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Veterinarian Verification of Kentucky Foaling

Owners Name:

Foals Name:

Veterinarian’s Name:
Clinic Information:
Clinic Name:
Address:

City: State: Zipcode:

Date:

By signing this document I, , certify that the following foal was born in the State of Kentucky and that the dam’s residence for the last 90 days has been in the State of Kentucky.

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Your legal name

Your email address

Please Confirm full name and signature.

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January 5, 2022 6:17 pm EDT

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