Last day of withdrawal period No. animals processed
4-H & FFA Livestock Bill of Sale
Date of Purchase _______________________________________________________________________________________________________
(*See note below if you raised your own animal.)
Species _______________________________________________________________________________________________________________
Description of animal(s): breed, color, sex, date of birth, tag number, etc.
(If you buy more than one animal from the same seller, you may list all below.)
Animal #1 _____________________________________________________________________________________________________________
Animal #2 _____________________________________________________________________________________________________________
Animal #3 _____________________________________________________________________________________________________________
Scrapie tag number (for all female lambs & goats) _____________________________________________________________________________
As an affidavit is deemed by USDA as an official record of Country of Origin, I attest through first-hand knowledge, normal business records, or producer affidavit(s) that all livestock referenced by this “bill of sale” are of ___________________________________________ origin.
(list country)
Seller’s Signature ______________________________________________________________________________________________________
Seller’s Physical Location/Address or premise number _______________________________________________________________________
______________________________________________________________________________________________________________
Buyer’s Signature ______________________________________________________________________________________________________
Buyer’s Physical Location/Address or premise # ____________________________________________________________________________
______________________________________________________________________________________________________________________
Optional information
Vaccinations/medicines given:
*Note: If you raised your own animal, write that on the date purchased line above. Sign your name and write your physical address (or premise number) for the seller. On the Buyer’s lines, write “same as seller”.
Country of Origin Labeling (COOL) Affidavit
As an affidavit is deemed by USDA as an official record of Country of Origin, I attest through first-hand knowledge, normal business records, or producer affidavit(s) that all livestock referenced by this “bill of sale” were born in __________________________(list country) and raised in _____________________ (list country)
Seller Signature:
Date:
Business/Farm/Ranch Name:
Physical Address or Premise Number:
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