PET & LIVESTOCK ADOPTION / OWNERSHIP TRANSFER ================================================================ Effective Date: ________________________________________________________ Place: _________________________________________________________________ ================================================================ 1. Parties to the Agreement --------------------------- This Agreement is entered into on ____________________ (____________________) by and between: Current Owner Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ New Owner Individual Full Legal Name: _______________________________________________________ SSN / ID: ______________________________________________________________ Doc Series: ____________________________________________________________ Address: _______________________________________________________________ _______________________________________________________________ 2. SUBJECT-MATTER SCHEDULE & SPECIFICATIONS ------------------------------------------- Animal's Name, Species & Breed: ________________________________________ Microchip / Tag / Registration Number: ____________________________________________________________________ Date of Birth / Age: ___________________________________________________ Health & Vaccination Records: __________________________________________ Agreed Price: __________________________________________________________ 3. EXECUTION & SIGNATURES ------------------------- Current Owner Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________ New Owner Signature: _____________________________________________________________ Full Legal Name: _______________________________________________________ Date: __________________________________________________________________