Transfer Report - Aqha

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*TRANSF-0616*
Transfer Report
FOR OVERNIGHT DELIVERY TO AQHA: 1600 QUARTER HORSE DR, AMARILLO, TX 79104 • MAILING ADDRESS: P O BOX 200, AMARILLO, TX 79168
806 - 376-4811 •
806 - 349-6405 •
806 - 373-2281
WWW AQHA COM •
FAX:
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INSTRUCTIONS:
1. Remit Certificate of Registration with transfer report and appropriate fees to AQHA.
2. Print or type all requested information.
3. Verify that the horse’s color and markings match the Certificate of Registration.
4. The person selling the horse should be listed as the owner on the Certificate of Registration.
5. Any erasure or alteration may necessitate verification.
6. Consult the AQHA Official Handbook regarding complete transfer rules or contact AQHA.
We certify that the horse sold is the horse registered with the American Quarter Horse Association as described on the Certificate of Registration delivered to AQHA
in conjunction with this transfer report. We authorize AQHA to record the transfer of ownership of the horse upon AQHA’s receipt of all required transfer items.
O
As the seller, I want to enroll this horse in the AQHA Full Circle program and, if able, will help provide
GELDED:
options to future owners in the event this horse becomes unwanted or is ready for retirement
O YES
No cost, visit to learn more
DATE (IF KNOWN, MM/DD/YYYY)
HORSE’S NAME
AQHA REGISTRATION NUMBER
If this transfer is for an unregistered foal, indicate foal’s birthdate and name and registration number of sire and dam
BIRTHDATE (MMDDYYYY)
SIRE
AQHA REGISTRATION NUMBER
AQHA REGISTRATION NUMBER
DAM
DATE OF
SALE:
BUYER’S AQHA ID #
DATE POSSESSION OF HORSE ACTUALLY CHANGED (MM/DD/YYYY)
SOLD
TO:
BUYER’S NAME
O
FILL IN
THIS CIRCLE IF
BUYER’S ADDRESS
THIS IS A NEW
ADDRESS
CITY
STATE/PROVINCE
POSTAL CODE
DAYTIME TELEPHONE
E-MAIL
X
SIGNATURE OF SELLER
SELLER’S AQHA ID #
O
FILL IN
THIS CIRCLE IF
SELLER’S PRINTED NAME
SELLER’S ADDRESS (STREET OR BOX NUMBER)
THIS IS A NEW
ADDRESS
STATE/PROVINCE
POSTAL CODE
CITY
AREA CODE
DAYTIME PHONE
E-MAIL ADDRESS
REQUIRED: If consigned to auction sale, please give name, date and mailing address of sale company.
COMPANY NAME
MAILING ADDRESS
DATE OF AUCTION
FEES
SUBJECT TO CHANGE WITHOUT NOTICE
O
$20
Transfer fee for current AQHA or AQHYA Member
OPTIONAL – Special Handling
two-day service
O
-
(in addition to regular
O
Transfer fee for nonmember who wishes to become
fee) If you select special handling, please make note on the outside of your
$60
a 12-month AQHA Member
$25
envelope, "Rush Transfer"
Say Goodbye to Renewal Notices – Have your membership and/or Journal subscription
automatically renewed on the credit card you provide Nothing will lapse if you elect to
OPTIONAL - Overnight Service
O
is available to those who requested special
auto renew You can cancel at any time
handling above This fee is only applicable for service within the United States
O
If you do not wish to enroll in the auto renewal program, fill in this circle:
and does not include Saturday delivery charges For service outside the U S
O
Transfer fee for nonmember who wishes to become a
$20
and/or Saturday service, contact our office for current rates
$35
12-month AQHYA (Youth) Member
Birthdate of youth __ __ / __ __ / __ __
Dues payments may be deductible by members as an ordinary and necessary business expense; however, contributions or gifts to the American Quarter Horse Association
are not deductible as charitable contributions for federal income tax purposes However, donations to the American Quarter Horse Foundation ARE tax deductible to the extent
allowed by law $1 of your annual membership dues is designated for a subscription to America’s Horse, AQHA’s official member publication
Through the payment of a membership fee to AQHA, I acknowledge that membership in AQHA is voluntary and I agree to be bound by all the terms and conditions of AQHA'S
Official Handbook of Rules and Regulations
AQHA OFFICIAL
IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING:
CHECK
MONEY ORDER
PUBLICATION SUBSCRIPTION
AMERICAN EXPRESS
MASTERCARD
VISA
SUBSCRIPTIONS RATES
U.S.
CANADA
INTERNATIONAL
CARD NUMBER
$ 25
$ 50
$ 80
1-year
EXP. DATE (MMYY)
DAYTIME PHONE
2-year
$ 45
CARDHOLDER NAME
To subscribe to Ranch Horse Journal or
CARDHOLDER SIGNATURE
BILLING ZIP CODE
Performance Horse Journal, visit
DO NOT SEND CASH • U.S. FUNDS ONLY
BARCODE *TRANSF-0616* FORMS-2000-16-438 TRANSFER REPORT 6-16-16

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