| RESCUE CONTRACT RELINQUISHED TO OWNER BILLY JORDAN ADDRESS: 2453 BONNY DR. CITY,STATE & ZIP: COCOA, FLORIDA 32926 HOME: # 321-632-4148 CELL# 321-615-8878 RELINQUISHED OWNERSHIP INFORMATION |
| REGISTRATION #______________________DOB__________________ SEX_____________ PREVIOUS OWNER NAME: PREVIOUS ADDRESS: CITY,STATE,ZIP PHONE NUMBER: Home CELL THIS DACHSHUNDS WAS VOLUNTARILY TURNED OVER TO DACHSHUNDS AND DOXIES FOR PLACEMENT IN A HOME SUITABLE FOR THE DACHSHUND/S ATTITUDE AND NEEDS (as stated in contract RIGHT OF FIRST REFUSAL) SAID DACHSHUND WILL BE CARED FOR TILL IT IS RE-SOCIALIZED,RE-TRAINED, TREATED FOR ANY DISORDERS BEFORE GOING TO A NEW HOME ALL NEW OWNERS WILL BE SCREENED TO INSURE PROPER CARE OF SAID DACHSHUND/(RESCUE) No Cash transactions will be made at the time the said dachshund/s is RELINQUISHED/RETURNED to Dachshunds-N-Doxies PREVIOUS OWNER SIGNATURE_______________________________DATED__________ RESCUES SIGNATURE________________________________________DATED__________ ANY OTHER INFORMATION ABOUT THE RESCUE/RETURNED DACHSHUND/ANIMAL THAT IS NEEDED TO BE KNOWN Said Dachshund present no Genetic defect/s (Yes or No) Said Dachshund/s has a genetic disorder in accordance with Florida Pet Lemon Law (Yes or No) ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ |
