and receive a full refund.
• The Purchaser or Interment Rights Holder, as applicable, may in writing to the owner,
within thirty (30) days from the signing of the contract, cancel pre-paid supplies and
services, provided they are paid in full, and receive the refund.
2016
Schedule"A" to B/L 2016-057 -5 -
5. RESALE OF INTERMENT RIGHTS AFTER 30 DAY COOLING-OFF PERIOD & PRICE
• Unless the interment rights have been exercised the Purchaser or Interment Rights Holder,
as applicable, retains the right to re-sell the interment rights.
• A Purchaser or an Interment Rights Holder cannot re-sell their Interment Rights for more
than the current value on the cemetery price list.
• The current cost for the cemetery operator to complete and provide a new Interment Rights
Certificate upon resale is listed on the Cemetery Tariff/Fee Schedule.
6. SUBDIVISION OF INTERMENT RIGHTS
• No Purchaser or Interment Rights Holder(s) may sub-divide and sell or transfer a portion of
an Interment Rights.
7. MEMORIALIZATION
• The purchase of a lot permits placement of a maximum of one (1) upright monument only
on a traditional full body interment, plus up to two (2) cremations or on a lot with up to 4
cremations only, subject to approved by-laws.
• Care and Maintenance Fund Contribution for Marker and Monument Installation: In
accordance with the FBCSA and Ontario Regulation 30/11, the following contributions will
be made to the Care and Maintenance Fund for every installation of a marker or
monument:
(a) In the case of a flat marker measuring less than 1,116.3 sq. cm. (173 sq. in.) $0.00
(b) In the case of a flat marker measuring over 1,116.3 sq. cm. (173 sq. in.) $50.00
(c) In the case of an upright monument measuring 1.22 m. (4 ft.) or less in height or
length, including the base $100.00
(d) In case of an upright monument measuring more than 1.22m. (4 ft.) either in height
or length, including the base $200.00.
• Only the Memorial plaque included with the purchase of the Niche are permitted as found
under the Columbarium heading.
• Interment Rights Holder(s) request to remove memorialization: A marker, monument,
or memorialization purchased and/or installed by anyone other than the Rights Holder(s)
may be removed by the cemetery representative on the written request of the Rights
Holder(s).
8. PAYMENT TERMS
• Payment in full is required at time of purchase. Full payment must be made before
any burial or memorialization can take place. An Interment Rights Certificate will
not be issued until the Interment Right(s) and Care and Maintenance portions have
been paid in full. An Interment Rights Certificate(s)will be issued within 14 days of
full payment and signing of the contract by the operator.
9. CAUSES BEYOND THE CEMETERY OPERATOR'S CONTROL
• The cemetery operator cannot be responsible if unable/prevented from carrying out this
contract due to causes beyond its control.
2016
Schedule"A" to B/L 2016-057 -6 -
Privacy Policy
Personal Information: The Purchaser acknowledges and provides consent to permit the Corporation
of the Municipality of Bayham to collect, use and disclose your personal information in accordance
with the requirements under the FBCSA and Ontario Regulation 30/11 for information within the
municipal owned cemeteries public register. The Purchaser also understands that the Corporation of
the Municipality of Bayham does not rent or sell personal information to third party organizations.
Consumer Information Guide and cemetery price list: By initialing below, the purchaser
acknowledges receiving a copy of the Ontario Government's Consumer information Guide (where
made available by the Registrar) and the cemetery price list at the time of entering into this contract.
{_} I hereby acknowledge I have been offered and/or received a copy of the Ontario Government's
Consumer Information Guide and the Cemetery Price List.
I have reviewed the Contract's terms and conditions and hereby confirm that the Interment Rights, as
specified in this contract are complete and correct. I direct the operator to proceed with the sale of the
Interment Right(s), as identified in the contract in accordance with the cemetery by-laws which are
now or at any time hereafter in force.
} I hereby acknowledge I have received and reviewed a copy of the cemetery's by-laws.
The Terms and Conditions set out in this contract expire within 30 days unless executed by the
purchaser and the operator. The contract date set out below is the date on which this contract is
accepted by the operator.
{ } I acknowledge having received a copy of this contract, and assume full responsibility for payment
of the total contract amount to the operator in accordance with the contract's terms and conditions.
It is agreed between the parties that this contract and the operation of the cemetery, including
restrictions on Interment Rights, is subject to the Cemetery By-laws of the Municipality of Bayham and
the Purchaser hereby acknowledges receipt of a copy of the current By-laws and that the "Terms &
Conditions of Contract" above, have been read and understood.
