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Verification of Lost Document Form

I, , (Owner Code )
hereby verify that the registration certificate for the lama
Lama Name:   ,
Registration#: ,
has been lost and request that you issue a new certificate. I understand that the newly issued certificate will now be the valid certificate and if a previously issued certificate is located it will not be honored. I have enclosed the $10.00 Lost Document Fee and right and left photos of the above listed animal. (ILR waives the lost document fee when processed with a transfer.)

_____________________________________          ________________
Signature of Registered Owner                                   Date

If this Request also involves a transfer, please complete the following:
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I also verify that on the date , I sold the above lama to:

               Name: 
           Address: 
City, State, Zip: 

Owner Code (if assigned): 
I hereby authorize and request the ILR to issue a new Registration Certificate in the new owner's name, and mail the Certificate directly to the address indicated.

_____________________________________          ________________
Signature of Seller                                                       Date
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Mail to:
    ILR
    PO Box 8
    Kalispell, MT  59903