Quit Claim Form

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Quit Claim Form
I, We,
Name
Phone
Address
City
State
Zip
do hereby transfer, assign, release, and forever Quit-Claim the following described title,
interest in, and the rights described:
Cemetery
Addition
Block
Spaces
to
Name
Phone
Address
City
State
Zip
Located in the City of Holland, on this __________ day of ______________, 2______
It is understood that this assignment is made subject to all the laws, rules, regulations,
and ordinances of Pilgrim Home and Graafschap Cemeteries and the City of Holland. The
assignee, by acceptance of this agreement, hereby agrees to be bound by any laws, rules,
and regulations.
Prior Owner
Date
Recipient
Date
Cemetery Representative
Date

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