Total Contract Price $ (from page 3)
Ordered by: Signature
(Purchaser Name)
Payment by cheque #: received on
Accepted on behalf of the Operator by:
Name
Cemetery Operator/ Representative:
Signature
Contact: Email: Telephone #:_
2016
MUNICIPALITY OF BAYHAM
1a 9344 Plank Road, Box 160
Straffordville, ON NOJ 1Y0
Telephone 519-866-5521
www.bayham.on.ca
bayhamAbayham.on.ca
Schedule "B" to B/L 2016-057
INTERMENT RIGHTS CERTIFICATE
Certificate #: Operator License # 3267732
Pursuant to the Cemeteries Act and Regulations and all amendments thereto, BETWEEN:
The Corporation of the Municipality of Bayham
Cemetery Name and
Address Here
hereinafter called "The Cemetery Operator"
AND:
Interment Rights Holder, hereinafter called the "Purchaser"
In consideration of the sum of Dollars ($ ), receipt of
which is hereby acknowledged, and which included the sum of Dollars
($ ), for Care and Maintenance which is deposited with the Municipality of Bayham, the
Cemetery Operator agrees to assign the Purchaser the Interment Rights as follows:
Section: Block: Plot#
Row: Grave(s)/Lot(s): Area of square
feet.
OR: Columbarium Niche Unit (1 or 2) Side (A or B) #
Date of Purchase/Transfer or Third Party Resale (circle 1 only):
Interment Rights per regular lot may include no more than one full size traditional body interment,
plus two (2) cremation interments, provided the first interment is in a vault.
All cremated human remains interred in a regular 4'x10' lot on top of a full body casket in a vault shall
be placed in a small flat six by six inch (6"x6") box type container with a depth of no more than four (4)
inches to ensure at least two feet (2') of earth coverage over the cremation remains, at surrounding
ground level." Section 3.58
Alternatively, up to four (4) cremation interments only, may be made in a regular lot.
A maximum of two (2) cremation burials are permitted in a 3' x 3' cremation lot or in a single
columbarium niche.
Cremation urns or containers may be used for burials in regular lots when used for cremation burials
only and in designated 3'x3' cremation burial lots.
2016
Interment Rights Certificate-Schedule B
to By-Law 2016-057 Page 2 of 2
For each cremation interment on top of an existing body burial with a vault, permission forms must be
completed, signed and on file with the Municipality, in advance.
No more than two (2) appropriately sized urns shall be placed in any single columbarium niche.
The purchase price per regular lot, cremation lot or niche permits one interment only in the
respective lot or niche.
Each additional interment in a regular lot, cremation lot or niche is subject to payment of an
additional fee, as may be in place at time of such interment, and must be properly authorized in
writing.
Resale: Interment Rights may be resold to a third party, through the operator, subject to
restrictions.
The Purchaser agrees that in the event of resale of the said Internment Rights, this certificate shall be
returned with the completed and signed Part 1 and Part 2 of the Interment Rights Resale
Endorsement — Form "C", to the Cemetery Operator who, upon completion, approval and payment
of any required fees, will issue a new certificate to the new Interment Rights holder.
The Purchaser, by signature below acknowledges acceptance of this indenture and confirms that the
By-law(s) governing the operation of the cemetery have been received and read, and agrees to be
guided by the said By-law(s) as well as the provisions of the Funeral, Burial and Cremation Services
Act and Regulations thereto, as if these were included as part of this indenture.
With respect to the erection or installation of markers, the Purchaser agrees to abide by the
restrictions in the Cemetery by-law(s) regarding the erection or installation of monuments or markers.
Signature of Purchaser:
In WITNESS whereof the Cemetery Operator has affixed its signature by the hands of its proper
signing officer this day of in the year
Cemetery Operator Representative Name:
Signature:
To be made in DUPLICATE (Issue one certificate for each lot sold)
2016
Schedule "C" to B/L 2016-057
4,p,YHA4 MUNICIPALITY OF BAYHAM
9344 Plank Road, Box 160, Straffordville, ON NOJ 1Y0
Telephone 519-866-5521
Website: www.bayham.on.ca Email: bayham(c�bayham.on.ca
INTERMENT RIGHTS RESALE ENDORSEMENT
Regarding the Cemetery at
(If there are more than one Interment Rights Holders, all living Rights Holders shall sign the
endorsement certificate. All Third Party Purchaser's shall be listed in full on the endorsement
certificate in order to register their names and addresses on the cemetery records.]
