Nancy Dixon Van Wert County Auditor 121 E. Main st Van Wert, Ohio 45891 (419) 238-0843 Fax: (419) 238-1111
Age
Please print and complete the form below and mail to our office with a check for $16.00 for each dog.
Please enclosed a self-addressed stamped envelope.
Certificate for the registration of dog for the year ___________
Sex
After June 30, tag cost is 1/2 for newly acquired dogs or dogs under 3 months
Year
Month
M/F
Color
Hair
Breed
Fees
Penalty
Tag No.
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 brought from outside the state R.C. Sec. 955.01.05
The undersigned says that the facts indicated above ARE TRUE.
Name: _____________________
Address:_____________________
City/State/Zip____________________
Signature of Applicant ______________________
Telephone No. ________________ Date ____________________
