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.

 

 

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.

 

 

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.

 

 

4.______

Pre-Funded Funeral Account:  Depending on the specific pre-arrangements, a balance may be owed. Please select an above payment option.

 

 

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.

 

 

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.

 

 

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 ____________________________________________

 

 

Social Security No.______________________________________________

Telephone No._________________________________________

 

 

Address  ____________________________________________________________________________________________________________________________

 

 

 

 

(2) Signature of Purchaser ______________________________________

Print Name ____________________________________________

 

 

Social Security No.______________________________________________

Telephone No. _________________________________________

 

 

Address _____________________________________________________________________________________________________________________________


 Date: ________  Funeral Director: ____________________________________                                                        Payment Policy 10 21 2015


In this section

Obituary-Vital Statistics Form

Items Needed Checklist

Payment Policy

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