TRANSFER OF ANIMAL OWNERSHIP

I hereby grant sole ownership of said animal to: ______________________________________________________________   - I certify that I am the legal owner of this animal. I agree to indemnify and hold harmless Second Hand Seniors and the rescue individual agent and/or group _____________________________ from any claims arising from this animal and the transfer of it. I further agree that the ownership of this animal can be transferred to whomever they choose without further approval or contact with me. I also certify that this animal has never bitten nor attacked anyone to my knowledge. Breed/Species/Mixed Breed: ______________________________________________ Male ___ Female ___ Color _____________________________ Description/Markings _____________________________________________________ _____________________________________________________ _____________________________________________________ Microchip # ______________________________ Tattoo ________________________   _____________________________________________________ Signature ______________________ Date ________________________________________ Printed Name Of Person Surrendering Pet Address: _______________________________________________________________ City, State, Zip code ______________________________________________ Phone _______________________