WYOMING PRIVATELY OWNED CEMETERIES

INSTRUCTIONS FOR ANNUAL FILING

Pursuant to Wyoming Regulations, Chapter 28, each seller shall file an annual report with the commissioner on or before March 1.

Wyoming requires payments be made electronically via Sircon ↗. To use this service you must be a Sircon account holder. If you do not have a Sircon account you may establish one through their carrier signup page ↗.

***Renewals will not be accepted as complete/renewed without all required forms and fees***

Please upload the following each year prior to March 1:

1. Privately Owned Cemetery Annual Report*, including full name and address (both residence and place of business) of the seller.

2. Balance Sheet - Most current balance sheet, showing the seller's assets and liabilities.

3. Buyers List - Name and address of each buyer.

4. Decedents List - Name of the decedent as to each contract of sale for a lot, crypt or niche.

5. Interments List - Number of interments or entombments for the year.

6. Officers & Directors List - Full name and address of every member, officer, and director.

7. Plan of Operation - Detailed plans to provide for the perpetual care of the cemetery.

8. Surety Bond - Copy of surety bond.

9. Trust Fund Form - Detailed accounting of all transactions, dates and amount of payments made and accepted thereon, and the amount deposited into the Perpetual Care Trust Fund for each contract. Include donated lots/graves, crypts, and niches. The Perpetual Care Trust Fund Detailed Listing form* may be used for reference.

10. Trust Statement - The annual trust statement from your depository.

11. Supporting Documents - Total amount of perpetual care funds invested in each of the investments authorized by the commissioner of the Wyoming Department of Insurance and any additional documentation pertinent to renewal.

Annual Renewal Fee: $60 ($50 application fee, $10 annual reporting fee).

• Wyoming requires payments be made electronically via Sircon ↗. To use this service you must be a Sircon account holder. If you do not have a Sircon account you may establish one through their carrier signup page ↗.

Pursuant to Section 17, fines and penalties may apply in accordance with W.S. § 26-1-107 ↗.

A 30-day filing extension may be granted upon receipt of a written request.

Please contact Tammy Rathburn if you have any questions.