1505 East McDowell Road Phoenix, Arizona (602) GENERAL PRICE LIST These prices are effective as of January 1, 2018

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1 1505 East McDowell Road Phoenix, Arizona (602) GENERAL PRICE LIST These prices are effective as of January 1, 2018 The goods and services shown below are those we can provide to our customers. You may choose only the items you desire. However, any funeral arrangements you select will include a charge for our basic services and overhead. If legal or other requirements mean you must buy any items you did not specifically ask for, we will explain the reason in writing on the statement we provide describing the funeral goods and services you selected. All services and merchandise shall be governed by the Conditions of Service, Cremation Notice and Funeral Goods and Services Agreement. PROFESSIONAL SERVICES Basic Services of Funeral Director and Staff... $ Our fee for the basic services of funeral director and staff includes, but is not limited to, staff to respond to initial request for service, arrangement conference with family and responsible parties, arrangement of funeral, consulting with family and clergy, preparing and filing of necessary authorizations and permits, coordinating with the cemetery, crematory, or other third parties. In addition, this fee includes a proportionate share of our basic overhead costs. This fee for our basic services and overhead will be added to the total cost of the funeral arrangements you select. (This fee is already included in our charges for direct cremations, immediate burials, and forwarding or receiving remains.) Embalming... $ Except in certain special cases, embalming is not required by law. Embalming may be necessary, however, if you select certain funeral arrangements, such as a funeral with viewing. If you do not want embalming, you usually have the right to choose an arrangement that does not require you to pay for it, such as direct cremation or immediate burial. OTHER PREPARATION OF THE BODY Refrigeration $ It is our policy to refrigerate immediately upon receiving remains. This fee includes the initial four days of refrigeration, for arrangements and disposition to be completed, after which this funeral home reserves the right to charge a daily refrigeration fee of $75.00 per day. Dressing, Cosmetology and Placement in the casket.... $ Basic Hair Dressing. $95.00 Professional Hair Dressing.. As Quoted External Disinfection of Unembalmed Remains.. $ Dressing of Unembalmed Remains $ Autopsy Repair..$ Donor Restoration.. $

2 AUTOMOTIVE EQUIPMENT Transfer of Deceased to Funeral Home This charge includes the use of our staff and equipment to transport remains to the funeral home within a 30 mile radius. ($3.00 per loaded mile thereafter) Additional Removal Staff for Special Circumstances (per person)...$ Funeral Coach (within a 30 mile radius) $ Passenger Limousine or Family Car (within 30 mile radius, 3 hours) $ Utility Vehicle (within a 30 mile radius) $ For obtaining and/or filing required documents or permits and/or death certificates, and/or for transportation of remains to the cemetery or crematory. Transportation to/from Phoenix Sky Harbor International Airport.. $ Delivery of Cremated Remains (within a 30 mile radius).... $75.00 Funeral Escort Service $ USE OF FACILITIES, EQUIPMENT AND STAFF Visitation at our Funeral Home or other Facility Use of staff services, equipment and/or facilities for visitation for up to 3 hours. Additional time beyond 3 hours will be charged at the rate of $100 per hour or portion thereof. Between Monday Friday, 9:00AM-3:00 PM... $ For visitation held Monday-Friday, between 3:00-8:00 PM... $ Funeral Ceremony/ Memorial Service at our Funeral Home or other Facility Use of staff services, equipment and/or facilities for funeral service for up to 2 hours. Additional time beyond 2 hours will be charged at the rate of $100 per hour or portion thereof. Between Monday Friday, 9:00AM-3:00 PM... $ For funeral held Monday-Friday, between 3:00-8:00 PM... $ Graveside Service... $ Drop Off for an