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ISHR TRANSFER REPORT

2120 Scotch Hollow Rd., Noel, MO. 64854


INSTRUCTIONS: Print all information ledgibly and clearly. Any alternations of this form will necessitate verification and/or a new transfer properly completed and signed. Check Registration Certificate to affirm last name appearing as owner is the same name as the person from whom you are purchasing. It shall be the responsibility of the SELLER to notify ISHR of a transfer and to complete top half of this form. BUYER shall complete bottom of form and pay required transfer fee. ISHR will be responsible for issueing new certificate.


TRANSFER FEE: Current Member: $7.00 > Non-Member: $25.00 > CPI Certification Certificates: $5.00 (Hardship Clause) **(current members meaning: a paid up member who has bought an ISHR equine and wants to transfer to their name -- Non Member meaning: MUST PAY the $25.00 fee - this entitles new owner to one year membership and ISHR Rainbow Connection Newsletter)

FIRST SECTION TO BE COMPLETED BY SELLER/OWNER


NAME OF EQUINE:__________________________________________ISHR #________or CPI #___________

Owner/Seller:____________________________________________ISHR Member #________ Address:_________________________________City__________________St/Prov:_______Zip__________

I/We hereby certify that the Equine above agrees with the certificate attached and on record with ISHR. I/We authorize the registry to record this new transfer of ownership of this date of sale: DATE:____/____/____. I/We understand that the Registration Certificate of said equine will be RETURNED to registry so it may be updated and issued to new owner listed below.

SIGNATURE OF OWNER/SELLER:_______________________________________Date:______________

REGISTRATION CERTIFICATE MUST BE RETURNED TO REGISTRY

BELOW TO BE COMPLETED BY BUYER/NEW OWNER

Buyer's Name:___________________________________________Assigned ISHR #_________

Address:___________________________City________________________St/Prov.______Zip________

Phone Number:_____________________ Email:_____________________Date:___/___/___

SIGNATURE OF BUYER/NEW OWNER:______________________________________________

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REQUIRED: Give Info Below Of Name/Address Of Sale Company and Date:

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