Part 1 — Interments Rights Holder(s) Resale Endorsement
I/we, the Interment Rights Holder(s) registered on the cemetery records, hereby wish to re-sell the
Interment Rights to Section: Block: Plot#
Row: Grave(s)/Lot(s): to a third party purchaser.
I/we certify that the Interment Rights are being resold in accordance with the Funeral Burial and
Cremation Services Act, 2002 (FBCSA) and Ontario Regulation 30/11, and the Cemetery By-law(s).
I/we further certify that the resale is for an amount no greater than the value on the cemetery price list
in effect, at the time this resale is completed. I/we hereby acknowledge and direct the above named
Cemetery to resell the identified Interment Rights to the purchaser(s) listed below.
Interment Rights Holders contact information:
Name(s):
Address: PC
Telephone #: Email:
Signed: &
Interment Rights Holder(s)
Part 2 — Acknowledgement of Purchaser(s)
I/we the third party purchaser(s) acknowledge that we have received a current copy of the Cemetery
By-laws from the Interment Rights Holder(s). I/we have reviewed the Cemetery By-laws as they may
apply to the Interment Rights and hereby agree to abide by the Cemetery By-laws and certify that I/we
meet all necessary qualifications and restrictions under those By-laws. I/we have been informed by
the Interment Rights Holder(s) that the Interment Rights being resold contains lot(s), and that
no lot(s) have been utilized and said lots remain available for future use.
Third Party Purchaser's contact information:
Name(s)
Address: PC
Telephone #: Email:
Signed: &
*Date received by Cemetery Representative: (Mandatory)
2016
Schedule "C" to B/L 2016-057
Parts 1 and 2 of this form must be completed by the interment rights holder(s) and returned to the
Municipal Treasurer in order to proceed with Re-sale of interment rights to a third party, subject to
restrictions in the cemetery by-law.
The Resale Endorsement fee listed in the current Cemetery Fee Schedule will apply based on
the date this form is received by the Cemetery Operator.
Part 3 — Cemetery Representative Acknowledgement and Acceptance of the Resale
Endorsement
The Operator for the above named Cemetery hereby confirms that the cemetery records have been
reviewed and that the above Interment Rights Holder(s) are registered on the cemetery records and
have the authority to resell the Interment Rights to the Third Party Purchaser(s). It is also confirmed
that no monies are owing by the Interment Rights Holder(s) to the above named Cemetery in respect
of the Interment Rights. On behalf of the above named Cemetery, I hereby accept and confirm that
the resale has been recorded on the cemetery records and have issued a new Interments Rights
Certificate in the name(s) of the Third Party Purchaser(s), as applicable for each resold lot.
I also confirm payment of the Interment Rights Resale Endorsement Fee of $ , plus
HST of $ , has been received and paid in full by cheque # in the amount of
Accepted on behalf of the Cemetery License# 3267732
Municipality of Bayham Treasurer:
Date of Resale:
APPLICATION OF RESALE ENDORSEMENT FEES
Calculation of the applicable fee(s) for Interment Rights Resale Endorsement will be based on the
date this form is received by the Cemetery Operator representative and the current approved fee on
the received date.
Based on the fee at time of 2016 By-law approval, the Resale Endorsement Fee Payable = $75.00
plus HST $9.75 = $ 84.75, for each new Interment Rights Certificate issued.
Examples
1.
In the case of four cremation burials to be placed in a regular lot, (or other combinations as
applicable), up to four names may be included on the certificate. In this instance, one original would
be created and retained by the Operator, certified photocopies would be provided to each of the four
persons listed and the respective Cemetery Secretary-Treasurer, if/as applicable, upon full completion
of the transaction. This would be considered as one new certificate being issued at a cost of$84.75.
2.
A Third Party Resale that pertains to more than one lot, will require a separate interment rights
certificate to be issued for each lot regardless of the number of proposed interments in each.
Example: 4 resold lots = 4 fees /4 certificates at $84.75 each for a total fee cost of$336.00
2016
Schedule “D” to B/L 2016-057
2016
MUNICIPALITY OF BAYHAM
9344 Plank Road, Box 160, Straffordville, ON N0J 1Y0
Telephone 519-866-5521
Website: www.bayham.on.ca Email: bayham@bayham.on.ca
INTERMENT PERMISSION FORM
Regarding the _____________________Cemetery at _____________________________________
Section: ____________________ Block: ______________________ Plot # ____________________
Row: _______________Grave(s)/Lot(s): _________________
OR: Columbarium Niche Unit (1 or 2) Side (A or B) # ____________________
Certificate #(s) OR Other Document(s) _________________________________________________
(Perpetuity Receipt, Deed or other document acceptable to the Cemetery Operator)
I/We ___________________________________________________________________________ of
Address:__________________________________________________________ PC____________
Telephone: _____________________________ Email: ____________________________________
hereby authorize the burial of __________________________________ in the above noted lot/niche.
