Lusitano Thoroughbred Horse

Coverage Statement - Year*

Name*

Address*

Zip-Code*

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He declares that his Lusitanian mares inscribed in the respective Pedigree Book were last benefited, on the dates and by the indicated stallions.

Name of Mare*

Stallion Name*

Stallion Iron*

Day of the last jump

Last hop Month

Previous Year Results - Births

Name

Gender

Comments Always indicate stillbirths - abortions or cases of childishness.

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