2. McPherson Animal Shelter
   1115 W Woodside Street
   McPherson, KS 67460
   Phone: 620-245-2583
   
4. Landlord Name
6. Tenant Name
8. Property Name and Address
10. At this rental address, the landlord agrees that the tenant(s) may have a:

    1. Cat

    1. Dog
12. Are there limitations to size or breed?

    1. Yes

    1. No
14. If yes, please specify below. (size, weight, breed, etc.)
16. Landlord Address
17. Landlord Phone Number
19. Landlord Signature
20. Date
    Date
22. Tenant Signature
23. Date
    Date
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24. Print Only

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