This agreement is between

Roxana Bourassa (Seller),

566 Rogers Hill Rd.

Glasgow, KY 42141 (270)678-7276

(Buyer): _______________________________________________________________________________ Address: _______________________________________________________________________________ Phone Number: _______________________________________________________________________________ It is agreed between Seller and Buyer as follows: 1. DESCRIPTION OF DOG The dog sold pursuant to the terms of this agreement is as follows: Breed:_____________________________________________ Sex:_______________________________________________ Whelped:__________________________________________ Sire:______________________________________________ Dam:______________________________________________ REG#:_____________________________________________ Registered name of puppy:____________________________ 2. SELLER'S REPRESENTATIONS - STIPULATIONS - CONSIDERATIONS The following representation and conditions apply to the aforementioned dog: Seller guarantees that puppy is free of life threatening diseases or disabilities (i.e., heart murmurs, parvo, etc..) for 72 hours after delivery to Buyer. The Buyer has 72 hours to have the puppy examined by a licensed Veterinarian. If, as a result of the examination, the Veterinarian determines that the puppy/dog is not in good health, then the Buyer shall elect to keep the puppy/dog or return the puppy/dog to the seller for a refund. If the Buyer elects to return the puppy, Buyer shall within 7 days after the date of the signing of this contract, send to the seller by certified mail a written Veterinarians certificate stating that the puppy/dog was ill when examined. Upon the receipt by Seller of said certificate, Buyer shall be obligated to return the puppy/dog, the Seller shall be obligated to refund the purchase price of the puppy/dog, and further performance under this contract shall be null and void. All action taken to return puppy/dog shall be done with the best interest of the puppy/dog in mind including temperature at the time of shipment, nonstop flights, etc.. Buyer shall be solely responsible for all cost and related expenses of returning puppy/dog to Seller. Should Buyer decide to keep puppy/dog he forfeits all claims and shall be solely responsible for any and all future veterinarian bills for puppy/dog. Ownership of the puppy/dog will be transferred to Buyer for the sale price of $________. It is to be paid as follows: $___________ deposit (min $250) on the execution of this agreement with the balance of $__________, to be paid on or before puppy/dog leave's Sellers premises. If the balance is not paid by ____________, this Agreement shall be canceled and the Buyer forfeits the deposit given hereunder. Once a puppy/dog is chosen, deposit is non- refundable but applies to purchase price. If delivery is requested by Buyer, it shall be air freight, prepaid to a designated location. Buyer is solely responsible for cost of crate, insurance during shipment, and cost of freight charges. 3. The Buyer is completely satisfied and waives any and all claims regarding the puppy's conformation and outward appearance. (Meaning that the puppy is the breed standard set forth by association at this age.) This puppy is being sold as pet quality. Buyer agrees that he/she understands this contract fully, and that this contract is under the jurisdiction of the State of Kentucky, Barren County. It is agreed the place of venue shall be Barren County, Kentucky. _______________________________________________________________________________ SELLER'S signature and date _______________________________________________________________________________ BUYER'S signature and date

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