State of______________________________
County of_____________________________
I______________________, being duly sworn, depose and state as follows:
I reside at___________________________________________________.
1. I will have my Shih-tzu (purchased from Little Lions Den) spayed/ neutered
at my vet within 6 months from this date____/____/20___.
2. I will return veterinary certificate of spay/ neuter for this puppy to
Wendy Dayton 817 CR.23, Dundee, N.Y. 14837
3. I understand that if I do not abide by this affidavit, I am subject to be taken to court,for $1,000.00 breeding fee, or lose custody of this dog.
4. The registration papers are not sent to new owner until receipt of said papers. You will not receive any registration after the 6 month period.
Further Affiance says not.
___________________ _________________________
Date Buyer
Subscribed and sworn to before me
This____ day of_________,2____.
___________________________
Notary Public
LITTLE LIONS DEN
AFFIDAVIT OF SPAY/ NEUTER
REFERENCE LITTER:____________________ BIRTHDATE:__________________________
IDENTIFICATIONMARKINGS:____________
____________________________________
____________________________________
PHOTO.
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