Overnight Visitation at Church or Home... $ Patio Service... $ Includes coffee, assorted pastries and bottled water for approximately 50 people. This service can be added to a Visitation, Funeral Ceremony or Memorial Service at our Facility. Additional Fee for Saturday Services $ This fee applies to any selected service held on a Saturday, including Visitation, Funeral Ceremony, Memorial Service, Graveside Service or Drop off at Church or Home. Additional Fee for Sunday or Holiday Services... $ This fee applies to any selected service held on a Sunday or Holiday, including Visitation, Funeral Ceremony, Memorial Service, Graveside Service or Drop off at Church or Home Private Identification Viewing...$ Includes Minimal Preparation of the body, setting features, viewing of the body on a cot or table. Does not include bathing, embalming, dressing, cosmetology or autopsy repair. One or more of these services may be required for a private viewing. Viewing time is limited to 5 immediate family members, for a period of time not exceeding 15 minutes. Private Identification Viewing with Ecoview Alternative Container... $ Use of Facilities for Autopsy... $

3 FORWARDING OF REMAINS TO ANOTHER FUNERAL HOME... $ Our charge includes basic services of funeral director and staff; a proportionate share of overhead costs; removal of remains; embalming or other preparation of remains and transportation to Phoenix Sky Harbor International Airport. This charge does not include shipping container, autopsy/donor restoration, or transportation charges such as airfare or ground transportation. RECEIVING REMAINS FROM ANOTHER FUNERAL HOME... $ Our charge includes basic services of funeral director and staff; a proportionate share of overhead costs; care of remains; transportation of remains to funeral home and to cemetery or crematory. This Charge does not include visitation, funeral ceremony or graveside service. DIRECT CREMATION...From $ or as Selected Our charge for a direct cremation (without ceremony) includes basic services of funeral director and staff; a proportionate share of overhead costs; removal of remains (within a 30 miles radius); transportation to crematory and necessary authorizations. The crematory fee and Medical Examiner s cremation authorization fee are included in these charges. These charges do not include Private Identification Viewing, Memorial Service and or Chapel Service. All cremations are governed by the Conditions of Service, Cremation Notice and Funeral Goods and Service agreement. A. Direct cremation with container provided by Purchaser... $ B. Direct cremation with Minimum Cardboard Cremation Container...$ If you want to arrange a direct cremation, you can use an alternative container. Alternative containers encase the body and can be made of materials like fiberboard or composite materials (with or without an outside covering). We provide are cardboard, fiberboard or unfinished wood containers. C. Direct cremation with a Minimum Casket (C-32)...$ Cremation Fee (up to 249 lbs)...$ Persons weighing 250 pounds or more will require a more supportive cremation container, such as the Hard Bottom Cremation Tray. Additionally, the cremation fee will change depending on weight: lbs $ lbs $ lbs $ lbs $ lbs $ Cremation Witness Fee...$ (This fee is in addition to the Cremation Charges and is limited to 15 minutes) IMMEDIATE BURIAL...From $ to as Selected Our charge for an immediate burial (without ceremony) includes: basic services of funeral director and staff; a proportionate share of overhead costs; removal of remains; and local transportation to cemetery (within a 30 mile radius).these charges do not include public viewing, chapel or graveside service. A. Immediate Burial with casket provided by Purchaser... $ B. Immediate Burial with Cloth Covered Fiberwood Casket (PBF C-32)... $ C. Immediate Burial with Minimum 20-Guage Metal Casket... $

