American Quarter Pony Association
PO Box 30, New Sharon, IA 50207
Phone: (641) 675-3669
Fax: (641) 675-3969
Email:
jarrod@netins.net
Transfer Report & Bill-of-Sale
____________________________________________________________
Registered Name of Pony
AQPA No.
____________________________________________________________
Location of Animal
Date of Sale
____________________________________________________________
Printed Name of Seller
Seller Phone No.
____________________________________________________________
Address of Seller
City, State, ZIP
____________________________________________________________
Printed Name of Buyer
Buyer Phone No.
____________________________________________________________
Address of Buyer
City, State, ZIP
Acknowledgement: I have read the rules and regulations as printed on this form and I hereby certify that the animal agrees with the
pedigree on record with the American Quarter Pony Association (AQPA). Further, I acknowledge and certify that I am the last
recorded owner (with the AQPA) of this pony and have full rights to affect this transfer. Therefore, I authorize the AQPA to record
this transfer of ownership.
____________________________________________________________
Signature of Seller
Date of Signature
____________________________________________________________
Signature of Buyer
Date of Signature
Transfer Fee $5.00
Office Use Only
Transfer Fee Paid By: ______________________________
Certificate Mailing Date: ____________________________
To: _____________________________________________
Address: ________________________________________
Send Certificate of Registration with this form and transfer fee.
Transfer Instructions
Seller instructions – Read carefully – You are responsible
•
Every change of ownership must be recorded upon the records of the American Quarter
•
Pony Association (AQPA)
Only 1 pony per transfer form
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