Fillable Form 1: ADJACENT PLOT PURCHASE FORM APPLICANT DETAILS (Queenstown Lakes District Council New Zealand)

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Form 1: ADJACENT PLOT PURCHASE FORM APPLICANT DETAILS (Queenstown Lakes District Council New Zealand)

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Country of origin: NEW-ZEALAND
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Full Name:
Full Name:
Burial Plot
Cemetery:
Block Number:
Plot Purchase Fee:
Conrmed by:
Plot Number:
Invoice Number:
Date:
Ashes Plot
Address:
Address:
Phone Number: Mobile Number:
Phone Number: Mobile Number:
Email:
Email:
Signature: Date:
APPLICANT DETAILS (OWNER OF THE PLOT)
NEXT OF KIN DETAILS (TO OWNER)
PLOT DETAILS
1
2
3
Page 1/1 // August 2015
ADJACENT PLOT
PURCHASE FORM
Private Bag 50072, Queenstown 9348
10 Gorge Road, Queenstown 9300
47 Ardmore Street, Wanaka
P: QUEENSTOWN 03 441 0499
P: WANAKA 03 443 0024
E: services@qldc.govt.nz W: www.qldc.govt.nz
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Form 1: ADJACENT PLOT PURCHASE FORM APPLICANT DETAILS (Queenstown Lakes District Council New Zealand)

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Completed 11 February 2021

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