JAMAICA RACING COMMISSION INSTRUMENT OF TRANSFER (Rule 99 - Racing Rules 1977) The “Transferor (s)” named below do hereby transfer (s) to the “Transferee (s)” named below the horse described below subject to the conditions in Section A of the Schedule which both the Transferor (s) and the Transferee (s) confirm. NAME OF HORSE TATTOO NUMBER SEX COLOUR YEAR FOALED SIRE DAM 1. TRANSFER FROM Transferor(s) Name & 2. Address(es) 3. (in full in 4. block capitals) 5. TRANSFER TO Transferee(s) Name(s) and 1. Address(es) 3. (in full 4. block capitals) 5. CONDITIONS AGE (SHARE OWNED ) (SHARE OWNED) 2. SAVE AND EXCEPT AS SET OUT IN SECTION A OF THE SCHEDULE OVERLEAF, NEITHER THE TRANSFEROR (S) NOR THE TRANSFEREE (S) IS CURRENTLY : (1) ON THE FORFEIT LIST (2) DECLARED A DISQUALIFIED PERSON AND WARRANTIES AND SAVE AND EXCEPT AS SET OUT IN THE SCHEDULE OVERLEAF, THE SAID HORSE HAD NEVER : (1) BEEN DISQUALIFIED FROM RACING (2) BEEN PREVIOUSLY REGISTERED WITH ANY OTHER RACING JURISDICTION (3) BEEN PREVENTED FROM RACING PURSUANT TO RULE 207 (4) OF THE RACING RULES. TRANSFEROR (S) S I G N A T U R E [signatures] TRANSFEREE (S) [signatures] 1............................................................................. 1...................................................................... Witness.................................................................. Witness............................................................ Address.................................................................. Address.......................................................... .............................................................................. .. ........................................................................ Date....................................................................... Date................................................................. 2............................................................................. 2..................................................................... Witness............................................................... Witness............................................................ Address.................................................................. Address........................................................... ........................................................................... ........................................................................ Date.................................................................... Date................................................................. 3........................................................................... 3.................................................................... Witness.................................................................. Witness............................................................ Address.................................................................. Address........................................................... ................................................................................ ....................................................................... Date........................................................................ Date................................................................. 4.............................................................................. 4..................................................................... Witness.................................................................. Witness............................................................ Address................................................................ Address............................................................ ………………………………………………………. …………………………………………………… Date....................................................................... Date................................................................. 5.......................................................................... 5...................................................................... Witness................................................................ Witness.......................................................... Address.............................................................. Address........................................................... ……………………………………………………….. …………………………………………………… Date....................................................................... Date................................................................. SCHEDULE SECTION A 1. Particulars of being placed on the Forfeit List 2. (a) Transferor: (b) Transferee: Particulars of person declared a disqualified person (a) Transferor: (b) Transferee: 3. Particulars of disqualification of horse(s) from racing 4. Particulars of registration of the horse in other Racing Jurisdiction 5. (a) (b) 6. Are there any contingencies or conditions affecting the Sale: YES NO If YES, give details & sign: FUTURE NOMINATIONS Transferred Not Transferred SECTION B - Transferees Only 1. REGISTERED COMPANY/FARM/SYNDICATE/NOM DE COURSE (delete the names not applicable) 2. RACING COLOURS 3. TO WHOM PURSE PAYABLE (If not transferee(s), explain & sign) NOTE: (I) ALL QUESTIONS ARE TO BE ANSWERED. (II) ANY INFORMATION PRESENTED IN THIS INSTRUMENT WHICH IS TO THE KNOWLEDGE OF THE APPLICANT FALSE OR IN ANY MATERIAL RESPECT MISLEADING, IS LIABLE TO RESULT IN THE REFUSAL, SUSPENSION OR REVOCATION OF REGISTRATION. (III) A BUSINESS, CLUB OR HOTEL ADDRESS IS NOT ACCEPTABLE, UNLESS THE APPLICANT LIVES THERE PERMANENTLY.