Transfer Agreement Effective on ____________________ ___________________________________ hereby transfers ownership of the following animals: Shelter ID Name Species Breed Sex HW States Altered Transfer is effective as of the date set forth above. 4 Paws 4 Life Rescue C/O Toni Barge, Tina Miller 3648 N Perry Park Rd, Sedalia, CO The receiving organization (“Transferee”) acknowledges receipt of disclosure of heartworm status of dog based upon the heartworm completed at other vet or shelter. Additionally, Transferees acknowledges receipt of other health and medical information listed in the kennel cards for such dog or cat, emails and other correspondence from Transfer Organization listed above (“Transfer”). Transferee acknowledges that Transfer DOES NOT MAKE ANY GUARANTEES REGARDING THE AGE, NATURE, TEMPERAMENT, OR HEALTH OF THIS PET, INCLUDING ANY UNDISCLOSED MEDICAL CONDITIONS. Transferee assumes all risks and responsibility including the financial responsibility of ownership of the Pet(s) once they are in Transferee’s possession and that Transfer is not in any way responsible for such costs incurred. Additionally, transferee acknowledges that all animals transferred through Transfer are from a heartworm endemic area and that even dogs that test negative for heartworm disease may be infected. All dogs adopted from this region should be immediately placed on a heartworm prevention program and should be tested for heartworm disease six months after transfer. Authorized by: _________________________ Signature: _____________________________