Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, provide the legal name of your organization. Fill in the address details, including street, city, state, and zip code. Include your organization's telephone number and fax number for reference.
3. Identify the person to contact regarding this document by entering their full name and providing an email address for further communication.
4. If the cemetery name differs from the organization's name, fill in the cemetery's name and address details, following the same format as in step two. Also, include the corresponding telephone and fax numbers.
5. Indicate where the examination reports should be mailed by providing the name and address of the recipient.
6. In the following section, circle the applicable answers for the fees associated with the perpetual care annual report and cemetery merchandise. Complete any needed blanks, ensuring accuracy for correct billing.
7. Calculate the total amount of the check to be submitted based on the fees circled in the previous section. Ensure that this total is clearly stated.
8. After completing the form, review all entries for completeness and accuracy. Once satisfied, save your changes. You can then download, print, or share the form as needed.

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