"Registration of Delaware Owned Horse" - Delaware

This Delaware-specific printable "Registration of Delaware Owned Horse" is a part of the legal paperwork issued by the Delaware Department of Agriculture.

Download the up-to-date PDF by clicking the link below and mail it as per the guidelines provided by the department.

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Download "Registration of Delaware Owned Horse" - Delaware

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DELAWARE HARNESS RACING COMMISSION
REGISTRATION OF DELAWARE OWNED HORSE
PLEASE PRINT CLEARLY
ALL QUESTIONS MUST BE ANSWERED
1) NAME OF HORSE _________________________________________________________________________________
2) NAME OF OWNER(S)
EACH OWNER MUST FILE A SEPARATE DELAWARE OWNER REGISTRATION FORM.
PLEASE
INDICATE PERCENTAGE FOR EACH OWNER
_______________________________________________________________________________________________________________%_
_______________________________________________________________________________________________________________%_
3) NAME OF PERSON(S) FROM WHOM HORSE WAS PURCHASED _________________________________________
_________________________________________________________________________________________________
4) DATE OF PURCHASE ________________ 5) LOCATION OF PURCHASE __________________________________
6) WAS HORSE CLAIMED? _________ DATE_______________ WHAT TRACK ______________________________
7) DATE OF USTA TRANSFER _______________
8) PURCHASE PRICE FOR HORSE ________________________
(a) WILL THE PURCHASE PRICE BE PAID OVER TIME BEYOND TODAY’S DATE? _________________________
(b) WILL THE PURCHASE PRICE BE PAID THROUGH EARNINGS BEYOND TODAY’S DATE? ________________
(c) IF THE PURCHASE PRICE WAS PAID WITH BORROWED FUNDS WHO WAS THE LENDER?
____________________________________________________________________________________________
____________________________________________________________________________________________
EXCEPT FOR INDUSTRY STANDARD/TRAINING AND DRIVING FEES, HAVE ANY MANAGEMENT FEES,
9)
AGENT FEES, CONSULTING, OR ANY OTHER FORM OF COMPENSATION BEEN PAID, OR IN THE FUTURE
WILL BE PAID TO A NON-RESIDENT OF DELAWARE IN CONNECTION WITH THIS HORSE? __________________
10)
IS THIS HORSE CURRENTLY UNDER LEASE? ________ YES
_________ NO
IF THE ANSWER IS “YES”, LIST THE NAMES AND ADDRESSES OF THE LESSOR(S) AND LESSEE(S)
LESSOR(S)
_________________________________________________________________________________________________________
LESSEE(S)
_________________________________________________________________________________________________________
I HEREBY SWEAR OR AFFIRM THAT ALL OF THE FOREGOING INFORMATION IS TRUE, AND I UNDERSTAND THAT ANY
INCORRECT, UNTRUTHFUL OR FRAUDULENT INFORMATION PROVIDED ON THIS FORM MAY SUBJECT ME TO CRIMINAL
AND ADMINISTRATIVE PENALTIES INCLUDING, BUT NOT LIMITED TO A MINIMUM FINE OF $5,000 AND A MANDATORY
TWO-YEAR REVOCATION OF MY HORSEMAN’S LICENSE.
_________________________________________
__________________________________________________________________
PRINT NAME
SIGNATURE OF OWNER OR THEIR LICENSED AGENT
_________________________________________________________________________________________
_________________
ADDRESS
DATE
_____________________________PHONE NUMBER
________________________________CELL PHONE NUMBER
BILL OF SALE OR PROOF OF PURCHASE MUST ACCOMPANY EACH FORM
APPROVED BY: ____________________________________ DHRC
DATE:
_______________________________________
Entered on Delaware Owned List on ___________________________(Date)
Print Form
DELAWARE HARNESS RACING COMMISSION
REGISTRATION OF DELAWARE OWNED HORSE
PLEASE PRINT CLEARLY
ALL QUESTIONS MUST BE ANSWERED
1) NAME OF HORSE _________________________________________________________________________________
2) NAME OF OWNER(S)
EACH OWNER MUST FILE A SEPARATE DELAWARE OWNER REGISTRATION FORM.
PLEASE
INDICATE PERCENTAGE FOR EACH OWNER
_______________________________________________________________________________________________________________%_
_______________________________________________________________________________________________________________%_
3) NAME OF PERSON(S) FROM WHOM HORSE WAS PURCHASED _________________________________________
_________________________________________________________________________________________________
4) DATE OF PURCHASE ________________ 5) LOCATION OF PURCHASE __________________________________
6) WAS HORSE CLAIMED? _________ DATE_______________ WHAT TRACK ______________________________
7) DATE OF USTA TRANSFER _______________
8) PURCHASE PRICE FOR HORSE ________________________
(a) WILL THE PURCHASE PRICE BE PAID OVER TIME BEYOND TODAY’S DATE? _________________________
(b) WILL THE PURCHASE PRICE BE PAID THROUGH EARNINGS BEYOND TODAY’S DATE? ________________
(c) IF THE PURCHASE PRICE WAS PAID WITH BORROWED FUNDS WHO WAS THE LENDER?
____________________________________________________________________________________________
____________________________________________________________________________________________
EXCEPT FOR INDUSTRY STANDARD/TRAINING AND DRIVING FEES, HAVE ANY MANAGEMENT FEES,
9)
AGENT FEES, CONSULTING, OR ANY OTHER FORM OF COMPENSATION BEEN PAID, OR IN THE FUTURE
WILL BE PAID TO A NON-RESIDENT OF DELAWARE IN CONNECTION WITH THIS HORSE? __________________
10)
IS THIS HORSE CURRENTLY UNDER LEASE? ________ YES
_________ NO
IF THE ANSWER IS “YES”, LIST THE NAMES AND ADDRESSES OF THE LESSOR(S) AND LESSEE(S)
LESSOR(S)
_________________________________________________________________________________________________________
LESSEE(S)
_________________________________________________________________________________________________________
I HEREBY SWEAR OR AFFIRM THAT ALL OF THE FOREGOING INFORMATION IS TRUE, AND I UNDERSTAND THAT ANY
INCORRECT, UNTRUTHFUL OR FRAUDULENT INFORMATION PROVIDED ON THIS FORM MAY SUBJECT ME TO CRIMINAL
AND ADMINISTRATIVE PENALTIES INCLUDING, BUT NOT LIMITED TO A MINIMUM FINE OF $5,000 AND A MANDATORY
TWO-YEAR REVOCATION OF MY HORSEMAN’S LICENSE.
_________________________________________
__________________________________________________________________
PRINT NAME
SIGNATURE OF OWNER OR THEIR LICENSED AGENT
_________________________________________________________________________________________
_________________
ADDRESS
DATE
_____________________________PHONE NUMBER
________________________________CELL PHONE NUMBER
BILL OF SALE OR PROOF OF PURCHASE MUST ACCOMPANY EACH FORM
APPROVED BY: ____________________________________ DHRC
DATE:
_______________________________________
Entered on Delaware Owned List on ___________________________(Date)
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