Terms and Conditions
Info. Statement For Purchaser of Dog or Cat Pursuant to General Business Law Section 753-B (Form E)
a. Type of Animal: ( ) Cat ( X ) Dog
b. Breeder's name and address, if known. If not known, set forth the name and address of the source of the animal. If the person from whom the dog or cat was obtained is a dealer licensed by the United States Department of Agriculture, set forth the person's name, address and federal identification number:
c. The date of the dog or cat's birth, unless unknown because of the source of the animal, in which case set forth the date the pet dealer received the animal and the location where the animal was received: DOB: ERROR (2) OCCURED
d.For Dogs ONLY:
i. The breed, sex, color and identifying marks at the time of the sale: Breed/Sex/Color,etc ERROR (2) OCCURED, ERROR (2) OCCURED, ERROR (2) OCCURED
ii. If the dog is from a United States Department of Agriculture licensed source, set forth the individual identifying tag,tattoo or collar number for that animal: ID tag, tattoo,etc ERROR (2) OCCURED
iii. If the breed is unknown or mixed, indicate that fact: Breed ERROR (2) OCCURED
iv. If the breed is being sold as being capable of registration, set forth the name and registration number of the sire and dam and the litter number, if known: Sire REG # ERROR (2) OCCURED DAM REG # ERROR (2) OCCURED
e. The record of immunizations and deworming treatments administered, if any, to the dog or cat as of the time of sale, while the animal was in the possession of the pet dealer, including the dates of administration and the type of vaccine or worming treatments administered: PLEASE REFER TO PET'S MEDICAL RECORD ON ARRIVAL.
f.For Cats ONLY:
Set forth any known diseases, sickness or congenital condition that adversely affects the health of the cat at the time of sale: N/A
g. Set forth any veterinary treatment or medication received by the dog or cat while in the possession of the pet dealer (other than those set forth in paragraph (e) above): PLEASE REFER TO PET'S MEDICAL RECORD ON ARRIVAL.
(X) The dog or cat has no known disease or illness, the dog or cat has no known congenital hereditary condition that adversely affects the health of animal at the time of sale; or
() Set forth any known congenital or heredity condition, disease or illness that adversely affects the health of the dog or cat at the time of sale and attach a statement signed by a licensed veterinarian that authorizes the sale of the dog or cat, recommends necessary treatment, if any and verifies that the condition, disease or illness does not require hospitalization or non-elective surgical procedures and it is not likely to require hospitalization or non-elective surgical procedures in the future. A veterinarian statement is not required for intestinal or external parasites unless their presence makes the dog or cat clinically ill or is likely to do so. The statement shall be valid for fourteen (14) business days following examination of the dog or cat by the veterinarian.
DISCLOSURE OF ANIMAL PEDIGREE REGISTRATION
Description of animal: ERROR (2) OCCURED
The animal you are purchasing is registered / registrable (circle one) with the: ERROR (2) OCCURED
Registration means that ERROR (2) OCCURED
Maintains information regarding the parentage and identity of this animal
Persons buying animals represented by a pet dealer as being registrable are entitled to the papers necessary to affect such registration within 120 days of purchase. Failure to provide such papers entitles the purchaser to remedies under law. However, if the purchaser notifies the pet dealer within the 120 day period that he or she has not received such papers, the pet dealer shall have an additional 60 days commencing at the end of the 120 day period in which to provide the documents.
PET DEALER CERTIFICATION
HEREBY CERTIFY THE ACCURACY OF THE ABOVE STATEMENTS
HEREBY CERTIFY THE ACCURACY OF THE ABOVE STATEMENTS.
I ACKNOWLEDGE RECEIPT OF A COPY OF THE ABOVE ATATEMENTS AND AGREE TO ALL TERMS OF THIS CONTRACT.
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Document Name: Terms and Conditions
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