Dog License Application

Mahoning County Dog License Application Form Instructions

IMPORTANT! If you have a 2007 dog license, please use preprinted form
sent to you by postal mail that should arrive on or before December 8, 2007
Set your printer to landscape (wide) orientation and print form.

Fill out form and please mail WITH A SELF-ADDRESSED STAMPED ENVELOPE to: Mahoning County Dog Wardens Office 589 Industrial Rd Youngstown, OH 44509 Make Checks Payable to: Mahoning County Treasurer FEES: Dec. 1 to Jan. 31, $15.00 license fee After Jan. 31, $30.00

2008 MAHONING COUNTY DOG LICENSE APPLICATION
THIS LICENSE EXPIRES JANUARY 31, 2009

NEW LICENSE NUMBER

-D

DATE ACQUIRED

OUTSIDE OHIO

BECAME 3 MONTHS

FOR AUDITOR'S USE ONLY

CURRENT
LICENSE
NUMBER

AGE

SEX
M/F

SPAYED
OR
NEUTERED

COLOR

HAIR

BREED OF DOG

FEE
PAID

PENALTY

DOGS NAME

Name

If you no longer own your dog, check here [ ]

MICHAEL V. SCIORTINO
MAHONING COUNTY AUDITOR

Address

City

State

Zip

Home Telephone

Work Telephone

Applicant Signature

Date

Deputy or Agent