4 OTHER OPTIONS Insurance Processing Fee/Assignments..10% of Total Charges or a minimum charge of $150 for a contract totaling less than $ Shipping & Handling of Cremated Remains within Continental USA $ Shipping & Handling of Death Certificates, US Priority Mail $25.00 Next Day/ Express/ Overnight Delivery of Cremains or Death Certificates.... As Quoted Procurement of Consulate Documentation..... $ Preparation of Local Newspaper Obituary..... As Quoted Protective Pouch......$95.00 A Protective Pouch is Required on All cases received from the Office of Medical Examiner Air tray... $ Metal Liner/Ziegler Case..... $ Combination Shipping Container..... $ Memorial Packages...$ (Includes 1 Register Book, 100 Memorial Folders & 50 Acknowledgement Cards) Register Book $40.00 Memorial Folders (100, may include one picture). $65.00 Prayer Cards (100) $55.00 Acknowledgement Cards (per box of 25)... $12.50 Custom Memorial Programs (100)... $ Crucifix..... $20.00 Life Tribute DVD... $50.00 Life Tribute DVD -Additional Copies...$10.00 Flag Case... $75.00 Airbrush Acrylic Canvas Portraits 11x14...$ x20... $ Pallbearer Gloves.. $7.50 a pair Disposal of Packaging for Outside Source Caskets.. $ Merchandise Prices Ranges Complete Prices Lists are available at the funeral home for each category of merchandise listed below. Disclosure Notice for Funeral Services Agreement A.R.S (B) This Establishment offers for sale caskets and outer burial containers which may be purchased and used at your options, in connection with funeral services and final disposition of human remains. However, except for state health requirements (A.R.S ). The purchase or use of caskets or Outer Burial Containers is not required by law. Caskets... $ to $ Cremation Urns $37.00-As Selected Outer Burial Containers... $ to $

5 CASKET PRICE LIST Washington Solid Copper, Beige Velvet Interior, PBF Casket Co $ Goldenfawn Stainless Steel, Velvet Interior, PBF Casket Co (available in Golden Fawn, Rose, Ebony, Blue) $ Whitney Orchid 18 Gauge Steel, Pink Velvet Interior, PBF Casket Co $ Champlain Solid Cherry, Almond Velvet Interior, PBF Casket Co.... $ Our Lady of The Rosary 18 Ga Brushed Steel, Crepe Interior, PBF Casket Co... $ Lady of Guadalupe 18 Gauge Steel, Crepe Interior (Available in White, Metallic/Light Blue or Orchid). $ Patriot 18 Ga Steel, Crepe Interior, PBF Casket Co (available in Metallic/Light Blue or Pewter $ Renaissance Solid Paulownia Hardwood, Walnut Finish, Rosetan Crepe Interior, PBF Casket Co. $ William High Gloss Walnut Finish, Rosetan Crepe Interior, PBF Casket Co $ Springfield Select Wood, Satin Golden Oak Finish, Rosetan Crepe Interior, PBF Casket Co.... $ Antique White 18 Gauge Steel, Pink Crepe, PBF Casket Co... $ Sunburst 18 Gauge Steel, Crepe Interior, PBF Casket Co. (Available in Bronze, Platinum or Blue)... $ Heartland Series 20 Gauge Steel, Crepe Interior, PBF Casket Co., (Customizable).... $ Alex 20 Gauge Steel, Crepe Interior, PBF Casket Co (Available in Silver or Blue)... $ Stockton Veneer, Available in either Golden Cherry or Amber Pine Finish $ Ultra Gauge Steel, Crepe Interior, PBF Casket Co (Available in Silver or Bronze)..$ Ultra Gauge Steel, Crepe Interior, PBF Casket Co (Available in White, Silver or Bronze).. $ Concord Silver Gauge Steel, Crepe Interior, PBF Casket Co.. $ Alternative Containers: 1. Oversize Rental Casket with insert... $ Saguaro. $ Rental Casket with Insert... $ Saguaro. $ Ocotillo... $ Transporter $ Hard Bottom Cremation Tray... $ Minimum Cardboard Rigid Cremation Container.... $95.00 Samaritan Funeral Home makes no warranties or representations regarding caskets, outer burial containers, or 5

6 other funeral goods sold. The only warranties expressed or implied, granted in connection with the goods sold with a funeral service are expressed in written warranties, if any, extended by the manufacturers thereof. No other warranties, expressed or implied, including the implied warranties of merchantability or fitness or particular purpose, are not extended by the funeral home. All Services and Merchandise shall be governed by the Conditions of Service, Cremation Notice and Funeral Good and Services Agreement forms. GRAVE LINERS, VAULTS AND CONCRETE BURIAL CONTAINERS In most areas of the country, state or local law does not require that you buy a container to surround the casket in the grave. However, many cemeteries require that you have such a container so that the grave will not sink in. Either a grave liner or a burial vault will satisfy these requirements. 