Required fields are marked with asterisks (*)

Purchase of Interment Rights Form

Please complete this form if you wish to purchase grave plots. Once completed, click "Submit" and a member of the Clerk's Division will contact you to finalize the contract.

Personal information, as defined in the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of the Municipal Act, 2001 and will be used to process the application, to finalize plot sales, and publicize cemetery public register in accordance with the Funeral, Burial and Cremation Services Act, 2002. Questions about this collection of personal information should be directed to the Clerk’s Division, 263 Main Street, Odessa, Ontario, K0H 2H0, 613-386-7351 ext. 121, clerk@loyalist.ca

Purchaser Details

Full Name

Address

Phone Number

Recipient(s):

Purchaser's relationship to recipient

Internment Rights Details

Number of graves

The following fees are effective as of January 1, 2025 under the new Cemetery Price List. The cost of the graves includes a Care & Maintenance Contribution.

Description	Cost	HST	Total
Single Grave Plot (includes two cornerstones and installation)	$1,400.00	$182.00	$1,582.00
Double Grave Plot (includes four cornerstones and installation)	$2,700.00	$351.00	$3,051.00
Four Grave Plot (includes four cornerstones and installation)	$5,200.00	$676.00	$5,876.00
Two Extra Cornerstones	$265.00	$34.45	$299.45

Additional services and fees can be found in the Cemetery Price List. Once this form has been submitted, staff from the Clerk's Division will provide with the total price.

Cornerstone Text (Maximum of 9 characters)

The sale of interment rights is subject to Loyalist Cemetery By-law and the Cemetery Price List.

Signature

Clear

Date