this _______ day of ___________________ _______.
Sellers’ signature: _________________________________ __________________________________________
Purchaser’s signature: _________________________________________________ Date: __________________
I _____________________________ chose not to have a Pre-purchase Vet Exam
(sign)___________________________________
I _______________________________ chose to have a Pre-purchase Vet Exam
(sign)____________________________________
Address: _______________________________________ Phone #:_______________________
________________________________________
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