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| #113, 37 Athabascan Avenue, Sherwood Park, Alberta T8A
4H3 TELEPHONE (780) 416-4990 FAX (780) 416-4860 |
A duplicate certificate may be issued if the registered owner files a statutory declaration showing in a satisfactory manner that the original is lost, destroyed or unobtainable.
The owner must complete this form including the written description and diagram of markings and an explanation of the loss of the original certificate.
The duplicate certificate fee as listed on the current fee schedule must accompany this form.
| Name |   |
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| C.A.H.R Registration No. |
 |
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| SEX: | Stallion |  |
BODY COLOUR: | Bay | |
| Mare | |
Grey | |
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| Gelding | |
Chestnut | |
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| Black | |
The
original Certificate of Registration for this horse was lost under the following
circumstances.
I, (we)
the recorded owner(s), do hereby attest that the information contained on this form is
true and accurate to the best of my (our) knowledge, and the horse described on this form
is alive and that the Certificate of Registration was lost as described above.
Declared
before me this day of , in the year
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Name of Witness
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Witness Signature |