Livestock Bill of Sale - Feeder Assoc

Livestock Bill of Sale

Date of Sale: YYYY/MM/DD

Seller - Owner of the Livestock

Name:

Address:

Phone #:

Purchaser of the Livestock:

PID#:

Name:

Address:

Phone #:

Description of the Livestock

Number

Color

PID#:

Kind

Brand(s)/ Identifier

Location

Purchase Price Per Head

$

$

$

$

Total

$

$ Calculation of the Sale Proceeds

Deductions:

Purchase Price $

Livestock Inspection Fee

$

ABP Service Charge

$

Insurance

$

Assurance Fund

$

Other

$

Total Sale Proceeds $

Livestock Security Interest Delaration

Name of the Holder of any Livestock Security Interest in the Livestock or the Dam of the Livestock or if None Indicate "None"

Address of the Holder of any Livestock Security Interest named above

I CERTIFY THAT THE ABOVE INFORMATION AND THAT THE ABOVE LIVESTOCK SECURITY INTEREST DECLARATION ARE TRUE.

x Signature of Owner

Date: YYYY/MM/DD

PERSON OWING THE SALE PROCEEDS TO THE OWNER

Received by: (Print Name) Signature:

Date: YYYY/MM/DD

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