Transfer Report - Aqha printable pdf download

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

•

✆

FAX:

spAñol

INSTRUCTIONS:

1. Print or type all requested information.

2. The color and markings of the horse should be verified with the Certificate of Registration.

3. Any erasure or alteration on this report may necessitate verification.

4. The Certificate of Registration should list the owner as the person selling the horse.

5. Consult the AQHA Official Handbook regarding transfer rules or contact AQHA

6. Remit appropriate fees, the transfer report and the Certificate of Registration to 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.

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.

¡ 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

DAM

DATE OF:

SALE

BUYER’S AQHA ID #

DATE POSSESSION OF HORSE ACTUALLY CHANGED (MM/DD/YYYY)

SOLD TO:

BUYER’S NAME

FILL IN

THIS CIRCLE

BUYER’S ADDRESS

IF THIS IS A

NEW ADDRESS

CITY

STATE/PROVINCE

POSTAL CODE

DAYTIME TELEPHONE

E-MAIL

SIGNATURE OF SELLER

SELLER’S AQHA ID #

FILL IN

THIS CIRCLE

SELLER’S PRINTED NAME

SELLER’S ADDRESS (STREET OR BOX NUMBER)

IF 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

Transfer fee for current AQHA or AQHYA Member .................................$15

OPTIONAL - Special Handling - two-day service (in addition to

regular fee). If you select special handling, please make note on the outside

Transfer fee for nonmember who wishes to become

a 12-month AQHA Member ........................................................................$55

of your envelope, "Rush Transfer" ................................................ $25

Say Goodbye to Renewal Notices - Have your membership and/or Journal

OPTIONAL - Overnight Service is available to those who requested

subscription automatically renewed on the credit card you’ve provided. Nothing

will lapse if you elect to auto renew – plus we’ll hold your annual membership

special handling above. This fee is only applicable for service within the

renewal dues at $35 for three years. You can cancel at any time.

United States and does not include Saturday delivery charges.

If you do not wish to enroll in the auto renewal program, check here:

For service outside the U.S. and/or Saturday service, contact our office

Transfer fee for nonmember who wishes to

for current rates .............................................................................. $20

become a 12-month AQHYA (Youth) Member ..........................................$30

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 Asso-

ciation are not deductible as charitable contributions for federal income tax purposes. However, donations to the American Quarter Horse Foundation ARE tax deduct-

ible 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.

IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING:



CHECK

MONEY ORDER

AQHA OFFICIAL PUBLICATION SUBSCRIPTION



AMERICAN EXPRESS

MASTERCARD

VISA

SUBSCRIPTIONS RATES

U.S.