Form P-2 (SFN51531) "Pre-need Funeral Contract Sales Annual Report" - North Dakota

What Is Form P-2 (SFN51531)?

This is a legal form that was released by the North Dakota Securities Department - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2021;
  • The latest edition provided by the North Dakota Securities Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form P-2 (SFN51531) by clicking the link below or browse more documents and templates provided by the North Dakota Securities Department.

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Download Form P-2 (SFN51531) "Pre-need Funeral Contract Sales Annual Report" - North Dakota

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FORM P-2
PRE-NEED FUNERAL CONTRACT SALES ANNUAL REPORT
Securities Department
NORTH DAKOTA SECURITIES DEPARTMENT
600 E Boulevard Ave
SFN 51531 (6-2021)
Bismarck ND 58505
(701) 328-2910
www.securities.nd.gov
Calendar Year
Filing Fee
$15.00
A: Name of funeral establishment or cemetery association
B: Street address, City, State and ZIP Code
C: Mailing address, City, State and ZIP Code
Telephone Number
D: Name of manager or operator
E: The total number of pre-need funeral service contracts entered into during the calendar year
covered by this report:
F.
The total in dollars of all funds received in payment for pre-need funeral service contracts for the
calendar year covered by this report, do not include interest earned.
$
G.
The total dollars released by a financial institution during the calendar year covered by this report
prior to the death of the person for whose benefit the funds were paid.
$
H.
The total in dollars released by a financial institution during the calendar year covered by this report
to the entity named in "A" above.
$
I:
The total in dollars of all funds received since July 1, 1973, which are undrawn, unexpended and on
deposit in a financial institution, need not include interest earned.
$
J: On the enclosed sheet provide legibly the following information for each pre-need funeral service
contract entered into the calendar year covered by this report:
(1) The name of the purchaser;
(2) The name of the beneficiary;
(3) Amount paid by the purchaser;
(4) Amount deposited by the entity name in "A" above;
(5) Date of the contract; and
(6) Name and complete mailing address of the financial institution in which the consideration was
deposited.
*Footnote - The term "financial institution" means a bank, credit union, savings and loan association or
trust company.
(Date)
(Signature)
FORM P-2
PRE-NEED FUNERAL CONTRACT SALES ANNUAL REPORT
Securities Department
NORTH DAKOTA SECURITIES DEPARTMENT
600 E Boulevard Ave
SFN 51531 (6-2021)
Bismarck ND 58505
(701) 328-2910
www.securities.nd.gov
Calendar Year
Filing Fee
$15.00
A: Name of funeral establishment or cemetery association
B: Street address, City, State and ZIP Code
C: Mailing address, City, State and ZIP Code
Telephone Number
D: Name of manager or operator
E: The total number of pre-need funeral service contracts entered into during the calendar year
covered by this report:
F.
The total in dollars of all funds received in payment for pre-need funeral service contracts for the
calendar year covered by this report, do not include interest earned.
$
G.
The total dollars released by a financial institution during the calendar year covered by this report
prior to the death of the person for whose benefit the funds were paid.
$
H.
The total in dollars released by a financial institution during the calendar year covered by this report
to the entity named in "A" above.
$
I:
The total in dollars of all funds received since July 1, 1973, which are undrawn, unexpended and on
deposit in a financial institution, need not include interest earned.
$
J: On the enclosed sheet provide legibly the following information for each pre-need funeral service
contract entered into the calendar year covered by this report:
(1) The name of the purchaser;
(2) The name of the beneficiary;
(3) Amount paid by the purchaser;
(4) Amount deposited by the entity name in "A" above;
(5) Date of the contract; and
(6) Name and complete mailing address of the financial institution in which the consideration was
deposited.
*Footnote - The term "financial institution" means a bank, credit union, savings and loan association or
trust company.
(Date)
(Signature)
SFN 51531 (6-2021)
Calendar Year
Page 2 of 3
PRE-NEED FUNERAL SERVICE CONTRACT REPORT - SCHEDULE
Name of Funeral Establishment or Cemetery Association
NAME OF
NAME OF
AMOUNT
AMOUNT
DATE OF
Name and Complete Mailing Address
PURCHASER
BENEFICIARY
PAID
DEPOSITED
CONTRACT
for each Financial Institution
SFN 51531 (6-2021)
Calendar Year
Page 3 of 3
PRE-NEED FUNERAL SERVICE CONTRACT REPORT - SCHEDULE
Name of Funeral Establishment or Cemetery Association
NAME OF
NAME OF
AMOUNT
AMOUNT
DATE OF
Name and Complete Mailing Address
PURCHASER
BENEFICIARY
PAID
DEPOSITED
CONTRACT
for each Financial Institution
Page of 3