Seller Disclosure Form

This completed form is required by law in order for us to provide service. This information is kept secure, private and will not be shared with anyone other than the identified buyer.
  • Date Format: DD slash MM slash YYYY
  • Person representing owner, whether owner is present or not. Mark n/a if not applicable.
  • Please complete this portion if a Legal Representative of the owner is present.
  • Please complete this portion if a Legal Representative of the owner is present.
  • Please note breed recognized color and significant markings, such as star, white pastern, etc. Please note any brands.
  • Date Format: MM slash DD slash YYYY
  • Please note if at home or boarding facility.
  • Please note forage (grass, alfalfa or both), concentrates and or green grass pasture.
  • Stall, stall with paddock, paddock only, dry lot, or pasture or mix of which?
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
    Please tick the box for each disease the horse is vaccinated. Tick the box for "Other" if the vaccine is not listed. Only list those given within the last 12 months.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
    Please leave blank if not known.
  • Section Break

  • Please note here any comments or concerns you would like to state or have addressed before, at or following the examination.
  • This field is for validation purposes and should be left unchanged.