Claim To Proceeds Form

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CLAIM TO PROCEEDS
Please fax to Debbie at 859-288-4346 or Mail to the address below:
Keeneland __________________, 20_____ Sale
Claimant: _____________________________________________________________________________
Seller(s)/Owner(s): _____________________________________________________________________
Consignor(s): __________________________________________________________________________
Year _________Hip ___________________________________by [SIRE] out of [MARE], in foal to [STALLION]
Total claimed from proceeds:
$ _________________ or _______________% of proceeds, after sales expenses
Foal Share
_____Yes _____No
Stallion Service Certificate delivered to Keeneland: _____ Yes _____ No
Jockey Club Registration delivered to Keeneland: _____ Yes _____ No
Comments: ___________________________________________________________________________
By signing below, the undersigned represents and warrants the claim to proceeds above is a valid and legally enforceable claim with respect to
the horse/hip number listed in the Claim Form. Further, by signing below, the undersigned acknowledges that Keeneland will not make a
determination as to the validity and/or priorities of multiple claims to the proceeds and/or possession of Jockey Club documents. If there are
conflicting claims to the proceeds, Keeneland will not make any distribution unless and until all claimants come to an agreement regarding the
distribution of the proceeds. If the parties cannot reach an agreement, Keeneland will seek judicial action, should other efforts to resolve the
issues not be successful, including but not limited to, filing an interpleader action in order to allow the appropriate court to resolve any issues
regarding the validity and/or priority of all liens and interests in the proceeds and/or possession of Jockey Club documents. Furthermore, the
undersigned understands and recognizes that by notifying Keeneland of its claims to the proceeds or Jockey Club documents, the undersigned
does not create or perfect a security interest or agricultural lien pursuant to the Kentucky Revised Statues or the federal Food Security Act.
By signing below, the undersigned agrees that a $10 processing fee shall be deducted from the proceeds distributed to the undersigned as a
result of this Claim. Provided, however, that if this claim to proceeds is submitted ten (10) business days prior to the first day of the sale in
which the subject horse is to be sold, the undersigned agrees that a $20 processing fee shall be deducted from the proceeds distributed to the
undersigned as a result of this Claim. Provided further, that if the claim to proceeds is submitted after the sale in which the horse is to be sold
begins, the undersigned agrees that a $30 processing fee shall be deducted from the proceeds distributed to the undersigned as a result of this
Claim.
Keeneland acknowledges that no processing fee shall be charged for any claim to proceeds pursuant to an order of a judicial court including,
without limitation, a garnishment, execution, attachment or levy. Further, processing fees will not be assessed if the claim is satisfied/released,
or if the horse is removed from the sale, or if the horse fails to meet its reserve.
The undersigned agrees to pay the aforesaid processing fees, and acknowledges that the aforesaid processing fees are reasonable. The
undersigned further acknowledges and agrees that Keeneland has no duty and expressly disclaims any duty, to make any independent
determination of the validity and/or priority of claims to the proceeds. Keeneland will notify Consignor of the claim and in the event Keeneland
is not notified by Consignor or a claimant of any objection to the payment of a claim to proceeds prior to the date of distribution of the
proceeds, or if all claimants come to an agreement regarding the distribution of proceeds, Keeneland will deliver checks to Consignor and
claimants as applicable.
Claimant Signature: _________________________________ Date: _____________________________________
Printed Name: _____________________________________ Contact Number: ____________________________
Address: __________________________________________ Email: _____________________________________
City, State, Zip Code: _________________________________________________________________________
Keeneland Association
Attn: Sales Accounting - Debbie
4201 Versailles Road
Lexington, KY 40510

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