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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: