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DOG LICENSE FORM
DOG LICENSE APPLICATION
ALL DOGS OVER THE AGE OF 5MONTHS MUST BE LICENSED
IN THE TOWN OF DEWEY
You must send a copy of the current rabies certificate for each dog at your residence being licensed as a required under WI SS #174.05. There is a late fee of $5.00 per dog for applications after April 1st.
When you are sending for a license, you must include the following items, or a license will not be mailed:
1) Rabies Certificate (Certificate will be returned to you with dog tag)
2) Proof of being neutered or spayed (For dogs who were not the years before.)
3) Fees
4) Self-address stamped envelope for license return
Mail to: Town of Dewey Treasurer, Sarah Wisinski
3586 Goldenrod Lane
Custer, WI 54423
Phone # 715-341-6821
Owner’s Name ______________________________ Male Neutered $6.00 __________
Address ______________________________ Male not Neutered $16.00 __________
Dog’s Name ______________________________ Female Spayed $6.00 __________
Breed ______________________________ Female not Spayed $16.00 __________
Color ___________________ Date of Rabies Shot__________ Expiration __________
Owner’s Name ______________________________ Male Neutered $6.00 __________
Address ______________________________ Male not Neutered $16.00 __________
Dog’s Name ______________________________ Female Spayed $6.00 __________
Breed ______________________________ Female not Spayed $16.00 __________
Color ___________________ Date of Rabies Shot__________ Expiration __________