ERB Advance Purchase Form

Source page 1

North Petherton Town Council
Heathfield Cemetery
Exclusive Rights of Burial - Advance Purchase

Plot Number (for NPTC office use):
Section 1: Plot information
Please tick as appropriate:
Purchase of Full Burial plot ☐

Purchase of Ashes plot ☐

Note: If a full burial plot is required the allocation will be for a Lawn plot (only memorial stones allowed and
these will be placed in rows at either the head or the foot of the grave as is appropriate for that row).
Should you require a traditional plot, where flat stones and kerbs and borders are allowed, please
contact the office to check availability
Section 2: Purchasers Details
Full Name :

Address:

Telephone Landline:
Telephone Mobile:
Email
Section 3 : Authorisation and Signature(s)
By signing this form you agree that all the details provided are correct
I/We wish to purchase the Exclusive Right of Burial
Name
Signature …………………………………………
Date………………………………………………..
Section 4 : For office use only :
Invoice details
The Town Council Office, The Somerset Room, Junction 24 Sedgemoor Auction Centre
Market House, North Petherton, Somerset TA6 6DF.
Tel: 01278 574074 email: enquiries@northpethertontowncouncil.gov.uk
July 2026

Source page 2

Please complete and return this form to the Town Council. An invoice will be issued to the purchaser. When
payment has been received an Exclusive Right of Burial Grant document will be sent to the purchaser.

The Town Council Office, The Somerset Room, Junction 24 Sedgemoor Auction Centre
Market House, North Petherton, Somerset TA6 6DF.
Tel: 01278 574074 email: enquiries@northpethertontowncouncil.gov.uk
July 2026