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TRANSFER APPLICATION

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IN MEMORANDUM

IN MEMORANDUM

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

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