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Transfer Ownership - Original Owner

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CITY OF CONCORD
Cemetery Department
207 N. State Street
Concord, NH 03301
603-225-3911
OWNER TRANSFERRING OWNERSHIP
Name(s) of Original Owner
Location of Lot
Cemetery Name
I/We as original owner(s) transfer all ownership rights of this lot to:
Name of New Owner
Phone Number
Street Number
Street Name
Street Type
Apt #
City
State
Zip
__________________________
Print Name
__________________________
Signature
_____________
Date
__________________________
Print Name
__________________________
Signature
_____________
Date