Thompson-Marodi
Funeral Home, Inc.
809 Main Street - Bentleyville, Pennsylvania 15314
Timothy Marodi – Supervisor, Funeral Director, Owner
Office: 724-239-2255 - Facsimile: 866-571-4206
Payment Policy Service
of: ____________________________________ Service Date: ____________
Cash Advance Items (section {B} of the Funeral Purchase Contract) must be paid at the time of the funeral arrangements by cash or check. Cash Advance Items are fees that the funeral home pays for your convenience to a third party, such as: obituaries, death certificates, flowers. These charges represent a cash outlay without a profit being realized by the funeral home.
Payment Options: After selecting one of the following, purchaser(s) is to initial the selected payment option.
1. ______ |
Expenses are to be paid in full by cash, check, MasterCard or Visa within 30 days from the day of the service or disposition. In all cases where the total payment has not been received in 30 days, a Late Payment Charge of 1.5% per month (18% per year) shall be added beginning on the 31st day. There will be no exceptions to this policy. |
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2. ______ |
A discount of $________ shall be offered if expenses are paid by, or no later than, _______________. If the not, option #1 above will take effect. |
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3. ______ |
Life insurance proceeds with assignment will be accepted once coverage has been verified through the insurance carrier. The funeral home will assist with the necessary documents and proceeds will be paid to the funeral home. If coverage cannot be verified during the funeral arrangement conference, payment of expenses must be secured with a credit card until verification is made. |
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4.______ |
Pre-Funded Funeral Account: Depending on the specific pre-arrangements, a balance may be owed. Please select an above payment option. |
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5. ______ |
More Than One Purchaser: In the case where more than one family member will share in payment of the total funeral bill, we ask that the family designate one family member to be responsible to the funeral home for the total funeral bill. The individual family members may then reimburse the designated family responsible party. If expenses are not paid in full within 30 days, option #1 will take effect. |
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RETURNED CHECK FEE - You will be assessed a returned check fee of $25.00 each time a check is returned by our bank for insufficient funds. | |
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ESTATE PAYMENTS: Past experience has shown estates can take two months or longer to be in a position to pay the account. It is the responsibility of the purchaser(s) signing the statement of goods and funeral services to pay the expenses in full with one of the above options. The funeral home will provide all necessary documents for the responsible party to be reimbursed from estate. |
(1) Signature of Purchaser ______________________________________ |
Print Name ____________________________________________ |
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Social Security No.______________________________________________ |
Telephone No._________________________________________ |
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Address ____________________________________________________________________________________________________________________________ | |
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(2) Signature of Purchaser ______________________________________ |
Print Name ____________________________________________ |
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Social Security No.______________________________________________ |
Telephone No. _________________________________________ |
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Address _____________________________________________________________________________________________________________________________ |
Date: ________ Funeral Director: ____________________________________ Payment Policy 10 21 2015