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Checklist & Payment Policy


You will need to bring the following items with you to the funeral arrangement conference:

  • Clothing
  • Glasses, Jewelry
  • Social Security Number
  • Photo (two - three, clear and close up)
  • Veterans DD214 Discharge
  • Cemetery Deed, if available

Payment Policy

**If purchaser(s) opt to use a credit card for payment, a 3.5% service fee will be incurred to cover the fees assessed by the credit card company. 

1..A discount of $__________ shall be offered if total balance due is paid in full by cash or check no later than, ___________. If not, option 2 must be selected.  

2.A payment of $____________, which is one-half of the total balance due, is required at the time of the funeral arrangement conference by cash, check or credit card. *Another option must be selected to pay the balance due.  

3.Total balance due is to be paid in full by cash, check, MasterCard or Visa within 14 days from the day of the service or disposition. In all cases where the total payment has not been received in 14 days, a Late Payment Charge of 1.5% per month (18% per year) shall be added beginning on the 15th day. There will be no exceptions.  

4. Life Insurance: Once it has been determined that the policy is active, non-contestable, and assignable, the beneficiary is required to sign an assignment form for the amount of the funeral services requested. A service fee of 4% will be incurred of the total funeral amount which covers the fees of a third-party processor. If life insurance proceeds are not sufficient to pay the expenses, another option must be selected.  

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.   

ESTATE PAYMENTS: Past experience has shown estates can take over two months to be in a position to pay the account. The purchaser(s) must pay by one of the options above. The funeral home will provide all necessary documents for the purchaser(s) to be reimbursed from the estate. 

CROWD FUNDING: We will not accept payment from another online donation source such as GoFundMe, because the proceeds raised from those campaigns are not assignable to our funeral home. The funeral home’s website has a donation feature and those proceeds are made payable directly to our funeral home.   

(1) Signature of Purchaser ______________________________________ Print Name ____________________________________________ 

Social Security No.______________________________________________  Telephone No._________________________________________ 

Address ____________________________________________________________________________________________________________________________ 

  (2) Signature of Purchaser ______________________________________ Print Name ____________________________________________ 

Social Security No.______________________________________________ Telephone No. _________________________________________ 


 Date: _______ Funeral Director: ____________________________________________________________ 

Payment Policy 12 7 2019

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