Transfer Of Ownership Form - Waf
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1Walter
a nd
F riends
R escue
Transfer
o f
O wnership
F orm
1191
M agnolia
A ve.
Suite
D #341
Corona,
C a
9 2879
Pet
I nformation
Pet
N ame:
Gender
M
F
Age:
Breed:
Spay/Neuter
Y
N
City
o f
R eg:
Color
a nd
M arkings:
Registration
# :
Microchip
# :
Description:
Owner
i nformation
Name
o f
O rganization:
First
N ame:
Email:
Last
N ame
Phone:
Street
A ddress:
Tax
I D
# :
City:
State:
Zip:
Current
o wner
r elease
o f
l iability:
I,
_______________________________
herby
permanently
and
irrevocably
transfer
ownership
of
above
listed
animal
to
_________________________________.
B y
e xecuting
t his
a greement
I
r elease
a ll
o wnership
a nd
l iability
r ights
a nd
r esponsibilities
f rom
the
pet
listed
above.
By
my
signature
I
acknowledge
that
I
am
the
current
and
rightful
owner
of
the
pet
listed
above,
or
I
am
an
authorized
r epresentative
o f
a
r escue
o rganization,
a nd
h ave
f ull
a uthority
t o
e nter
i nto
t his
a greement.
Signature:
_ _______________________
P rinted
N ame:______________________________
D ate:_____________
New
O wner
i nformation
Name
o f
O rganization:
First
N ame:
Email:
Last
N ame
Phone:
Street
A ddress:
Tax
I D
# :
City:
State:
Zip:
New
o wner
t ransfer
o f
l iability:
I,
_______________________________
herby
accept
ownership
of
above
listed
animal.
By
executing
this
agreement
I
assume
all
ownership
and
liability
rights
and
responsibilities
of
the
pet
listed
above.
By
my
signature
I
acknowledge
that
I
am
the
new
and
rightful
owner
of
the
pet
listed
above,
or
I
am
an
authorized
representative
of
a
rescue
organization,
and
have
full
authority
to
enter
into
this
agreement.
Signature:
_ _______________________
P rinted
N ame:_______________________________
D ate:____________
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