"Application for Registration of Ohio-Foaled Thoroughbred" - Ohio

Application for Registration of Ohio-Foaled Thoroughbred is a legal document that was released by the Ohio State Racing Commission - a government authority operating within Ohio.

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State of Ohio
Application for Registration of Ohio-Foaled Thoroughbred
Incomplete or illegible applications will be returned. Applicable Fee Must Accompany Application.
F
O
U
O
OR
FFICE
SE
NLY
Ohio State Racing Commission
CHECKS
77 S. High St. -- 18th Floor
PAYABLE TO:
_______________________
OSRC NUMBER
Columbus, OH 43215-6108
Owner
Social Security Number (Fed. Tax ID if Corporation/Partnership)
Address (Street or Post Box, City, State & ZIP)
Telephone Number
E-mail Address
Name of Foal (If unnamed, so state)
Jockey Club Certificate Number
Color
Sex
Date of Foaling
Sire of Foal
Dam of Foal
Dam’s OSRC #
Owner of Dam
Sire of Dam
Date broodmare entered the state of Ohio
Broodmare remained continuously in Ohio until the horse foaled at (lo cation)
Name of Farm/Stable
Owner of Farm/Stable
Address of Farm (City, County, State and ZIP)
List All Breeders. Breeders Must Agree With Broodmare Application/Transfer.
Breeder
Social Security Number (Fed. Tax ID if Corporation/Partnership)
Address (Street or Post Box)
Address (City, State & ZIP)
Breeders License Number
Telephone Number
E-mail Address
State of Ohio
Application for Registration of Ohio-Foaled Thoroughbred
Incomplete or illegible applications will be returned. Applicable Fee Must Accompany Application.
F
O
U
O
OR
FFICE
SE
NLY
Ohio State Racing Commission
CHECKS
77 S. High St. -- 18th Floor
PAYABLE TO:
_______________________
OSRC NUMBER
Columbus, OH 43215-6108
Owner
Social Security Number (Fed. Tax ID if Corporation/Partnership)
Address (Street or Post Box, City, State & ZIP)
Telephone Number
E-mail Address
Name of Foal (If unnamed, so state)
Jockey Club Certificate Number
Color
Sex
Date of Foaling
Sire of Foal
Dam of Foal
Dam’s OSRC #
Owner of Dam
Sire of Dam
Date broodmare entered the state of Ohio
Broodmare remained continuously in Ohio until the horse foaled at (lo cation)
Name of Farm/Stable
Owner of Farm/Stable
Address of Farm (City, County, State and ZIP)
List All Breeders. Breeders Must Agree With Broodmare Application/Transfer.
Breeder
Social Security Number (Fed. Tax ID if Corporation/Partnership)
Address (Street or Post Box)
Address (City, State & ZIP)
Breeders License Number
Telephone Number
E-mail Address
Registration of Ohio-Foaled Thoroughbred – page 2
Breeder
Social Security Number (Fed. Tax ID if Corporation/Partnership)
Address (Street or Post Box)
Address (City, State & ZIP)
Breeders License Number
Telephone Number
E-mail Address
Breeder
Social Security Number (Fed. Tax ID if Corporation/Partnership)
Address (Street or Post Box)
Address (City, State & ZIP)
Breeders License Number
Telephone Number
E-mail Address
Markings of Foal:
The applicant certifies the breeder, the broodmare, the stallion, the location and date the foal was dropped, and the name, Jockey Club
Certificate Number, color and sex of the foal are as indicated on the Jockey Club Certificate, if known, for said foal. The applicant further certifies
the present owner of this foal is as indicated on the face of the Jockey Club Certificate or on the Transfer of Ownership duly executed on the back
of the Jockey Club Certificate, and the stallion and mare fill all the requirements of Section 3769.083 (A)(2) of the Ohio Revised Code pertaining
to Ohio-Foaled Thoroughbred Horses. I understand I may be subject to fines up to $10,000 for having incorrect information
on this application.
STATE OF OHIO
SS
COUNTY OF
_________________________,
SWORN TO BEFORE ME THIS
Signature of Owner
Notary Public
Date
NOTICE:
The issuance of an Accredited Ohio Thoroughbred Horse Certificate for this foal is contingent on the
fulfillment of requirements for eligibility as set forth in the Ohio Revised Code and Rules and Regulations adopted by
the OSRC.
Registration Fees & Deadlines
New Stallion ................................ $100 Before Covering of First Broodmare
Stallion Renewal ................................................... $25 Prior to January 31
New Broodmare .................................................... $100 Prior to August 15
Broodmare Renewal ................................................ $25 Prior to August 15
Mares Bred Report ..................................................... No Fee (October 15)
Accredited Ohio Foal ....................................................... $25 (October 15)
Ohio Foaled ................................................................... $25 (October 15)
Retroactive Registration Fees
Weanlings .................................... October 16 through December 31 ▬ $75
Yearlings ...................................... January 1 through December 31 ▬ $150
2-Year-Olds .................................. January 1 through December 31 ▬ $300
3-Year-Olds and up .................... January 1 through December 31 ▬ $2,500
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