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TRANSFER APPLICATION
I (we) the owner(s) of this animal, or authorized agent of owner(s), hereby warrant the information contained herin to be true and correct and apply for transfer of ITLA Certificate of Registration, and will legally defend ownership as represented
TRANSFER BY LEASE I, , (Owner - Lessor) (Address) ITLA Member # do hereby lease this , named (Cow or Bull) (Animal Name)
Identification Number ITLA Number (Brand #) (Registration Number) to , (Name of Lessee) (Address of Lessee) ITLA Member # for the following period: from (Date) to (Date)
Lease/Loan of Sire: The signature of the Lessee may be used in lieu of the owner of the sire when submitting a registration application providing this form is completed and filed with ITLA by the owner within 30 days after delivery of sire to Lessee.
Lease/Loan of Dam: The signature and address of the Lessee may be used and shown as breeder on registration applications in lieu of the signature and address of the registered owner of the dam for the purpose of registering of recording progeny born during the period specified on this form, provided this form is completed and filed with the ITLA, by the owner, within 30 days after delivery of the dam to the Lessee.
Signature of Owner/Lessor
Date
Signature of Lessee
*PO Box 2610 * Glen Rose, Texas, 76043 * 254-898-0157 * Fax 254-898-0165 *
Artificial Insemination Sire Enrollment Form
Bull’s Registered Name:
Brand / ID Number:
Registration Number: Enclose copy of front and back of registration certificate
Owner:
ITLA Member #:
Ranch Name:
Street Address:
City: State: Zip:
Phone Number:
Signature:
Application must include the Following:
1. Fee of $100.00
2. DNA type on applicable bull.
3 Health certification in effect at time of all semen collection, including negative tests for Brucellosis, Tuberculosis, 5 Leptospirosis, Vibriosis, and Trichomoniasis
4 Copy of Bull’s Registration Certificate
5 Photo of Bull
Failure to comply with procedures set forth in the ITLE Artificial Insemination Enrollment regulations will be cause for cancellation of enrollment You may contact the lab of your choice for DNA kits and procedures. ITLA recommends Neogen for DNA results. Neogen Genomics 4131 N 48th St Lincoln, NE 68504. Email for Neogen; geneseekinfo@neogen.com and phone number 402-435-0665.
A.I. or Embryo Transfer Certification Form
Name of Animal Being Registered:
AI Breeding Certificate
I hereby certify the following information to be true And correct concerning the Artificial Insemination of the following cow:
Registered Name of Cow
Registered Number Brand/ ID #
Location of Brand/ ID # Holding Brand and Location
Name of Certified Sire
Registration # Brand ID A I #
Name of Inseminator Date of Insemination
Address of Inseminator
City, State, Zip
Signature of Inseminator
Embryo Transfer Certificate
I hereby certify the following information to be true and correct concerning the Embryo Transfer of the following cow:
Registered Name of Cow Holding Brand and Location
Registered Number Location of Brand/ ID #
Name of Owner of Cow
Brand/ ID # Membership Number
Address
Name of Certified Sire
Registration # Brand/ ID # A.I. #
Name of Transfer Technician Date on Transfer
Address of Transfer Technician
Signature of Transfer Technician