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2. City of Sultan Animal License Application
   License tag must be affixed to animal.
4. Year of License:*
5. Renewal? *

   1. New
   2. Renewal/Replacement
7. Owner Name*
8. Email Address
10. Physical Address*
12. City
13. State
14. Zip Code
16. Mailing Address (If different)
18. City
19. State
20. Zip Code
22. Phone Number
24. Pet Information:
    Note: We understand that spaying/neutering an animal earlier than 5-6 months of age is not recommended by veterinarians. We will allow a license to be issued early as long as the owner promises that the puppy/kitten is spayed/neutered and microchipped by the time they are 6 months old.
26. Animal #1
28. Type of Animal*
    -- Select One --DogCat
30. Name:
31. Age (specify months or years):
32. Color(s):
33. Breed(s):
35. Sex:

    1. Male
    2. Female
36. Altered?

    1. Yes
    2. No
37. Microchipped?

    1. Yes
    2. No
38. Microchip #:
40. Animal #2
42. Type of Animal*
    -- Select One --DogCat
44. Name:
45. Age (specify months or years):
46. Color(s):
47. Breed(s):
49. Sex

    1. Male
    2. Female
50. Altered?

    1. Yes
    2. No
51. Microchipped?

    1. Yes
    2. No
52. Microchip #:
54. Animal #3
56. Type of Animal*
    -- Select One --DogCat
58. Name:
59. Age (specify months or years):
60. Color(s):
61. Breed(s):
63. Sex:

    1. Male
    2. Female
64. Altered?

    1. Yes
    2. No
65. Microchipped?

    1. Yes
    2. No
66. Microchip #:
68. Animal #4
70. Type of Animal*
    -- Select One --DogCat
72. Name:
73. Age (specify months or years):
74. Color(s):
75. Breed(s):
77. Sex:

    1. Male
    2. Female
78. Altered?

    1. Yes
    2. No
79. Microchipped?

    1. Yes
    2. No
80. Microchip #:
82. Service animal

    1. One of my animals is a service animal.
84. Vaccination:

    Distemper/parvovirus is not mandatory but is highly recommended. Do your pets have this vaccine?

    1. The above animals are vaccinated for distemper/parvovirus.
86. Animal Owner's Certification:*

    As Applicant, I certify and declare under penalty of perjury under the laws of the State of Washington and City of Sultan that: all animals at the above address are licensed with current tags and tags are displayed on animals, the information on this application is true and correct, and the animal(s) listed hereon have a current rabies vaccination.

    1. I agree.
88. Fees & Payment

    Prices effective as of 2/1/2023 Per Resolution 22-13 adopted January 12, 2023.

    Once you complete the application and submit it, the website will redirect you to the payment page.

    Prices per license and follows:

    1. Altered animal: $16 per animal
    2. Unaltered: $36 per animal
    3. Service Animal: - Lifetime Tag $0.00
    4. Senior Citizen - Lifetime Tag $16.00
    5. Cat - Lifetime Tag $16.00
    6. Replacement fee for lost/damaged tags (each time): $5 per tag

90. Other payment options:

    Mail a check or money order payable to the City of Sultan, PO Box 1199, Sultan, WA 98294.

    Payment drop boxes at the following locations:

    * City Hall, 319 Main Street, just inside front doors

    * Post Office, 102 4th Street, outside the main entrance in alcove to the left.

    NOTE: Licenses will be mailed to you upon receipt of payment.

92. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
94. Electronic Signature
Leave This Blank:


96. 1. Receive an email copy of this form.
97. Email address

    This field is not part of the form submission.

98. Submit Submit and Print

* indicates a required field