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Horse:_____________________ Date:___/___/___
166 Station Road. Bernville, PA 19506
Phone: 610-621-5290 Fax: 610-621-5299
ANOTHER CHANCE 4 HORSES TRANSFER OF OWNERSHIP FORM
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INSTRUCTIONS FOR COMPLETING THIS APPLICATION
Please read and complete this entire document carefully and mail it, along with non-refundable $25.00 application fee and all other applicable fees to the address listed above. For immediate attention, you may fax your application to 610-621-5299, if sending payment for a horse, please include a copy of the check or method of payment with your fax. This application must be completed in full. Applications that are not complete and/or are not accompanied by the applicable fees, will be placed at the bottom of the waiting list.
APPLICATION PROCESSING
Completed applications - includes application fee $25.00 and payment of the horse. All information and references submitted on this application may be reviewed by our staff and in signing it you are agreeing to the terms within. Horses are placed on a first paid, first placed basis. To be sure that you get the horse that you want you must send the payment for that horse along with this application and the appropriate fee's stated above defining a Completed Application. Horses will NOT be reserved. In cases where there is more than one request for the same horse and are received at the same time, the decision as to new ownership will be voted on by our Board of Directors. The horses are placed on first paid/approved, first placed basis.
**note- this agreement is for the protection of the horse not to keep you from owning one.**
YOUR INFORMATION:
Name First and Last:
Email address:
Telephone #:
Cell Phone #:
Address:
Employed by: Title:
Address: __________________________________Telephone: _________
Please circle.
I currently own a: horse / burro.
I have / have not owned a horse / burro.
The type of corral or stall which will be provided is: _________________________________________(size___________)
The horse will be kept at this address: Boarding or Residence? (Circle one please)
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Telephone: ______________________Business hours:______________
The daily feeding will be done by __________________.
The boarding facility is ________miles from my residence.
What do you intend to use this horse for?_________________________________________
DESCRIPTION OF HORSE TO BE PURCHASED:
Be sure to list the horse’s name or number and description here.
Name:___________________________ Gender:________ Age:_____ Height:______ Breed:___________
Color:________________ Markings/Brands (identifiable marks):__________________________________
Any Special Needs:______________________________________________________________________
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Other:_________________________________________________________________________________
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Price Worksheet
Price of Horse: $____________.
Application Fee: $25.00 .
Board (if applicable): ____________.
Total: $________________.
Waiver of Liability
By signing below, the buyer understands that Another Chance 4 Horses makes no representations or warranties concerning any horse offered for adoption through the programs, including but not limited to the condition, health, temperament, soundness, or fitness for particular purpose. Buyer understands and agrees that Another Chance 4 Horses, its officers, directors, representatives, volunteers, agents, servants, and assigns, are not liable for any representations or misrepresentations concerning any horse offered for adoption through this program; all information listed on the website via www.anotherchance4horses.com, and/or divisions thereof, regarding any particular horse is based solely on information provided by the owners or authorized caretakers.
I, (adopter), do hereby release Another Chance 4 Horses, its officers, directors, representatives, volunteers, agents, servants, and assigns (collectively “Releasees”) of and from any liability arising from representations, misrepresentations, care and handling of the horses offered for sale either via www.anotherchance4horses.com or any divisions thereof. I further agree that Releasees are not liable for the mistakes and/or negligence and/or intentional acts of service providers and/or contractors such as livestock haulers, veterinarians, or handlers who may at any time be in the care, custody and control of the horse I am adopting. I understand that I may pursue claims against such third parties for any damages caused by mistakes, negligence and/or intentional acts of such third parties during the time that my horse is in their care, custody and control.
Signed Date
Agreement
Signing this application authorizes Another Chance 4 Horses to contact the above listed references and inquire about your equine experience. It is agreed that if said animal is offered for sale, in the future, that Another Chance 4 Horses will be notified and given First Right Of Refusal. Another Chance 4 Horses has seven (7) days in which to exercise its First Right of Refusal from the date of notification by the owner. If Another Chance 4 Horses opts not to exercise its First Right of Refusal, the owner shall provide Another Chance 4 Horses with the name, address and telephone number of any prospective owner to which the horse may be transferred so that Another Chance 4 Horses may update its records and monitor the whereabouts, health and safety of the horse. It is further agreed that any subsequent owner will complete a copy of the within Application and Agreement, and the subsequent owner shall be bound be the terms thereof. Finally, the undersigned agrees that this animal will only be transferred privately and will not be resold at any type of auction, horse broker, feed lot or slaughter destination. In the event the undersigned fails to comply with the terms of this Application and Agreement, Another Chance 4 Horses reserves the right to commence legal proceedings to recover the horse, and the undersigned shall be liable for all costs including damages to AC4H, Inc. is assumed at a minimum of $5,000.00, inclusive of attorney’s fees, in connection with such legal proceeding.
This offer is accepted by:
Signed_________________________________________ Date________
*Buyer signature warrants that they buyer is at least 18 years of age at the time of signature and acknowledges receipt of the Processing Terms and Conditions contained within this agreement.
Office Use Only
Approved: Date:
REFERENCES:
1. Name:__________________________________ Telephone: (____)______-________
Comments:_____________________________________________________________________________
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2. Name:__________________________________ Telephone: (____)______-________
Comments:_____________________________________________________________________________
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3. Name:__________________________________ Telephone: (____)______-________
Comments:_____________________________________________________________________________
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4. Farrier:__________________________________ Telephone: (____)______-________
Comments:_____________________________________________________________________________
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The equine veterinarian who will care for this animal is:
Name:_______________________________
Address:__________________________________ Telephone: (____)______-________