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Southwest Auction Service P.O. Box 534, Wheaton, MO 64874 · 151 State Hwy 76, Rocky Comfort, MO 64861
Phone: (417) 652-7540 · Fax: (417) 652-7019 · shayla@swaauction.com

USDA Exemption Certification

Auction:

Under USDA regulations, no auction company or "B"-licensed dealer can accept regulated animals without either the seller's USDA license number or an exemption statement certifying the seller isn't required to have one. If you have a current USDA license you do not need this form; include your license number on your consignment contract instead. Send this form in with your contract, or complete it online at swaauction.com.

Certification

I, , certify that I am exempt from USDA licensing. I maintain no more than four breeding female dogs.

Address:

City: State: Zip:

Identification (both required)

Driver License # or Official ID #:

Vehicle Tag #:


Signature of Seller

Date