PALOMINO HORSE BREEDERS OF AMERICA

AGENTS AUTHORIZATION FORM

 

 

                 ___________________200___

 

 

Palomino Horse Breeders of America, Inc.

 

I have this day appointed__________________________________________________

 

 

 

(the “Appointee”) to act for me as my agent at the ________________________

 

________________________Sale to be held on_____________________, 200_______.

 

Said appointee, as my duly appointed and authorized agent, shall have full power

and authority to act for me in any and all matters in connection with or arising

out of the sale or purchase of animals at said sale, and is authorized to execute

any and all documents in connection therewith; to grant Palomino Horse Breeders

of America, Inc. a security interest in any animals purchased; to receive and

disburse any and all funds and to do all things incidental to and in furtherance

of the sale of any animals owned by me may be paid to my Appointee and I agree to

pay for all animals purchased by said Appointee in my behalf. This agency is

revocable only by my written notice delivered to you.

 

 

              Name ___________________________________________________________

 

             Address _________________________________________________________

 

            Subscribed and sworn to before me this ________________________day of

 

_________________________________________________________________,200___

 

 

                                                   Notary Public

 

______________________________________ County_____________________________________

 

My Commission Expires: __________________________________________________