Online Form - Purchase of Grant of Right of Burial

To be completed by the person taking responsibility for a grave for the event of a burial or reservation of a plot for the Wyndham or Kununurra Cemeteries.

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Details of Applicant

Full Name*

Address

Street Address:

City:

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Post Code:

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Postal Address

Postal Address:

City:

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Post Code:

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Contact Number*

Grave Details

Cemetery*

Denomination Section*

Plot Number*

Previous Grant Details (if applicable)

Grant Holder Name

Grant Number

I understand that I can transfer this Grant of Right of Burial only with Shire approval and upon payment of the set fee.
Taxes & Levies
I acknowledge that any statutory increase or impositions of fees levied, except for those
levied under the Cemeteries Act 1986 and amendments thereto, which are outside the direct control of the Shire of Wyndham East Kimberley after the date of this agreement and relating to the cremation, burial or conduct of funerals charged to and payable to my estate.
I will be responsible for the payment of all present and future taxes, duties, assessments and outgoings whatsoever including a goods and services, value added or similar broad based consumption tax, whether statutory or local or of any other description which may be assessed, charged or imposed on or in connection with the provision of the Service, and after the date of my death, my estate will be liable for the payment of any such taxes, duty, charge, assessment and outgoing.
If I make a payment for future tax including a goods and services, value added or similar broad based consumption tax, in connection with the provision of the Service, and that tax is not eventually imposed, the Shire of Wyndham East Kimberley will refund the value of any such payment to me or my estate.

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