Transfer of Ownership Buyer Online – The Gypsy Horse Registry of America, Inc

Instructions 1. Check color & markings against the description and markings on the European Passport or GHRA Registration Certificate. 2. Completed the transfer form and attach a copy of the Passport and/or copy of the Registration Certificate, and 2 photographs. (One of each side of the horse standing with the head turned facing the camera. The forelock must be tucked aside so that all facial markings are clearly visible. 3. Buyer & Seller must agree on the height of the horse and enter date the height was measured.

Buyer *

Are you the Buyer of the HorseYesNo

Date Transferred: *(DD/MM/YY horse actually changed ownership)

Temporary to Permanent Status Change *

Check if for Transfer is from Temporary to Permanent Status Only.YesNo

Sex of Horse *

StallionMareGelding

Name of Horse *Name of Horse if registered please give full registered name of horse. If unregistered please give chosen name of horse for registration.

Registration Number Please list the registration number if the horse is registered.

Height at time of sale? *

Date of measurement. *

Buyers Name: *

Buyers Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Buyers Phone Number *

Buyer *Please enter the Buyers email address

Sellers Name *

Sellers Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Sellers Phone Number *

Sellers Email Address *Please enter the Sellers Email Address.

Transfer of Ownership Fee *

Please choose the appropriate box to proceed to Paypal and finish your request.GHRA Member Transfer of Ownership within 6 months $25GHRA Member Transfer of Ownership after 6 months $50Non Member Transfer of Ownership within 6 months $50Non Member Transfer of Ownership after 6 months $100Annual Membership $40Lifetime Membership $500

Release of Liability: This Release of Liability is made and entered into on this day forward by and between the Gypsy Horse Registry of America, Inc. herein designated GHRA, and the named applicant/applicants herein after designated as a owner of a GHRA registered horse and if a minor, his or her parent or legal guardian return for use today and on all future dates of any property, facility or services of or used by the GHRA. The GHRA member, his heirs, assigns and legal representative expressly agree to the following: GHRA member and owners of registered horse agrees to assume ANY AND ALL RISKS INVOLVED IN OR ARISING FROM ANY GHRA ACTIVITY including, without limitation but not limited to, the risks of death, bodily injury, property damage from falls, kicks, bites, collisions with vehicles, horse(s) or stationary objects, fire or explosion, the unavailability emergency care, or the negligence or deliberate act of another person. It is the responsibility of GHRA member or horse owner to carry full and complete insurance coverage on his horse(s), personal property and himself/herself. WARNING: Under Texas Law (chapter87, Civil practice and remedies code), an equine professional is not liable for an injury or the death of a participant in equine activities resulting from the inherent risks of equine activities.

Certification Buyer(s) certify that the above named horse was transferred directly from the above named Seller and that the horse is the horse as described in the attached GHRA passport or registration Certificate.

Buyers Electronic Signature *

Date Filed *

Information Upload

Gypsy Horse Registry of America, Inc.

Thank YOU!