AMERICAN QUARTER PONY ASSOCIATION
PO Box 30
New Sharon, Iowa 50207
Phone: (641)-675-3669
TRANSFER REPORT AND BILL OF SALE
(see instructions )
__________________________________ ,19___
Data Sold - IMPORTANT
______________________________________________ Number _____________
Registered Name and Number of Pony Sold
From (Seller) _________________________________________________________________(Print)
_________________________________________________________________
Street City State
To (Buyer) _________________________________________________________________(Print)
First Name Initial Last Name
_________________________________________________________________
Street City State
Telephone No. _____________________________
Location of Animal ____________________________________________________________
ACKNOWLEDGEMENT: I have read the rules and regulations as printed on the reverse side of this form and I hereby certify that the animal agrees with the pedigree on the record with the Association.
Further, I acknowledge and certify that I am the last record owner (with the Association) of this pony and have full rights to effect this transfer.
Therefore, I authorize the Association to record this transfer of ownership.
Signature of ) Signed __________________________________________________________
The Seller ) Same name as Last Appearing on Reg. Cart
Signature of) Signed __________________________________________________________
The Buyer )
TRANSFER FEE $5.00
OFFICE USE ONLY
Transfer Fee paid by ____________________________________________________________
Certificate Mailed ____________________________________________ ,19_____________
To __________________________________________________________________________
Address ______________________________________________________________________