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 ___________________________________________________________
Subscribed and sworn to before me this ________________________day of
_________________________________________________________________,200___
Notary Public
______________________________________ County_____________________________________
My Commission Expires: __________________________________________________