1. Concrete Grave Liner... $ Trigard Burial Vaults Oxford... $ Trigard Burial Vaults Honor Series $ Trigard Burial Vaults Tremont White Marble..... $ Trigard Burial Vaults Aegean White... $ Trigard Burial Vaults Healing Tree White Marble..... $2295 Samaritan Funeral Home makes no warranties or representations regarding caskets, outer burial containers, or other funeral goods sold. The only warranties expressed or implied, granted in connection with the goods sold with this funeral service are the express written warranties, if any, extended by the manufacturers thereof. No other warranties, expressed or implied, including the implied warranties of merchantability or fitness or particular purpose, are not extended by the funeral home. All Services and Merchandise shall be governed by the Conditions of Service, Cremation Notice and Funeral Good Services Agreement form. SAMARITAN FUNERAL HOME IS NOT RESPONSIBLE FOR THE ACTIONS OF THIRD PARTIES IN CONNECTION WITH THE SERVICES YOU MAY REQUEST AND THAT WE MAY OBTAIN ON YOUR BEHALF SUCH AS CREMATORIES, FUNERAL PROCESSION ESCORT SERVICES, LIMOS, CHURCHES, FLORISTS, CEMETERIES, AIRLINES OR CLERGY. You CAN SELECT ANY COMPANY THAT PROVIDES THESE SERVICES. WE ARE HAPPY TO PROVIDE A LIST OF NAMES OF COMPANIES THAT OFFER THESE SERVICES BUT DO SO WITHOUT MAKING ANY REPRESENTATION ON THEIR FITNESS FOR USE. You MAY ALSO CHECK ON THE INTERNET OR REVIEW THE PHONE BOOK PRIOR TO SELECTING THESE SERVICES. WITHOUT EXCEPTION WE DO NOT WARRANTY OR GUARANTEE ANY THIRD PARTY CASH ADVANCE ITEM OR SERVICE. AUTHORIZING AGENT AGREES TO HOLD HARMLESS AND INDEMNIFY SAMARITAN FUNERAL HOME AND ITS EMPLOYEES FROM ANY AND ALL CLAIMS, DAMAGES, AND AWARDS OR JUDGMENTS INCLUDING EMOTIONAL, MENTAL ANGUISH, PAIN AND SUFFERING AS A RESULT OF OBTAINING SUCH SERVICES AT YOUR DIRECTION. YOU USE SUCH SERVICES AT YOUR OWN RISK AND SAMARITAN FUNERAL HOME ONLY OFFERS THESE SERVICES ON AN AS-IS BASIS WITHOUT ANY REPRESENTATIONS, WARRANTEES OR GUARANTEES. 6

7 Cemetery Requirements Costs may include cemetery plot, opening and closing of grave, grave liner or vault, and memorial or marker. Cemeteries usually require a minimum container/ casket and some sort of protection to prevent the collapse of grave after burial. Options include earth burial, entombment (placement of casket in a building called a mausoleum), or placement of cremated remains in a columbarium niche (a room or space in a mausoleum). For each option offered, cemeteries may have specific requirements concerning type of memorial or marker and minimum casket or container requirements. Check with the cemetery of your choice to determine its requirements and related costs. Cremation Requirements Cremation is performed by placing the deceased in a combustible casket or container, that in turn, is placed in a cremation chamber and subjected to intense heat/flame. Bone fragments and dust are brushed from the chamber after cremation; however, it is impossible to remove all of the cremated remains. Because some dust and residue always remain in the chamber, there may be an inadvertent or incidental commingling of residue from previous -cremations. This also may occur as a result of mechanically processing cremated remains. Cremations must be authorized by the County Medical Examiner to ensure that any evidence of criminal activity is not destroyed. State law requires that within 15 days the authorizing agent sign a form authorizing cremation. A legally competent adult may prepare a written statement directing the cremation or other lawful disposition of the legally competent adult s remains. This written statement may but need not be part of the competent adult s will. The legally competent adult shall sign and date the document. The document shall be notarized or witnessed in writing by at least one adult affirming that the notary or