When dealing with the transition of burial plots, understanding the Dos 204 form is vital. This form, officially known as the Application for Approval to Transfer Cemetery Property, is a crucial document managed by the New York State Department of State Division of Cemeteries. It's designed to facilitate the process of transferring ownership of cemetery property, including individual graves or plots. The form requires detailed information about the current owner, the cemetery, the number and specific location of graves, as well as the acquisition details. It asks whether burials have already taken place in the plot and if the graves were initially bought for resale purposes. Additionally, the form inquires about any unoccupied graves owned beyond those being transferred and if there have been previous applications for transfer. Importantly, it also seeks information on the relationship of the proposed purchaser or donee to the current owner, and any affiliation they might have with the funeral directing business, underlining the state's commitment to ensuring these sacred spaces are treated with integrity and respect. By completing this form, owners affirm under penalty of perjury that the information provided is accurate and truthful, ensuring a transparent and lawful transfer process. This careful regulation underscores the importance of maintaining dignity and respect within these final resting places, safeguarding the rights of owners and their families in times of change.
| Question | Answer |
|---|---|
| Form Name | Form Dos 204 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ZIP4, interment, subparagraph, donee |
NYS Department of State
DIVISION OF CEMETERIES
One Commerce Plaza
99 Washington Avenue
Albany, NY
F O R O F F I C E U S E O N L Y
FILE NO ______________________________
DATE APPROVED ______________________
Application for Approval to Transfer Cemetery Property
PLEASE PRINT
1.CURRENT OWNER NAME
STREET ADDRESS
CITY, STATE ZIP+4
2.CEMETERY NAME
STREET ADDRESS
CITY, STATE ZIP+4
3. NUMBER AND LOCATION OF GRAVES TO BE TRANSFERRED, AND HOW ACQUIRED |
|
|
Number (Quantity) |
Location (block, section, plot, etc.) |
How and Date Acquired |
|
|
Yes |
No |
4. |
Are there now any burials in the plot? |
____ |
____ |
5. |
Were the graves originally acquired for resale? |
____ |
____ |
6. |
Do you own any unoccupied graves in addition to those listed in Item 3, above? |
____* |
____ |
*IF YES, specify number, cemetery, where located and how acquired:
Number (Quantity) |
Cemetery |
Location (block, section, plot, etc.) |
How and Date Acquired |
7. |
Have you made any previous applications to this office for approval of transfer of cemetery property? |
____ |
|
|
____ |
8. |
Name and address of proposed purchaser or donee: |
|
9. |
Is the proposed purchaser or donee related to you? |
____* |
____ |
|
*IF YES, specify relationship: |
|
|
10. |
Is the proposed purchaser in, or affiliated with, the funeral directing business? |
____ |
____ |
*IF YES, attach notarized statement from purchaser indicating that the plot will be used ONLY for personal use and not for resale:
Applicant Affirmation — I, the undersigned, duly authorized, subscribe and affirm under the penalties of perjury that I am the owner of the property herein described and that the information provided is true and correct.
Signature of Current Owner(s)
or Authorized Agent(s) ______________________________________________________________ Date ______________________________
(If not owner, attach a written power(s) of attorney.)
On this __________ day of _________________20____
appeared ______________________________________
known to me to be said person.
______________________________________________
Notary Public