Allbreed Rescue and Referral
301-775-2777
robn2001@aol.com
JillBarsky@aol.com

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Release Application

Relinquishment of Rights

TO ALL PERSONS, by this document, I,
 currently residing at
 hereby gift, give, grant and convey unto ALL BREED RESCUE and REFERRAL (ABR) or its representatives, successors or assigns, full and complete title, interest and/or ownership in and to my pet.

Name of Pet:

Sex:

Color:

Type of Pet:

Breed:

Age:

I fully understand that by executing this document and delivering the above described pet to ABR, that I hereby relinquish all legal and equitable rights of ownership of the above described pet to ABR to have and to hold forever.

I understand that this decision cannot be rescinded.

I represent that I am the lawful owner of and have good title to and the right and power to relinquish said pet and that said pet is free and clear from claims of ownership or other encumbrance of any kind or nature whatsoever by any person or entity and that I will warrant and defend unencumbered ownership rights to said pet hereby relinquished again the claims and demands of all persons.

By signing this document, I attest this pet has never, to the best of my knowledge, bitten and broken the skin of anyone except as described below:

IN WITNESS WHEREOF, I here set my hand this day of , 20.

Person Surrendering Pet:
 

ABR Representative: