Plot Sale Form


Full Name (s)________________________________________________

Address _________________ City ____________ State ______ Zip ______

Phone (___)________________ Cell (___)_________________________

Email ______________________________


I certify to the best of my knowledge that all of the information provided is true and correct. If the cemetery should have any questions or need further information, the first point of contact should be the Contact Information as indicated above.

Signature __________________________ Date _________

Printed Name ____________________________

Space Dimensions 3’x9’

      1          2

      3          4

      5           6

Cremation Spot Choices
Spot _________

Cemetery Of Choice:

         ⎕City                          ⎕Mt. Calvary                           ⎕Russell

Grave Location: Block ________ Row/Lot ________ Grave (s) ________

$100.00 per plot Total Amount Due: _______________

Payments: Mail checks to NRCMD, PO Box 367, Nezperce, ID 83543. Once payment is received you will receive a deed for the Right of Burial. Deeds do not need to be recorded but kept with your records for safekeeping.

Owner Transfer / Sale of Plot: Transfers or Sales are transferable with the authority of the NRCMD, a $25.00 fee will be payable before the transfer takes place.

Monument: Monuments outside the given row will be flush mount with the ground. All other monuments will be within the assigned grave dimensions. Monument placement will be overseen by district and installed professionally. Family is responsible for maintenance of monuments. Cemetery Board has final say on etchings and wording on monuments.

Note: Once you have received a deed for the Right of Burial your reservation will be added to the districts reservation list. All burials will be performed by the Nezperce-Russell Cemetery Maintenance District Sexton.


Office Use Only
__Payment received           __Invoiced              __Deed returned               __Reservation added                                            Initials________