Houston Sheltie Sanctuary, Inc.

Owner Buy-Out Form

 

I, __________________________________________________, certify that I am the legal and sole owner of this dog and hereby sell to Houston Sheltie Sanctuary, Inc. Rescue Program  the Sheltie known as _________________________, age ____________.  I hereby turn over full ownership and responsibility as of this date: _____________________, 2002.  I understand that with this instrument the dog becomes the property of Houston Sheltie Sanctuary, Inc. Rescue Program.  In return, I am being paid $___________ for this Sheltie and relinquish all legal rights to the dog.

Signature(s) of Owner(s):

______________________________

Address of Owner:

___________________________________________________________

Telephone Number of Owner:

_______________________

Third Party Witness:

 ______________________________

 

******************************************************************

(For Use by Houston Sheltie Sanctuary, Inc. Rescue Program)

HSS Co-Coordinator's Name:_________________________________ Phone:____________

Dog taken to:______________________________________Phone:____________

Address:__________________________________________Date:_____________

Rescue #________________Date Adopted:____________AKC papers?_________

New Owner_________________________________________________________

Address:___________________________________________________________

Phone:_____________________________________________________________