Form M-4 "Broodmare Registration Application" - Iowa

What Is Form M-4?

This is a legal form that was released by the Iowa Department of Agriculture and Land Stewardship - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Iowa Department of Agriculture and Land Stewardship;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form M-4 by clicking the link below or browse more documents and templates provided by the Iowa Department of Agriculture and Land Stewardship.

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Download Form M-4 "Broodmare Registration Application" - Iowa

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BROODMARE REGISTRATION APPLICATION
Enclose $30 Fee
Date___________________________
Make check payable to IDALS or IA Dept. of AG
Enclose Copy of Certificate of Registration and Mare Status report form
Quarter Horse _________________ Standardbred _________________Thoroughbred _____________________
(Please check one Breed)
MareName_______________________________________Color____________Birthdate ____________________
Sire_____________________________________________Dam_________________________________________
National Breed Registration Number __________________________Tattoo Number_______________________
Markings: Office will copy markings from National Registration Certificate.
Present location of Broodmare ____________________________________________________________________
Person in Charge____________________________Address______________________________City__________________
State____________County_____________________________________Phone_____________________________
Breeding Status:
Foal at side
__________YES_________NO
In Foal
__________YES_________NO
Expected foaling date
________________________
Name of owner ________________________________________
Telephone ___________________________
Address ______________________________________________
County______________________________
City, State, Zip ________________________________________
___________________________________
___________________________________
(Signature)
(Date)
Mail application to: Iowa Horse & Dog Program
For Office use only:
Iowa Department of Agriculture and Land Stewardship
Iowa Registration Number____________________
Wallace State Office Building
Issued____________________________________
502 East 9th St
By_______________________________________
Des Moines, Iowa 50319
Telephone: (515) 281-4103
--------------------------------------------------------------------------------------------------------------------------------------------
***Eligibility for broodmare residency shall be achieved by meeting at least one of the following rules:
1.
Thirty days’ residency until the foal is inspected by a department inspector, if in foal to a Registered Iowa Stallion.
2.
Thirty days’ residency until the foal is inspected by a department inspector, for broodmares which are bred back to
registered Iowa Stallions.
3.
Continuous residency from December 31 until the foal is inspected by a department inspector if the mare was bred by
other than an Iowa registered stallion and which is not bred back to an Iowa registered stallion.
The one-time broodmare registration will cover the mare her entire productive life as long as there is not a change of ownership
(at which time a mare transfer form must be completed) and she meets the aforementioned eligibility rules.
ALL MARES MUST BE REGISTERED PRIOR TO FOALING. MARE AND FOAL MAY NOT LEAVE THE STATE OF IOWA
UNTIL INSPECTED BY A DEPARTMENT INSPECTOR.
Additional forms visit our website
www.iowaagriculture.gov
Code 90 - $30 / M-4
BROODMARE REGISTRATION APPLICATION
Enclose $30 Fee
Date___________________________
Make check payable to IDALS or IA Dept. of AG
Enclose Copy of Certificate of Registration and Mare Status report form
Quarter Horse _________________ Standardbred _________________Thoroughbred _____________________
(Please check one Breed)
MareName_______________________________________Color____________Birthdate ____________________
Sire_____________________________________________Dam_________________________________________
National Breed Registration Number __________________________Tattoo Number_______________________
Markings: Office will copy markings from National Registration Certificate.
Present location of Broodmare ____________________________________________________________________
Person in Charge____________________________Address______________________________City__________________
State____________County_____________________________________Phone_____________________________
Breeding Status:
Foal at side
__________YES_________NO
In Foal
__________YES_________NO
Expected foaling date
________________________
Name of owner ________________________________________
Telephone ___________________________
Address ______________________________________________
County______________________________
City, State, Zip ________________________________________
___________________________________
___________________________________
(Signature)
(Date)
Mail application to: Iowa Horse & Dog Program
For Office use only:
Iowa Department of Agriculture and Land Stewardship
Iowa Registration Number____________________
Wallace State Office Building
Issued____________________________________
502 East 9th St
By_______________________________________
Des Moines, Iowa 50319
Telephone: (515) 281-4103
--------------------------------------------------------------------------------------------------------------------------------------------
***Eligibility for broodmare residency shall be achieved by meeting at least one of the following rules:
1.
Thirty days’ residency until the foal is inspected by a department inspector, if in foal to a Registered Iowa Stallion.
2.
Thirty days’ residency until the foal is inspected by a department inspector, for broodmares which are bred back to
registered Iowa Stallions.
3.
Continuous residency from December 31 until the foal is inspected by a department inspector if the mare was bred by
other than an Iowa registered stallion and which is not bred back to an Iowa registered stallion.
The one-time broodmare registration will cover the mare her entire productive life as long as there is not a change of ownership
(at which time a mare transfer form must be completed) and she meets the aforementioned eligibility rules.
ALL MARES MUST BE REGISTERED PRIOR TO FOALING. MARE AND FOAL MAY NOT LEAVE THE STATE OF IOWA
UNTIL INSPECTED BY A DEPARTMENT INSPECTOR.
Additional forms visit our website
www.iowaagriculture.gov
Code 90 - $30 / M-4