I acknowledge the following interment requirements (B/L 2015-116, Sections # 3.44, 3.45, 3.46 & 3.47
& 3.58):
3.44 Subject to restrictions, no more than three interments may be made in a regular lot, it is
recommended that the first interment be in a concrete vault, and the remaining two interments
must be cremation burials for which proper authorization has been documented and approved by
the cemetery representative.
3.45 Installation of a concrete vault for all casket type burials is strongly recommended.
3.46 A full body casket in a vault or cremation interment must be to a depth that will ensure at least
two feet of earth coverage over the case at the surrounding ground level;
3..47 No more than four (4) cremation interments, if placement allows, shall be made in a regular lot.
A maximum of two (2) cremation burials are permitted in a 3’ x 3’ cremation lot.
3.58 All cremated human remains interred in a regular 4’x10’ lot on top of a full body casket in a vault
shall be placed in a small flat six by six inch (6”x6”) box type container with a depth of no more
than four (4) inches to ensure at least two feet (2’) of earth coverage over the cremation
remains, at surrounding ground level.
___________________________________ ________________________________________
Signature of Interment Rights Holder Signature of Interment Rights Holder
{Both if Joint Rights Holders only}
In WITNESS whereof the Cemetery Owner has affixed its signature by the hands of it’s proper signing
officer this ______day of____________________in the year _____________.
For Cemetery Operator: __________________________ (Print Name)
Signature: _____________________________________
Schedule"E" to B/L 2016-057
MUNICIPALITY OF BAYHAM
INNYHAL4,1 9344 Plank Road, Box 160, Straffordville, ON NOJ 1Y0
_44II -0 `` Telephone 519-866-5521
Website: www.bayham.on.ca Email: bayhamO.bayham.on.ca
INTERMENT RIGHTS TRANSFER FORM
Regarding the Cemetery at
Section: Block: Plot#
Row: Grave(s)/Lot(s):
OR: Columbarium Niche Unit (1 or 2) Side (A or B) #
Certificate#(s) or other documents dated
(Perpetuity Receipt, Deed or other document acceptable to the Cemetery Operator)
I/We of
Address:
Telephone: Email:
hereby authorize the transfer of the above noted lot(s), made without consideration, as a gift to:
Name
Address
Telephone: Email:
Name
Address
Telephone: Email:
I/We hereby relinquish all rights to the above lot(s) and submit the original copy of the Interment
Rights Certificate and request that the Cemetery Operator issue a new certificate(s) in the above
noted name(s). (One name per regular lot unless multiple cremation or a mix of burials are proposed,
in which case, all names must be provided in writing.)
In WITNESS whereof the Cemetery Operator has affixed its signature by the hands of it's proper
signing officer this day of in the year
Signature of Interment Rights Holder Signature of Interment Rights Holder
(Both if Joint Rights Holders only) Transfer Fee: $35.00+$4.55 HST per
certificate issued
For Cemetery Operator: Name: (Print)
Signature: Fee amount received: $
2016
Schedule "F" to B/L 2016-057
MUNICIPALITY OF BAYHAM
9344 Plank Road, Box 160 Straffordville, Ontario NOJ 1Y0
Telephone 519-866-5521
Website: www.bayham.on.ca Email: bayhambayham.on.ca
REPURCHASE OF INTERMENT RIGHTS REQUEST FORM
Regarding the Cemetery at
Section: Block: Plot#
Row: Grave(s)/Lot(s):
OR: Columbarium Niche Unit (1 or 2) Side (A or B)
Certificate #(s) OR Other Document(s)
(Perpetuity Receipt, Deed or other document acceptable to the Cemetery Operator)
I/We of
Address:
Telephone: Email:
hereby request the repurchase of the above noted lot(s) by the
Cemetery Board, in the negotiable amount of$
I/We acknowledge that the Care & Maintenance portion is non-refundable and a negotiated
repurchase, including relevant HST, apply only to the interment right portion of purchases
made after May 1, 2014.
I/We hereby submit the original copy of the Interment Rights Certificate(s) and upon receipt of the
Repurchase Price, I/we hereby relinquish all rights to the above lot(s) (All rights holders must sign).
