OWNER's INSTRUCTIONS ALL Dogs 4 Months of Age Or Older Must to Be Licensed

OWNER'S INSTRUCTIONS ALL dogs 4 months of age or older must to be licensed. In addition, any dog under 4 months of age running at large, must be licensed. 1. PRINT all information in the appropriate boxes (NOTE that some areas are for Office Use ONLY). Remember to sign and date the form. 2. From the list below, choose 1 or 2 COLORS and the BREED that best describes your dog. Enter the color(s), breed or mixed name AND the corresponding codes on the application. 3. Markings - please indicate if one or both ears have been cut off wholly or in part. Microchip / Tattoo – please enter the number. 4. Check the type of license you are applying for: Male–neutered, Female–spayed, Male–unneutered, Female–unsprayed or Exempt Dog. Enter the corresponding statutory fees in the box to the right. Total all fees and submit this amount to the issuing clerk. 5. Items required for validation of this license: (A) application (B) fees (C) certification of spaying or neutering or proof of exemption (D) proof of fees exemption (E) proof of rabies vaccination where required. Submit in person or by mail to the issuing clerk in the town where the dog is harbored. CODE COLORS CODE BREED CODE BREED CODE BREED A Black 011 Afghan Hound 043 German Shepherd 075 Samoycd B Brindle 012 Airedale Terrier 044 German Shorthaired Pointer 076 Schipperke C Brown (Liver) 013 Akita 045 German Wirehaired Pointer 077 Scottish Terrier D Gold 014 Alaskan Malamute 046 Golden Retriever 078 Shetland Sheepdog E Grey (Bluemerle) 015 Am. Staffordshire Terrier 047 Gordon Setter 079 Shih Tzu F Red 016 Australian Terrier 048 Great Dane 080 Siberian Husky G Spotted (Patched) 017 Basenji 049 Great Pyrenees 081 Silky Terrier H Tan (Beige) 018 Basset Hound 050 Irish Setter 082 Soft Coated Wheatcn Terrier I White 019 Beagle 051 Irish Wolfhound 083 Standard Schnauzer J Apricot 020 Bichon Frise 052 Italian Greyhound 084 Vizsla K Blonde 021 Bloodhound 053 Japanese Chin 085 Weimaraner L Salt and Pepper 022 Borzois 054 Keeshond 086 Welsh Corgi (Pembroke) M Silver 023 Boston Terrier 055 Kerry Blue Terrier 087 Welsh Terrier N Ticked 024 Bouvicrs Dcs Flandres 056 Labrador Retriever 088 West Highland White Terrier O Yellow 025 Boxer 057 Lhasa Apso 089 Whippet P Rust 026 Brittany Spaniel 058 Maltese 090 Yorkshire Terrier Q Sable 027 Bulldog 059 Manchester Terrier 091 Doodle R Orange 028 Bullmastiff 060 Mastiff 092 Foxhound S Tri-Color 029 Bull Terrier 061 Miniature Pinscher 093 Coonhound 030 Cairn Terrier 062 Miniature Schnauzer 094 Terrier CODE MIXES 031 Chesapeake Bay Retriever 063 Newfoundland 095 Spaniel 001 Collie Mix 032 Chihuahua 064 Norwegian Elkhound 096 Husky 002 Hound Mix 033 Chow Chow 065 Old English Sheepdog 097 Hound 003 Long Hair Mix 034 Cocker Spaniel 066 Papillon 098 Sheepdog 004 Setter Mix 035 Collie 067 Pekinese 099 Other Purebred 005 Shepherd Mix 036 Dachshund 068 Pomeranian 006 Smooth Hair Mix 037 Dalmatian 069 Poodle 007 Spaniel Mix 038 Doberman Pinscher 070 Pug 008 Terrier Mix 039 English Cocker Spaniel 071 Rhodcsian Ridgeback 009 Toy Mix 040 English Setter 072 Rottweiler 010 Labrador Mix 041 English Springer Spaniel 073 St. Bernard 000 Other Mix Breed 042 Fox Terrier 074 Saluki .

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