Peruvian Paso Horse Registry of North America

     FORM TO RECORD THE SALE OF A
     REGISTERED HORSE "ON TIME"



                         
I,______________________________________, the recorded owner of the horse  
___________________________, of the PPHRNA #____________do hereby declare
that I am in the process of selling said horse to________________________                               
of_______________________________________________________________________                                                                              
_____________________________________________________________________.
Said buyer has my permission to act as my agent with regard to the 
following specified functions of the PPHRNA. This authorization is to 
take effect__________________________________________________________
and continue until___________________________________________________.
Buyer has authority to act on my behalf in the following matters: 
(please initial)
     [ ]       Signing of entry forms for shows.
               [ ]      Horse to be shown under Buyer's name.
               [ ]      Horse to be shown under Recorded Owner's name.
     [ ]       Registration work:
               [ ]      All Registration work with the PPHRNA
               [ ]      Signing of Breeder's Certificates
               [ ]      Signing of Service Certificates
               [ ]      Signing and filing of Stallion Reports
               [ ]      Registration of produce
                        [ ]  In Recorded Owner's Name
                        [ ]  In Buyer's Name
                        [ ]  Buyer listed as Breeder
                        [ ]  Recorded Owner listed as Breeder
     [ ]       Other:





SIGNED:        ____________________________________________________________
               OWNER
               ____________________________________________________________
               ADDRESS
               ____________________________________________________________
               TELEPHONE
               ____________________________________________________________
               DATE

SIGNED:        ____________________________________________________________
               BUYER
               ____________________________________________________________
               ADDRESS
               ____________________________________________________________
               TELEPHONE
               ____________________________________________________________
               DATE



   PPHRNA * 3077 Wiljan Court, Ste. A, Santa Rosa, CA 95407 * (707) 579-4394

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