Signed & Dated:
Signature of Interment Rights Holder Signature of Interment Rights Holder
Upon successful negotiation, the following is to be completed
I/We hereby acknowledge receipt of the agreed repurchase amount of$ , paid by
cheque # dated
Signature of Interment Rights Holder Signature of Interment Rights Holder
In WITNESS whereof the Cemetery Owner has affixed its signature by the hands of it's proper signing
officer this day of in the year
For Cemetery Operator:
THIS FORM TO BE USED ONLY WHEN THE CEMETERY OPERATOR CHOOSES TO
NEGOTIATE THE REPURCHASE OF INTERMENT RIGHTS.
2016
Unit 1
4000--i UNIT 1-SIDE'A' UNIT 1 SIDE 'B'
i ii ii i ii ii
1-1A 131 1-2A 1-3A I 1 1-1B pi 1-2B pi 1-3B 1
11-4A 1-5A p, 1-6A j 1 1-48 pi 1-5B 0q 1-68 S
ii ii ii I ! ;
56.000 1 iii 56.000 i
1 1-7A 10 1-8A 131 1-9A 1 1 1-7B }011-8B h 1-9B 1
11-10A 1-11A 1011-12A 1
I # 1-10B II 1-11B loi 1-12B 1
—
6.000— 54.750 '1
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4.000 UNIT 2-SIDE'A' 4.000—I UNIT 2-SIDE'B'
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56.000
12-7A H 2-8A H 2-9A 1
i I 12-713 612-8B H 2-9B 1
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6.000— 1 54.750 6.000— 1_. 54.750 11
Schedule H to By-Law 2016-057
Municipality of Bayham
9344 Plank Road, Box 160 Straffordville,
ON N0J 1Y0
Tel: 519-866-5521
Email: bayham@bayham.on.ca
Web: www.bayham.on.ca
License # 3267732
Cemetery Price List
Fee HST@13% Total
Identification & Marking of lot for burial $ 50.00 $ 6.50 $ 56.50
Identification & Marking of lot for marker placement $ 35.00 $ 4.55 $ 39.55
Placement of up to 4 corner posts provided by interment
rights holder $ 35.00 $ 4.55 $ 39.55
Interment Rights Certificate - Transfer $ 35.00 $ 4.55 $ 39.55
Interment Rights Certificate - Resale Endorsement $ 75.00 $ 9.75 $ 84.75
Interment Permission Form No charge
Municipal Cremation fee for opening & closing grave $300.00 $ 39.00 $ 339.00
Regular Lot
Purchase price of regular lot total
(Interment Rights @ $300, C&M @ $300)
Purchase price permits one interment in a lot. Purchase
price permits the erection of a flat or upright marker, subject
to approved by-laws. $600.00 $ 78.00 $ 678.00
Fee for each additional interment in any regular lot, subject
to completion of authorizing documents.
Two (2) cremation burials are permitted on top of a casket
burial, provided the first interment is in a vault, and subject to
completion of authorizing documents.
Up to four (4) cremation burials only are permitted in a
regular lot, subject to completion of authorizing documents.
$300.00 $ 39.00 $ 339.00
Cremation Lot
Fee HST@13% Total
Purchase price of one cremation lot total
(Interment rights @ $150, C&M @ $150)
Purchase price permits one interment in a lot.
Purchase price permits the erection of one flat marker
Only, at a maximum size of 24” x 14”, or less, on a
12” diameter post hole filled with a minimum depth of
Four feet of concrete, subject to approved by-laws.
A maximum of two (2) cremation burials are permitted
in a cremation lot, subject to completion of authorizing
documents.
A cremation lot is 3' x 3'. $300.00 $ 39.00 $ 339.00
Fee for each additional interment in any lot used for cremation
purposes, subject to completion of authorizing documents $300.00 $ 39.00 $ 339.00
Columbarium Niche
Fee HST@13% Total
Purchase price of a single columbarium niche includes
(Interment Rights @ 900 C&M @ 300)
Purchase price permits one cremation inurnment
in a single columbarium niche
A maximum of two (2) cremation inurnments are
permitted in a single columbarium niche, subject to
completion of authorizing documents
$1,200.00 156.00 $1,356.00
Niche Nameplate & Engraving
Must be purchased as part of initial columbarium purchase price $300.00 $39.00 $339.00
Inurement – Open/Close $150.00 $19.50 $169.50
Fee for a second cremation inurnment in a single
columbarium niche $300.00 $39.00 $339.00
General
Extra copy of Cemetery By-law/Booklet $ 2.00 $ 0.26 $ 2.26
Purchase of 2 small corner posts $ 10.00 $ 1.30 $ 11.30