7005 Record of Acquisition and Dogs and Cats on Hand

This record is required by law (7 USC 2131-2156). (9 CFR, Subchapter A, Parts 1, 2 and 3). Failure to maintain this record can result in a suspension or revocation of
license and/or imprisonment for not more than 1 year, or a fine of not more than $1,000, or both.

RECORD OF ACQUISITION AND DOGS AND CATS ON HAND
1. RECORD FOR ("X")

Dealer

Holding Facility (Submit copy to
Dealer)

Other

Exhibitor (Dogs and Cats only)

USDA LICENSE OR
REGISTRATION NO.

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

2. NAME AND ADDRESS OF LICENSEE, REGISTRANT, OR HOLDING FACILITY

B.

TATTOO OR
USDA TAG
NO.

C.

DOG

D.
CAT

AGE OR DATE
OF BIRTH

"X"
M or F
M

F.
G.
BREED OR
DESCRIPTION OF ANIMAL
TYPE
WT.
(Color, Distinctive Marks, Hair, Tail
(If mixed breed,
Tattoos, etc.)
list 2 dominant
breeds)

TO (Mo., Day, Yr.)

ACQUIRED FROM
H.
DATE
ACQUIRED

4. PAGE
NO.

DISPOSITION

I.

J.
NAME AND ADDRESS
USDA LICENSE OR REGISTRATION NUMBER,
OR DRIVER'S LICENSE NUMBER AND STATE,
VEHICLE LICENSE NUMBER AND STATE,

Date
Removed or
Sold

K.

Date
Died or
Euthanized
(Specify)

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

M

F

APHIS FORM 7005
(JUN 95)

E.

3. BUSINESS YEAR
FROM (Mo, Day, Yr.)

IDENTIFICATION OF EACH ANIMAL BEING DELIVERED (See reverse for Breed Abbreviations)
A.

FORM APPROVED
OMB NO. 0579-0036

See reverse side for OMB information

F

INSPECTOR
USE ONLY

LAST INSPECTION (Date)

(Replaces VS Form 18-5 which may be used.)

TOTAL NO. ANIMALS ENTERED
SINCE LAST INSPECTION

COUNT TOTAL NO. ANIMALS ACTUALLY
ON PREMISES

DIFFERENCE (+ OR -)

DATE

INITIALS

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this information collection is 0579-0169. The time required to complete this information collection is
estimated to average .083 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information.

BREED ABBREVIATIONS - DOGS (Column F)

Afghan Hound
Airedale Terrier
Akita
American Bull Terrier
Basenji
Basset Hound
Beagle
Bedlington Terrier
Bichon Frise
Black and Tan
Coonhound
Bluetick
Boston Terrier
Boxer
Bullmastiff
Cairn Terrier
Catahoula
Chihuahua
Chinese Crested Dog
Chow-Chow
Cocker Spaniel
Collie
Coonhound (Specify)

- AH
- AD
- AK
- AB
- BS
- BH
- BE
- BL
- BF
- BT
- BK
- BO
- BX
- BM
- CT
- CU
- CA
- CD
- CC
- CK
- CL
- CH

Dachshund
Dalmation
Doberman
Elkhound
English Bulldog
English Setter
Eskimo Dog
Foxhound
Fox Terrier
French Bulldog
German Sheperd
German Short Haired
Pointer
Golden Retriever
Gordon Setter
Great Dane
Great Pyrenees
Greyhound
Husky
Irish Setter
Jack Russell Terrier
Keeshond
King Charles Spaniel

- DH
- DL
- DB
- EH
- EB
- ES
- ED
- FH
- FT
- FB
- GS
- SH
- GR
- GO
- GD
- GP
- GH
- HK
- IS
- JR
- KH
- KC

CATS (Col F)

Abyssinian
Burmese
Domestic Long Hair
Domestic Short Hair
Himalayan
Maine Coon
Manx

- AH
- BU
- DL
- DS
- HM
- MC
- MX

Persian
Russian Blue
Rex
Siamese
Other (Specify)

Komondor
Labrador Retriever
Lhasa Apso
Malamute
Mastiff
Maltese
Miniature Pinscher
Newfoundland
Old English Sheepdog
Pekingese
Pomeranian
Poodle
Pug
Redbond Coonhound
Rhodesian Ridgeback
Rottweiler
Saint Bernard
Samoyed
Schipperkee
Schnauzer
Scottish Terrier
Shar-pei
Shetland Sheepdog

- KM
- LR
- LA
- MM
- MA
- MT
- MP
- NF
- OE
- PK
- PM
- PO
- PU
- RB
- RR
- RW
- SB
- SM
- SK
- SN
- SC
- SP
- SS

Shih-tzu
Silky Terrier
Spitz
Springer Spaniel
Staffordshire Bull
Terrier
Walker
Weimaraner
Welsh Corgi
Whippet
Yorkshire Terrier
Other (Specify)

- SI
- ST
- SZ
- SR
- SA
- WK
- WI
- WC
- WH
- YT

TYPE (Column F)

- PR
- RB
- RE
- SI

Hound Crossbreed
Terrier Crossbreed
Sheperd Crossbreed
Spaniel Crossbreed

- HX
- TX
- SX
- PX