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Transfer Ownership - Original Owner

  1. CITY OF CONCORD
    Cemetery Department
    207 N. State Street
    Concord, NH 03301
    603-225-3911

  2. OWNER TRANSFERRING OWNERSHIP

  3. I/We as original owner(s) transfer all ownership rights of this lot to:

  4. __________________________

    Print Name

  5. __________________________

    Signature

  6. _____________

    Date

  7. __________________________

    Print Name

  8. __________________________

    Signature

  9. _____________

    Date

  10. Leave This Blank: