| Nanuke Shih-Tzu AFFIDAVIT Of Spay or Neuter Reference Number: Microchip # STATE OF . COUNTY OF . I , being duly sworn, depose and state as follows: I reside at • I will Have My shih tzu Puppy From Litter that I have purchased from Sonia Pacheco 1 Sparrow Lane Marion Ma 02738, be spayed /neutered at my vet or the breeders vet within 6 months from the date of Nov 25 2009 • I will return a spay and neuter certificate or have my vet fax this puppies record of fixing to Sonia Pacheco • I understand that if I do not abide by this affidavit I am subject to be taken to court and may lose custody of this dog, or Pay 3000.00 in breeding right fees • I will not receive registration papers if my dog is not fixed or fixed after day of this agreement. • I understand if I am adopting this dog under false pretence for another person I will pay 2500.00 in breeder fee, lawyer fees, and court costs. Further Buyer says not. . Name and Date Subscribed and sworn to before me This Day of |
| please contact your breeder for the information that needs to be filled into the red areas. your puppy picture needs to be on this paper with their microchip number. this paper must be filled out completely and stamped by a notary public. most banks you have accounts with will do this for their customers for free. post office and library also some times will do this for a small fee |
