Affidavit from Source of Dogs or Cats 213-D-VPHS-Source Affidavit 2026

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  1. Click ‘Get Form’ to open the Affidavit from Source of Dogs or Cats 213-D-VPHS-Source Affidavit in our editor.
  2. Begin by filling in the state and county at the top of the form. This information is essential for legal identification.
  3. In the first section, print your name clearly and provide your USDA Class A License Number along with the address of your licensed premises.
  4. Next, indicate the name of the NYC pet shop you are supplying dogs and/or cats to, along with the expected delivery date.
  5. Carefully read through each statement regarding your compliance with animal care standards and convictions. Check off each statement as applicable.
  6. Finally, sign the affidavit where indicated and have it notarized by a Notary Public or Commissioner of Deeds.

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