Fillable Blank Form Interactive Dog Transfer (Tararua District Council New Zealand)

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Blank Form Interactive Dog Transfer (Tararua District Council New Zealand)

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The Blank Form Interactive Dog Transfer (Tararua District Council New Zealand) form is 1 page long and contains:

  • 3 signatures
  • 0 check-boxes
  • 64 other fields

Country of origin: NEW-ZEALAND
File type: PDF

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Dog transfer
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tararua district council
•
26 gordon street
•
po box 115
•
dannevirke 4942
•
06 374 4080
•
info@tararuadc.govt.nz
Office use only
Records updated: Yes No Outside TA notied: Yes No
Date
/ /
Signature
Current owner details (Please print in CAPITALS)
Name of current owner
Current owner’s date of birth
/ /
NAR
•
Address
New owner details (Please print in CAPITALS)
Name of new owner
Phone
0
-
Date of birth
/ /
NAR
•
Address
Dog details
Dog name Breed Colour Sex Age Tag No. Dog ID
1.
2.
3.
4.
5.
Dog(s) have transferred:
to an existing dog owner (within Tararua) to a new owner (within Tararua) out of district
Signature
I declare that all the above details are correct and understand that giving false particulars and information is an offence under the
Dog Control Act 1996 and is subject to an infringement fee of $750.00.
/ /
2 0
Signature Date
Witness signature (ofce staff)
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signature
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signature
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signature
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Blank Form Interactive Dog Transfer (Tararua District Council New Zealand)

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Completed 15 July 2020

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