Vous êtes sur la page 1sur 3

Page 1 of 3

DOG ADOPTION CONTRACT


KNOW ALL MEN BY THESE PRESENTS:
This agreement by and between:
____________________________, of legal age, ( single / married),
[Full Name]

and a resident of ____________________________________, hereafter


[Complete MaIlIng Address]

known as the BREEDER.

[Witness 2]

and
____________________________, of legal age, ( single / married),
[Full Name]

and a resident of ____________________________________, hereafter


[Complete MaIlIng Address]

known as the ADOPTER.

[Breeder]

[Witness 1]

SIGN HERE:

[Adopter]

WITNESSETH:
1. That the Breeder is the owner of a dog, more particularly described as
follows:
Dogs Name

: _____________________________________

Breed

: _____________________________________

Sex

: _____________________________________

Color

: _____________________________________

Date Whelped

: _____________________________________

Registration # (if any)

: _____________________________________

Dams Name

: _____________________________________

Breed

: _____________________________________

Registration # (if any)

: _____________________________________

Sires Name

: _____________________________________

Breed

: _____________________________________

Registration # (if any)

: _____________________________________

2. That for and in consideration of:


SELECT ONE:

Beneficence (Breeders Liberality/Free)


The sum of _________________________________________
[IndIcate Amoun t In Words]

(PhP________________.__)
[IndIcate Amoun t In Figures]

Page 2 of 3

the BREEDER hereby TRANSFERS AND CONVEYS all his rights over the
aforesaid dog to the ADOPTER, subject to the terms, conditions, and
warranties stated hereunder.
3. That the BREEDER warrants that the dog has no known illnesses or health
deficiencies, that the dog is healthy at the time of sale, and that
appropriate shots for the dogs age have been given and a record of this
vaccination history is included and on file at :
______________________________________________________
[ N a m e o f V e t e r I n a r y H o s p I t a l / C l I n I c]

_____________________________________________
[ C o m p l e t e A d d r e s s o f t he V e t e r I n a r y H o s p I t a l / C l I n I c]

[Witness 2]

4. That the dog is sold with the understanding that the ADOPTER agrees
that the dog would become part of his/her family and reside at the home
of the ADOPTER.
5. That the ADOPTER agrees to take proper care of the dog, and for this
purpose, shall give the dog adequate nourishment and ensure that the dog
is timely given the necessary vaccination shots.

SIGN HERE:

6. That the ADOPTER agrees that if any time, and for any reason, he/she is
unable to keep or properly care for the dog, the ADOPTER will contact the
BREEDER and the BREEDER will have the first option to either: (1) take
the dog back, or (2) assist the ADOPTER in finding a suitable home for the
dog. Should the ADOPTER violate this provision, he shall be liable to pay
damages
to
the
BREEDER
in
the
amount
of
_____________________________________ (PhP________________.__).
[IndIcate Amoun t In Words]

[IndIcate Amoun t In Figures]

[Witness 1]

7. That the ADOPTER agrees that the BREEDER is in no way liable or


responsible for any damage, accident, or injury that may result from the
dog.
8. That should the dog become ill or unsound, any and all cost of treatment
will be the responsibility of the ADOPTER and not be reimbursed by the
BREEDER.
9. That no other warranties or guarantees, expressed or implied, are made
under this contract except as stated above.
10. That any suit arising from this contract shall be filed exclusively in the
courts of competent jurisdiction in the Province/ City / Municipality of
__________________________________, Philippines.
IN WITNESS WHEREOF, the parties hereto sign these presents on the
____ day of ________________, 20___ in ___________________, ______________,
Philippines.

[ SIGNATURE ABOVE PRINTED NAME ]

[ SIGNATURE ABOVE PRINTED NAME ]

BREEDER

ADOPTER

Page 3 of 3

Witnessed by:
[ SIGNATURE ABOVE PRINTED NAME ]

[ SIGNATURE ABOVE PRINTED NAME ]

ACKNOWLEDGMENT

[Adopter]

BEFORE ME, this ____ day of _____________________, 20___, in the


Municipality/City
of
_________________________,
_________________,
Philippines, personally appeared the following persons, exhibiting to me their
respective competent evidences of identity indicated as follows:
NAME

Competent Evidence of
Identity / I.D.

Date Issued/Expiration
& Place Issued

____________________

___________________

_______________________

(BREEDERS NAME)

(SSS/GSIS, Drivers License, Voters ID, PRC,


Roll of Attorneys No., Passport, TIN, or any
other government-issued ID)

____________________

___________________

(ADOPTERS NAME)

(SSS/GSIS, Drivers License, Voters ID, PRC,


Roll of Attorneys No., Passport, TIN, or any
other government-issued ID)

_______________________

SIGN HERE:

personally known to me to be the same persons who executed the foregoing


instrument, and they acknowledged to me that the same is their free and
voluntary act and deed.
I further certify that the foregoing instrument is a Dog Adoption Contract,
and consists of three (3) pages, including this page, and signed on each and every
page by the said parties and their instrumental witnesses.

[Breeder]

WITNESS MY HAND AND SEAL.

Doc. No. ____;


Page No. ____;
Book No. ____;
Series of 20___.

Vous aimerez peut-être aussi