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Transfer of Dog Ownership Form

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Transfer of Dog Ownership Form

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									Transfer of Dog Ownership Form


PERSON TRANSFERRING OWNERSHIP
Name:                                                                                                            ________
Address:                                                                                                         ________
Dogs Name:                                                                                                       ________
Tag No:                                                                                                          ________

Signature of person transferring ownership:                                                    Date:             ________




NEW OWNER DETAILS
Name:                                                                                                            ________
Address:                                                                                                         ________
Phone Numbers: H:                                     W:                             M:                          ________


Signature of new owner:                                                            Date:                         ________




OFFICE USE ONLY


   ANIMAL NUMBER                             DATE PROCESSED                            SIGNATURE OF OFFICER




                             City of Stirling Administration Centre | 25 Cedric Street Stirling WA 6021
      Telephone (08) 9345 8555 | Facsimile (08) 9345 8822 | E-mail stirling@stirling.wa.gov.au | Website www.stirling.wa.gov.au

								
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