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Cat Resource Center

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Cat Resource Center Inc.

Surrender Form 

Wildwood  Fl 34785 • (352) 748-5260


Please note:

  • We require evidence from a veterinarian that your cat has been tested for FeLV and FIV so that we can provide proper care. This test must be repeated if your cat has either been outside or exposed to other cats who are FeLV+ or FIV+ since this test was done.
  • We require every surrendered cat to be microchipped. A $10 fee will be added to the deposit if the cat needs to be microchipped on arrival.
  • The transition into the sanctuary is especially stressful for older, extremely timid and/or obese cats, to the extent that they may suffer significant health issues. We cannot guarantee their continued well-being. Therefore, the sanctuary should be the very last resort for these particular cats. We will gladly work with you to find an alternative which may be better for the cat.


I am _____ an individual ___representing a rescue group  Rescue group:___________________________



For individuals the total charge to surrender a cat is $5000. As a courtesy and only if you live in California, we will accept monthly payments toward this total, provided that you have first paid a non-refundable deposit of $500 (for cats under 8 years old) and $1000 for senior cats (8 years and older). The minimum monthly payment for non-senior cats is $60 per month until the entire balance is paid (up to 83 months) and $75 per month for senior cats (up to 67 months). If the cat is unvaccinated or unaltered, there is an $80 fee in addition to the deposit.


Note: The full surrender fee is due and payable to The Cat House on the Kings even if the cat dies before full payment has been made. If the cat is adopted before all payments have been made, The Cat House on the Kings will consider the remaining debt to be paid in full and no further payments will be required.


Payment in full discount: If you pay the entire surrender fee at the time the cat is surrendered, the surrender fee will be discounted 10%. e.g. For a non-senior cat the discounted fee would then be $4500.


The surrender fee is NOT tax-deductible because we are providing the service of lifetime care for the surrendered cat in exchange for the fee.


Are you willing to pay the surrender fee?

 

Yes

 

No

How will you make your payments?

 

PayPal (Preferred)

 

Automatic Bank Payment

 

Monthly Check

First name: ___________

 

  Last name: ________   Email _________





Home phone:_______

 

Cell phone:

_______  

        Work phone:______

 

Address: ____________

 

City:  _________        

 

 State: _____         

 

 Zip:________

 

Workplace: ________             

 Work Address_____________________

Nearest Friend not living with you #1 _______________________

Address

 

City:____________   State ____ Zip: ______  

Phone: _________






Nearest Relative Not living with you  #1______________


Address: __________________

 

City:______   State ____ Zip: ______  Phone: 


 








Nearest Relative Not living with you  #2________________


Address: __________________

 

City:______   State ____ Zip: ______  Phone: 



Is this cat:  Your cat?    Stray?    Other?  If so explain: _____________________________










Why can't you keep this cat? ______________________________________________

 

_____________________________

If not your pet, where did this cat come from?______________________________

 

Did you try to find the cat's owner?

 

Yes

 

No

Name of cat:________Date of birth (est.)

 ____



Date of birth (est.) ______

 

Microchip ID:

 

Gender:

   

Male

    

Female

     

Breed:

       

 

Color:

 

Veterinarian (if your pet)____________________________

 

Spayed/neutered?

 

Yes

 

No

 

Don't know

FeLV/FIV test date: 

 

FeLV:

 

Positive

 

Negative

FIV:

 

Positive

 

Negative

Has the cat been outside since the FeLV/FIV test?

 

Yes

 

No

Has the cat had unsupervised contact with any FeLV+ or FIV+ cat since the FeLV/FIV test?

 

Yes

 

No

Current on vaccinations?

4 in 1 (FVRCP & C):

 

Yes

 

No

 

Don't know

(All surrenders should have a 4 in 1 booster within 9 months of surrender if possible.)

Leukemia:

 

Yes

 

No

 

Don't know

Rabies:

 

Yes

 

No

 

Don't know

Please tell us as much as you can about this cat:

 

________________________________________________________________

If you default on this agreement, we reserve the right to return your cat/cats either to your residence or to your relative/friend's residence or to take legal action against you.

I, the undersigned, agree to these conditions.

 

 

Signature__________________            Date______________


IN WITNESS WHEREOF the parties hereto have executed these presents the day and year above written.

 


Signature__________________            Date_______________



Max. Amt. Owed this Surrender________

Total exchange points (or N/A):______

 

Amt. Paid Today________

Cash______

Check #______

 

Remaining Balance Due This Surrender:________

Amt. To Be Paid per Month:_____________

The monthly payment will begin (mo/yr):_______

  /  

and on the first of each month thereafter.

(For Office Use Only)

Spay/Neuter:

Vac/Shots:

Vet/Other:

(describe)

 

Microchip ID:_______

 

Intake housing:_________

 

Notes:

 

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