Transfer Report |
*TRANSF-0118* |
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FOR OVERNIGHT DELIVERY TO AQHA: 1600 QUARTER HORSE DR, AMARILLO, TX 79104 • MAILING ADDRESS: P.O. BOX 200, AMARILLO, TX 79168
WWW.AQHA.COM • ✆806-376-4811 • FAX: 806-349-6405 • EN ESPAÑOL: 806-373-2281
INSTRUCTIONS:
1.Return Certificate of Registration with transfer report and appropriate fees to AQHA.
2.Print or type all requested information.
3.Verify that the horse’s color and markings match the Certificate of Registration.
4.The person selling the horse should be listed as the owner on the Certificate of Registration.
5.Any erasure or alteration may necessitate verification.
6.Consult the AQHA Official Handbook regarding complete transfer rules or contact AQHA.
We certify that the horse sold is the horse registered with the American Quarter Horse Association as described on the Certificate of Registration delivered to AQHA in conjunction with this transfer report. We authorize AQHA to record the transfer of ownership of the horse upon AQHA’s receipt of all required transfer items.
GELDED:
O YES
DATE (IF KNOWN, MM/DD/YYYY)
If this transfer is for an unregistered foal, indicate foal’s birthdate and name and registration number of sire and dam.
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BIRTHDATE (MMDDYYYY) |
SIRE |
AQHA REGISTRATION NUMBER |
DAM |
AQHA REGISTRATION NUMBER |
DATE OF SALE:
SOLD
TO:
O FILL IN
THIS CIRCLE IF THIS IS A NEW ADDRESS
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DATE POSSESSION OF HORSE ACTUALLY CHANGED (MM/DD/YYYY) |
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BUYER’S |
AQHA |
ID # |
BUYER’S NAME
BUYER’S ADDRESS
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CITY |
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STATE/PROVINCE POSTAL CODE |
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X
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SIGNATURE OF SELLER |
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SELLER’S AQHA ID # |
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O FILL IN |
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THIS CIRCLE IF |
SELLER’S PRINTED NAME |
SELLER’S ADDRESS (STREET OR BOX NUMBER) |
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THIS IS A NEW |
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ADDRESS |
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CITY |
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STATE/PROVINCE |
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POSTAL CODE |
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AREA CODE |
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DAYTIME PHONE |
E-MAIL ADDRESS |
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REQUIRED: If consigned to auction sale, please give name, date and mailing address of sale company.
COMPANY NAMEMAILING ADDRESSDATE OF AUCTION
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FEES |
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FEES SUBJECT TO CHANGE WITHOUT NOTICE. |
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O Transfer fee for current AQHA or AQHYA Member |
$20 |
An office processing fee of $20 will be charged on all work not processed to completion. |
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OPTIONAL |
Member |
Non-Member |
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O Transfer fee for nonmember who wishes to become |
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$75 |
O Special Handling for 2-day service |
.$. .100 |
. . . . . . . . |
. . . . 對 |
$. . 100. . . |
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a 12-month AQHA Member |
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This fee is in addition to the regular fee. Please place “RUSH” on the outside of the envelope. |
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Say Goodbye to Renewal Notices – Have your membership and/or Journal subscription automatically renewed |
O OVERNIGHT U.S |
. . . . . . . . . $35 |
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on the credit card you provide. Nothing will lapse if you elect to auto renew. You can cancel at any time. |
O OVERNIGHT International |
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If you do not wish to enroll in the auto renewal program, fill in this circle: O |
. . . . . . . . . . . . |
. . . . . . . . . . |
. . . . . . . |
. . $55 |
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O Transfer fee for nonmember who wishes to become a |
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O OVERNIGHT U.S. 2-Day Service |
. . . . . . . . . . . . |
. . . . . . . . . . |
. . . . . . . |
. . $10 |
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$40 |
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12-month AQHYA (Youth) Member |
Dues payments MAY BE deductible by members as an ordinary and necessary business expense; however, contributions |
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Birthdate of youth __ __ / __ __ / __ __ |
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or gifts to the American Quarter Horse Association are not deductible as charitable contributions for federal income tax |
purposes. However, donations to the American Quarter Horse Foundation ARE tax-deductible to the extent allowed by law. $1 of your annual membership dues is designated for a subscription to The American Quarter Horse Journal, AQHA’s official member publication. Through the payment of a membership fee to AQHA, I acknowledge that membership in AQHA is voluntary and I agree to be bound by all the terms and conditions of AQHA’s Official Handbook of Rules and Regulations.
BARCODE *TRANSF-0118* FORM 210-20-176 TRANSFER REPORT 8-19-2020
CHECK |
MONEY ORDER |
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IF PAYING BY CREDIT CARD, PLEASE COMPLETE THE FOLLOWING: |
AMERICAN EXPRESS |
MASTERCARD |
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VISA |
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CARD |
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EXP. DATE |
(MMYY) |
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DAYTIME |
PHONE |
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CARDHOLDER NAME |
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CARDHOLDER SIGNATURE |
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BILLING |
ZIP CODE |
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CREDIT CARD WILL BE BILLED FULL BALANCE OF SELECTED AND APPLICABLE FEES.
DO NOT SEND CASH • U.S. FUNDS ONLY
AREAS OF INTEREST
Please select your areas of interest. (Check all that apply)
Breeding – Ranch Work
Breeding – Racing
Breeding – Showing
Breeding – Recreational Riding
Recreational Riding
Racing Competition
Ranch Use
Compete in AQHA Horse Shows
Compete in Open and Local Shows
Rodeo Competition
Compete in Youth Events, such as 4-H, FFA, NHSRA, Other Rodeo Organizations, Judging Contest,
Pony Clubs, Playdays, Gymkhanas, etc. Compete in AQHA Youth Shows Professional Trainer/Exhibitor
Racing Fan
Compete in NCHA Events
Compete in NRHA Events
Compete in NSBA Events
Compete in NRCHA Events
Compete in PHBA Events
Riding Instructor
Political Action
Mounted Shooting
Compete in Dressage
DO YOU BREED AMERICAN QUARTER HORSES?
OYES
If yes, for what purpose?
O Ranch Work
O Racing
O Showing
O Recreational Riding
ONO
BARCODE *TRANSF-0118* FORM 210-20-176 TRANSFER REPORT 8-19-2020