3. Please answer the following Merchandise Trust Fund questions:
a. Do you sell cemetery merchandise as defined in K.S.A. 16-320a? Yes___ No___
If “No,” skip to Section 4.
b. Give the original date the merchandise trust fund account was established: _____________
c. Number of prepaid merchandise contracts on file with trustee (Do not include the contracts in which the merchandise has
been delivered): ______________
*Attach schedule detailing such contracts, including the interest earned (lost) on each contract.
d. Amount due to fund that was collected last year and not deposited until this year plus payments made on any
existing contracts: $_________________
e. Fill out chart based on THIS reporting year’s contracts for which merchandise has NOT been delivered:
Type of
Number of
Gross Cash
Minimum Funding
Amount
Amount Due to Fund,
Contract
Contracts
Received
Requirement (110% of
Deposited into
Not Deposited until
wholesale costs)
Fund
Next Year
Paid in Full
With Installment
Payments
0.00
$0.00
$0.00
$0.00
$0.00
Year Total
f. Fill out chart based on THIS reporting year’s contracts for which merchandise has been delivered or contract cancelled:
Type of Contract
Number of Contracts
Minimum Funding Requirement
Amount Withdrawn Fund
(110% of wholesale costs)
Partial
Delivery
Total
Delivery
Cancelled
Contracts
0.00
Year Total
$0.00
$0.00
g. Give amount withdrawn from trust for exceeding minimum funding requirements: $_______________
h. Are all cemetery merchandise contracts in writing and signed by the contracting parties? Yes___ No___
i. Do your accounts (either in general ledger or accounts) show separate accounts of deposits, accrued income or losses,
and withdrawals for each prepaid cemetery merchandise sales contract? Yes___ No___
j. Were the wholesale costs of the prepaid cemetery merchandise sold on each contract of sale determined on December 31
based on quotations and price lists on file with the cemetery? Yes___ No___
K.S.A. 17-1312a; K.S.A. 16-329
Rev. 10/15/10 nr
3/5
1
2
3
4
5
