APPLICATION FOR THE REGISTRATION OF DOG OR KENNEL FOR THE YEAR _____
OWNER OF DOG OR KENNEL ________________________ ADDRESS _________________ PHONE NO. ____________________________ _________________
I, the undersigned, Owner, Keeper, or Harborer, hereby tender the legal fees and apply for the registration, for the year _______, of the dogs over three months of age, described below: AGE SEX COLOR
Certificates of registration tags shall be valid only during the CALENDAR year IN which they are issued, AND DURING THE FIRST 31 DAYS OF THE FOLLOWING CALENDAR YEAR, Sec. 955.09 A penalty shall be assessed if Dog License is not secured on or before January 31 or within 30 days after the dog becomes 3 months of age, or is bought outside the state. R.C. Sec. 955.01,05.
The undersigned says that the facts indicated above are true. Signature ________________________________________
Date received: _________________________________ By:_________________________________________ Deputy Auditor
Send $12.00 fee per dog or $60.00 Kennel Fee and application to 205 Putnam Street Marietta, Ohio 45750
Note: Late Registrations will increase the fees to $24.00 per dog and $120.00 per Kennel.