witness was present when the competent adult signed and dated the document and that the competent adult appeared to be of sound mind and free from duress at the time of execution of the document. The document of immunity authorizes a crematory, cemetery or funeral establishment to carry out the wishes of a competent adult. It is not necessary for a crematory, cemetery or funeral establishment to obtain the consent or concurrence of any other person when it cremates or provides for the lawful disposition of a dead human body. The legally competent adult must provide financial arrangements so a crematory, cemetery and funeral establishment can execute the adult s wishes as expressed in the document. If a dispute arises in a family and more than one person is legally entitled to make the disposition decision, a majority of those with the authority must consent to the cremation (example: majority of children or majority of siblings). If there is no disagreement, only one signature from someone in the group is required. Unless arrangements are made with the funeral establishment, the authorizing agent is solely responsible for disposition of the cremated remains. Cremated remains should be collected upon notice of availability. The crematory authority may dispose of the remains in a legal manner 120 days after the cremation or after agreed to pick-up date. Cremated remains may be buried, entombed, placed in a niche, scattered over private land with permission of owner or over public property (may require permit), or remain in family s possession, usually in an urn (wood, marble, or metal container). Filing Complaints Please note that not all complaints concern a matter to which the Arizona State Board of Funeral Directors and Embalmers can respond. The Board will consider only those matters that constitute a violation of laws and rules and cannot establish rules or regulations that would result in a restraint of trade, such as setting fees or dictating what services may be offered. Examples of valid bases for complaints include dishonesty, misrepresentation, incompetency, false charges for good services, fraud, false advertising, intimidation/harassment, and violation of state laws stated in this brochure. State law requires that one person at each funeral establishment be designated as the RESPONSIBLE FUNERAL DIRECTOR. Before filing a complaint, you may want to resolve any differences by first contacting this person. If you are not satisfied, contact the Board for a complaint form, or state your complaint on a separate sheet of paper. Please type or print (in black ink) your complaint and forward it to the Board with copies of supporting documentation. Additionally, establishment complaint history and inspection results can be obtained by contacting this office. Agencies That Can Help You Agency State Board of Funeral Directors and Embalmers 1400 W. Washington Suite 230 Phoenix, AZ Phone: (602) FAX: Office of Vital Records Arizona Department of Health Services 1818 West Adams Phoenix, AZ Phone: (602) Department of Real Estate 2910 N. 44th Street Phoenix, AZ Phone: (602) Department of Insurance 2910 N. 44th Street Phoenix, AZ Phone: (602) Responsible for: Regulation of funeral establishments, funeral directors, embalmers and other licensed funeral personnel, crematories, and prearranged funeral trusts. Certified copies of death certificates, disposal/transit permits. Cemeteries and crematories on cemetery grounds. Prearranged funerals funded by insurance. National Memorial Burials for veterans. Cemetery of Arizona N. Cave Creek Phoenix, AZ Phone: (480) Reproduction of this brochure is prohibited. For additional copies, please contact the Arizona State Board of Funeral Directors and Embalmers. TP-10/94 ARIZONA STATE BOARD OF FUNER AL DIREC TOR S AND EMBALMER S West Washington, Suite Phoenix, AZ (6 02 ) Consumer Guide to Arizona Funerals Information Autopsies Caskets Cemetery Requirements Cremation Requirements Donation of the Body Embalming Funeral Arrangements Prearranged Funeral Plans This document is available in alternative formats.

