Print Owner's Instructions OWNER'S INSTRUCTIONS Open the License Application 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 A B C D E F G H I J K L M N O P Q R S CODE 001 002 003 004 005 006 007 008 009 010 000 Black Brindle Brown (Liver) Gold Grey (Bluemerle) Red Spotted (Patched) Tan (Beige) White Apricot Blonde Salt and Pepper Silver Ticked Yellow Rust Sable Orange Tri-Color MIXES Collie Mix Hound Mix Long Hair Mix Setter Mix Shepherd Mix Smooth Hair Mix Spaniel Mix Terrier Mix Toy Mix Labrador Mix Other Mix Breed CODE 011 012 013 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 033 034 035 036 037 038 039 040 041 042 BREED Afghan Hound Airedale Terrier Akita Alaskan Malamute Am. Staffordshire Terrier Australian Terrier Basenji Basset Hound Beagle Bichon Frise Bloodhound Borzois Boston Terrier Bouvicrs Dcs Flandres Boxer Brittany Spaniel Bulldog Bullmastiff Bull Terrier Cairn Terrier Chesapeake Bay Retriever Chihuahua Chow Chow Cocker Spaniel Collie Dachshund Dalmatian Doberman Pinscher English Cocker Spaniel English Setter English Springer Spaniel Fox Terrier CODE 043 044 045 046 047 048 049 050 051 052 053 054 055 056 057 058 059 060 061 062 063 064 065 066 067 068 069 070 071 072 073 074 BREED German Shepherd German Shorthaired Pointer German Wirehaired Pointer Golden Retriever Gordon Setter Great Dane Great Pyrenees Irish Setter Irish Wolfhound Italian Greyhound Japanese Chin Keeshond Kerry Blue Terrier Labrador Retriever Lhasa Apso Maltese Manchester Terrier Mastiff Miniature Pinscher Miniature Schnauzer Newfoundland Norwegian Elkhound Old English Sheepdog Papillon Pekinese Pomeranian Poodle Pug Rhodcsian Ridgeback Rottweiler St. Bernard Saluki CODE 075 076 077 078 079 080 081 082 083 084 085 086 087 088 089 090 091 092 093 094 095 096 097 098 099 BREED Samoycd Schipperke Scottish Terrier Shetland Sheepdog Shih Tzu Siberian Husky Silky Terrier Soft Coated Wheatcn Terrier Standard Schnauzer Vizsla Weimaraner Welsh Corgi (Pembroke) Welsh Terrier West Highland White Terrier Whippet Yorkshire Terrier Doodle Foxhound Coonhound Terrier Spaniel Husky Hound Sheepdog Other Purebred
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