ALCR Transfer Form

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American Lineback Cattle Registry Inc.

Kalli Schwenk

(717) 222-4943

Transfer of Ownership

Effective 01/2016

Name of Animal to be Transferred

Animal Name*

Registration No.*

Herd Number*

Buyer - (Please print or type)

Date of Sale

New Owner(s)

Member No

Address

Street Address City State / Province / Region ZIP / Postal Code

Printed Name

Phone Number (Home)*

Phone Number (Cell)*

Fax

E-mail Address

( your e-mail address WILL NOT BE SHARED )

Breeding Information - (for females only)

This animal was sold as being

Open

Bred

If animal was sold as being bred, please complete the information below.

Bred Artificially:

Date bred

Animal Name (Sire)

Registration No. (Sire)

Herd or Semen Code No. (Sire)

Breed Association (Sire)

Bred by Natural Service:

Pasture exposure From Date

Thru and including Date

Animal Name (Sire)

Registration No. (Sire)

Herd No. (Sire)

Breed Association (Sire)

Authorized Signature

Please send transferred Registration Certificate to

Buyer

Seller

(If no one is specified, the certificate will be sent to the Buyer)

As recorded owner or authorized agent of this animal, (I / we) hereby authoize the ALCR Registry to transfer the ownership of this animal, and certify that all information on this transfer is true and correct to the best of my knowledge, and that the ALCR Registry shall have the priveledge to correct and/ or cancel this transfer under the Rules and Regulations of the Registry. By submitting this document, (I / we) hereby agree to be bound by the terms and conditions of the American Lineback Cattle Registry Inc.

Owner/Agent Signaturer