Request for Transfer of Equine Ownership

Current Owner Details

Equine Details

I hereby certify that I am the owner or authorized agent for the owner (circle one), of the above listed animal and that I give Animal Protection Coalition, Inc. authority to transfer ownership of the animal to Animal Protection Coalition, Inc. I hereby remise, release and forever quit-claim unto Animal Protection Coalition, Inc. its employees, successors and assigns, any and all action and manner of actions, causes of action, debts, dues, claims and demand, both in law and in equity, which I have either now or in the future against Animal Protection Coalition, Inc. or its transfer of ownership of the animal to Animal Protection Coalition, Inc. and Animal Protection Coalition, Inc.’s subsequent treatment, transfer of ownership of said animal. Typing Your Legal Name will represent your Signature