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:

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