8 Funeral Arrangements After death, funeral arrangements must be made by an authorizing agent, even if prepaid. Authorizing agents could be a spouse, someone identified in a healthcare power of attorney as having authority to make disposition arrangements, next of kin, or another responsible person as identified in A.R.S Importantly, if a spouse was legally separated from the descendant or if a petition for divorce or legal separation was pending at the time of death, the spouse cannot be the authorizing agent. If requested, funeral establishments must provide information regarding funeral costs over the phone. State law requires that the funeral establishment provide you with: Consumer Guide to Arizona Funerals Information (this brochure) General Price List before discussing funeral arrangements. Casket Price List before entering a casket selection room (you also may be shown casket photographs or illustrations). Casket costs are separate from funeral service costs. Outer Burial Container Price List before discussing purchase of outer burial containers from the establishment. If you are an authorizing agent, you will be asked at funeral arrangement to sign a contract called a Statement of Funeral Goods and Service, which lists your selections. Read the contract before signing. Contract includes a professional fee and other itemized charges. Total charges vary widely, so you may wish to compare with other establishments. NOTE: Funeral establishment services, fees, and quality vary so you may wish to visit several establishments before you sign the contract. SAVE YOUR CONTRACT and related documents! Authorizing agents are entitled to an explanation of each charge on the contract. You may change your selections before you sign the contract, or you may go elsewhere. Funeral establishments may charge in advance for certain items (cash advances) that they purchase from a third party on your behalf. These items may include cemetery or crematory charges, obituary notices, death certificates, flowers, clergy, musician honoraria, and motorcycle escorts. State law prohibits charging more than the actual cost for these items without informing you that there is a service or handling fee. Plan Type Description of Prearranged Funeral Plan Cancellation Policy Fixed Price Funeral Trust Non-Fixed Price Funeral Trust Insurance- Funded Funeral Plan Payable- On-Death (POD) Account Autopsies Can be elective or not depending on circumstances. Hospitals ask permission; County Medical Examiners do not need permission. May result in a high embalming fee. Donation of the Body Arrangements for donating a body to a medical school are usually made by an individual prior to death. Embalming Chemically disinfecting/preserving the body. Not required by state law if remains are refrigerated, cremated, or buried within 24 hours and the person has not died due to certain communicable diseases. If you select any of these services, you do not have to pay for embalming you did not approve. Note that funeral establishments are not required to have refrigeration. May have to pay for embalming if: it is required by law or provided for in the funeral establishment s policy. For example, you may have to pay if you select a service such Plan and purchase funeral in advance at today s prices. Funds are placed in trust account in federally-insured financial institution and are combined with funds from other prearranged funerals. Contract remains individually-identified. Interest stays with account and offsets inflation. The funeral establishment may keep up to 15% of contract price for administration of funds and 10% of the interest each year for account maintenance. Sale of this plan requires licensing and regulation by State Board of Funeral Directors and Embalmers, and is audited by the State Banking Department. Taxes on plan may not be prepaid; interest must be reported on purchaser s income tax form. Plan and purchase funeral in advance, but prices are not fixed. Funds are placed in trust account. At death, services/merchandise are charged for at current prices. If not enough funds are in account, survivors must add to amount or make different choices. Any excess of trust funds are given to estate of deceased. Sale of this plan requires licensing and regulation by State Board of Funeral Directors and Embalmers. Taxes on plan may not be prepaid; interest must be reported on purchaser s income tax form. Plan funeral in advance and purchase life insurance policy (not a trust plan) or annuity to cover funeral costs. Plan contract may or may not be fixed price funeral with specific funeral establishment(s). Funeral establishment is the policy s beneficiary. This type of plan may be sold only by persons licensed by the State Department of Insurance. There are no income taxes payable on this type plan. Note that funeral establishments may charge an additional assignment fee when accepting insurance-funded plans. Plan funeral with a funeral establishment, and they keep record of your wishes. You have option to set up savings account or individual trust account at financial institution to cover predicted funeral costs. No fixed price. Interest stays in your account. Funeral establishment is the account s beneficiary, payable at your death. as a viewing; you authorize it; or there are special circumstances. Some cemeteries or mausoleums may require embalming for burial or entombment (placement of casket in a building called a mausoleum), but you may choose a funeral establishment that does not have this requirement. Embalming is usually required if the body is being shipped. Caskets/Containers Not required by state law for burial. A rigid, combustible container is required for cremation. Crematories and cemeteries usually have their own minimum requirements. A casket will not prevent the natural decomposition of a body. Cancel at any time. If within 3 days of arrangement execution, all monies returned. If after 3 days, funeral establishment may keep no more than 15% of contract price. If payment is in installments, no more than half may be applied to service charge. If canceled before full payment, unpaid service fees are no longer due. All interest less a small administrative fee must be returned to purchaser. Cancellation policy is the same for a Fixed Price Funeral trust (see description above) This cancellation policy does not apply to single payment annuities. If you cancel within ten days of receipt of policy, all monies are returned. If cancel after 10 days, you receive only cash value of insurance policy. If you fail to pay premium, you may receive no money back. Account is entirely within your control. You may withdraw all monies at any time. Funeral establishment and survivors should be kept informed of account status, so that your wishes may be fulfilled upon your death.