TRANSFER AGREEMENT
(From Shiba Rescue to New Owner)
Description of Dog:
Reg. Name:____________________________________Call Name:
_____________________
AKC #:___________________Tattoo #:__________ Microchip #:__________________
Birthdate:_______Breeder:________________________
Sex:_____Neutered:(yes/no) Color & Markings:_________________________
Agreement between________________________(Rescue member) and
_____________________________(new owner)
In consideration of a donation of $__________by the new owner, to the SHIBA RESCUE or
member releasing the dog this dog described above is hereby transferred and relinquished from
control by the member named above. It is agreed and understood that this dog is being acquired
as a pet and companion and that it will neither be continuously tied nor allowed to run loose. It
shall occupy a suitable fenced area adjacent to the home of the person acquiring the dog. IT IS
FURTHER AGREED THAT THIS DOG WILL NOT BE SOLD, GIVEN AWAY,
DESTROYED OR OTHERWISE DISPOSED OF, WITHOUT FIRST NOTIFYING THE
SHIBA RESCUE OR (name of member)______________________________________
GIVING THEM FIRST OPTION TO OBTAIN THE DOG. Nor, will it be bred in any
circumstance. The new owner understands and agrees that the evaluation above is for information
purposes only and that the dog is placed under his/her control with no guarantee or warranty of
any kind. The new owner agrees to release and hold harmless the Shiba Rescue, its officers,
directors and members from any and all liability or responsibility in connection with this dog.
Dated:_________________Signed:__________________________________(New Owner)
Address:___________________________________________
City:______________________________________________
___________________________________( Rescue Member)
Note: Any additional conditions of this placement to be noted and
initialed by both parties on the reverse.
cc: Rescue Organization, New Owner, and Rescue member
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