Borough of Butler Dog License Application * Fields in red are required Butler Dog License Application Dog License Renewals begin each year in January. Dog License Fee: $10.00 Non-Spayed/Neutered $13.00 NOTE: Starting March 1st. a $5.00 late fee will be added to dog license fees making them $15.00 and Non-Spayed/Neutered $18.00. NOTE: Copies of Rabies Vaccination OR Rabies Exempt form signed by a vet AND proof of Spay/Neuter MUST be uploaded with this application. (Spay/Neuter only needed for initial registration) (RABIES VACCINATIONS MUST BE VALID THROUGH OCTOBER 31st.) Owner's Name: Street Address: Mailing Address (if different): Phone #: Email Address: Dog's Name: Breed: Birth Date: * A dog license is required for all dogs starting at 6 months old. Color and Markings: Dog's Sex: Male Female Reproductive Status: Neutered Spayed Non Altered Length of Hair: Short Medium Long Animal Size: Small Medium Large End of License: I no longer have the dog My dog passed away Moved Date of Rabies Inoculation: In order to complete this application you must: 1. Upload a proof of your dogs Rabies Vaccination or Rabies Exempt Form, signed by your vet. 2. Upload proof of Spay / Neuter. (First time registers only) Note: You can upload a picture in .jpeg format or a .pdf file. Rabies Vaccination: Proof of Spay / Neuter : Payer Information Billing Name: Address: Address 2: City: State: - - AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP Code: Daytime Phone: E-mail Address: Payment Information Payment Amount: $13.00 - Dog NOT Spayed or Neutered $10.00 - Dog License Payment Method: ACH Payment (e-Check) Convenience Fee: Enter information as it appears on your check (USA Banks Only) Routing Number: Account Number: Re-Enter Account #: Using the following lower portion of a personal check as an example, enter the information that appears at the bottom of your check. Do NOT include any dashes or spaces. Comments: Terms & Conditions: Proof of Rabies Vaccination must accompany ALL Dog License Applications. FAILURE TO UPLOAD THE REQUIRED PROOF OF RABIES VACCINATION AND PROOF OF SPAY / NEUTERED (if applipicable) WILL RESULT IN THE DELAY OF YOUR PERMIT. I affirm that I have completed the statements listed within this form and the information given is full and true and known to be so. I agree to the above Terms and Conditions.