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Mail to: FASIG-TIPTON
Lexington, Kentucky 40511 ______/______/______
(859) 255-1555 Fax (859) 254-0794 Date
Gentlemen:
I hereby appoint __________________________________ to be my authorized
Name
agent in all matters pertaining to the sale and/or purchase of horses at the auction
to be conducted by your organization on ________________________________.
Date
I agree to be bound in all respects by all actions of my agent on my behalf, including, but not limited to: execution of documents pertaining to such sale or purchase, granting of security interests; receipts and disbursements of funds; waiver of rights under consignor's contract, condition of sale, or law; acceptance of goods; and right to make representation regarding any animal.
I agree that this authorization shall be revocable only in writing such revocation to become effective when acknowledged in writing by Fasig-Tipton Company, Inc.
_______________________________________________________________________
Name
_______________________________________________________________________
Address
_______________________________________________________________________
_______________________________________________________________________
Signature
Subscribed and sworn to before me this
______ day of _____________________________________________ , 20 ______
_______________________________________________________________________
Notary Public