Free qh stallion blank year 8.5 color.pmd - Indiana

Quarter Horse

For Office Use Only:

State Form 49942 (R2/2-08)

Stallion Registration Application for Breeding Year
Complete AQHA Certificate

A copy of the stallion's registration certificate must be attached. Type or print the following information. If leased, a copy of the lease agreement must be on file with the IHRC.
Name of Stallion Sire of Stallion Owner(s) of Stallion Address of Owner(s) City Telephone Number(s) Home Fax Lessee's Name Lessee's Address City State E-Mail Address State Dam of Stallion

Year Foaled

Zip Business

Zip

Name and Address of Farm or Stable where this Stallion will stand for breeding purposes: Farm Farm Address City Owner of Farm where Stallion stands Specific directions to farm from nearest interstate or state road: State Zip Telephone

Continued

I acknowledge that the above named stallion was standing at stud in the State of Indiana when this application was filed and when his progeny eligible to race in the State of Indiana was conceived. This completed application must be on file at the office of the Indiana Horse Racing Commission (IHRC) before the owner or lessee will be eligible for the stallion award from the Indiana Breed Development fund. Any stallion that leaves the state for breeding purposes and desires to qualify under the Indiana Quarter Horse Breed Development program must be re-registered. If this stallion is moved beyond the boundaries of Indiana for breeding purposes, the Indiana Horse Racing Commission should be notified immediately. This applicant understands that it is the sole responsibility of this applicant to designate a name, address and a social security or federal I.D. number to be used when stallion awards are issued and that only one social security or federal I.D. number will be used. This applicant understands and agrees that it is the designee's sole responsiblity to distribute the stallion award to other owners, partners, syndicate manager or others. Name of designed recipient of stallion award check Address where stallion award check should be mailed City Social Security or Federal I.D. Number State Zip

I, represent that all information above is true and accurate and agree that registration of said stallion may be revoked or denied for misstatement or omission in the foregoing application. Owner Signature Owner Printed Name Date

Mail or fax signed application with a copy of the AQHA Certificate to: Indiana Horse Racing Commission ISTA Center - Suite 530 150 West Market Street Indianapolis, IN 46204 Phone: (317) 233-3119 Fax: (317) 233-4470 Attention: Jacki Brown Quarter Horse Breed Development Director www.in.gov/hrc [email protected]

INCOMPLETE APPLICATIONS WILL BE RETURNED!

Continued

71 IAC 14.5-2-3 Stallion registration Authority: IC 4-31-3-9 Affected: IC 4-31 Sec. 3. (a) In order to be eligible to register a stallion with the commission, a completed application must be on file with the commission on or before February 1 of each year. (b) Each registered stallion must remain in Indiana the entire breeding season (February 1 through July 1). (c) New stallions arriving late cannot have covered any mares in another state during the same year. (d) Quarter horse stallions may breed both quarter horse and thoroughbred mares. (e) Thoroughbred stallions may breed quarter horse mares. Thoroughbred stallions breeding quarter horse mares must be registered in the quarter horse registry. (f) A stallion must be registered with the commission the year of the foal's conception to be eligible for sire races and stallion awards. (g) Stallions must be registered each year. Any living or deceased stallion having sired foals while standing in the state of Indiana prior to the year 2001 must have on file with the commission an application covering the years it stood in the state to be eligible for sire races and stallion awards. (h) Mare's bred reports must be on file with the commission by December 1 of each year. (i) A copy of lease agreements must accompany the application. (j) There will be a one hundred dollar ($100) late fee for all applications filed after the deadline. (k) This rule in no way restricts the shipment and use of cooled semen. (l) Only those stallions standing in Indiana and properly registered with the Indiana horse racing commission are eligible for stallion breed development awards. (Indiana Horse Racing Commission; 71 IAC 14.5-2-3; emergency rule filed Nov 15, 2000, 11:40 a.m.: 24 IR 1037; readopted filed Oct 30, 2001, 11:50 a.m.: 25 IR 899; readopted filed Mar 23, 2007, 11:31 a.m.: 20070404-IR-071070030RFA; emergency rule filed January 24, 2008)

No registration fee is required, however a $100 late fee will be assessed for applications submitted after the deadline.

A copy of the stallion's AQHA Certificate must be attached.

Breeding Reports must be submitted to the IHRC by December 1 of the breeding year.