Release of Futurity Winnings

As the registered owner of_______________________________ (Horse’s Name)

PPHRNA#_______________________ AAOBPPH #________________________,

I hereby assign all Futurity winnings of this horse to _____________________
who is purchasing said horse on contract.

I understand that the above horse is being nominated to compete in the Peruvian Horse Futurity and authorize that all monies won by the above horse be paid to the purchaser named above.

Date:__________________________

_______________________________________________________
Owner’s Name as shown on Registration Certificate, Please Type or Print

_______________________________________________________
Owner’s Signature

_______________________________________________________
Name of the Person Purchasing the above Horse on Contract

_______________________________________________________
Signature of Purchaser

This form must be accompanied by a current copy of the Certificate of Registration of the Horse being purchased on contract and nominated for the Futurity.

 

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