N.J. Admin. Code § Tit. 13, ch. 44J, subch. 14, app B
_________________________________________________ certifies
(Name of Cemetery Company selling spaces or niches)
that it has no reason to believe that ________________________ is
(Name of purchaser)
purchasing _______________________________ interment spaces
(Number of spaces or niches)
or niches for the purpose of reselling any of those interment spaces or niches.
______________________________________________ certifies that
(Name of Cemetery Company selling spaces or niches)
it has informed _______________________________________ that
(Name of purchaser)
purchasing interment spaces or niches for resale is prohibited by N.J.S.A. 45:27-32.
__________________________________________________ certifies that
(Name of Cemetery Company selling spaces or niches)
the foregoing statements are true.
__________________________________________________ is aware
(Name of Cemetery Company selling spaces or niches)
that if any of the foregoing statements made by it are willfully false, it will be subject to disciplinary action.
__________________________________________
Cemetery Company's authorized signature
N.J. Admin. Code Tit. 13, ch. 44J, subch. 14, app B
See: 38 N.J.R. 3746(a), 39 N.J.R. 1762(a).