Claiming Authorization Form - Scarborough Downs
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1CLAIMING AUTHORIZATION FORM
(NOTE: This form is required for EACH HORSE to be entered in a Claiming Race. Please copy this form as needed.)
The undersigned, Registered Owner of the horse:
_______________________________ _____________________
_______________
Name of Horse
Freeze Brand / Tattoo No.
Year Foaled
Hereby authorize the entrance of the horse in claiming races as of ____________________________
Month
Day
Year
to be claimed for at least $_______________________.
Minimum Claiming Price
This authorization shall continue in full force and effect until written cancellation thereof is filed by the
Owner or Authorized Corporate Officer with the Racing Secretary.
Signature of Seller or an Authorized Corporate Officer (if the seller is a stable or corporation):
1. Print Name _____________________________ Signature ________________________________
(Must be signed by a registered owner and not by an agent.)
Notice of Horse Claimed and Application for Transfer
I hereby certify that _____________________________ ________________ was claimed from the following:
Name of Horse
Freeze Brand/Tattoo No.
Full Name of SELLER(s)
No. & Street
City
State
Zip Code
Membership#
1. ________________________________________________________________________________________
2. ________________________________________________________________________________________
3. ________________________________________________________________________________________
4. ________________________________________________________________________________________
The above horse was claimed by
:
Full Name of CLAIMANT(s)
No. & Street
City
State
Zip Code
Membership#
1. ________________________________________________________________________________________
2. ________________________________________________________________________________________
3. ________________________________________________________________________________________
4. ________________________________________________________________________________________
From the _______________ race at _______________________________________ on ___________________
Race No.
Racetrack
Date
for a claiming price of $_______________ and transfer shall be made accordingly.
_________________________ ________________________
Presiding Judge
Signature
PAPERLESS CERTIFICATE
Please do not issue Registration Certificate; hold electronically at the USTA
CHECK HERE ___________
.
Address to Mail Certificate: ___________________________________________________________
Amount Enclosed: $_____________ Transfer Fee $33.00. Please do not send cash; U.S. Funds Only.
Mail Form and Original Certificate (unless paperless) to
US Trotting Assoc., 750 Michigan Ave., OH 43215-1191
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