Grant K Daugherty
Coshocton County Auditor

349 Main Street										(740) 622-1243   
Courthouse Annex Building									Email: dogtags@coshoctoncounty.net  
Coshocton, Ohio  43812 									

KENNEL AFFIDAVIT
(Rev 11/2021)

STATE OF OHIO

COUNTY OF COSHOCTON

	The undersigned hereby certifies under penalties of perjury:

1.	That an application for a Kennel License has been made by me to the Coshocton County Auditor.

2.	That Section 955.02 of the Ohio Revised Code states that the Kennel for which the License is requested is an establishment that keeps, houses, and maintains adult dogs, as defined in section 956.01 of the Revised Code, for the purpose of breeding the dogs for a fee or other consideration received through a sale, exchange, or lease and that is not a high volume breeder licensed under Chapter 956 of the Revised Code.

3.	That the Kennel License application is being made in good faith and not for the purpose of avoiding the licensing requirements for dogs in the State of Ohio.

4.	That I understand and consent to the fact that the Kennel for which the application for a Kennel License has been made is open for inspection within one year from the date of the current Application by the Coshocton County Auditor, or his designated agent.  If a determination is made that any material statement in the Affidavit is false, the Kennel License will be revoked.

5.	That I understand that the Department of Taxation may require a copy of all Kennel registrations for purpose of sales and use tax and licensing.

6.	I certify that I understand and meet all the requirements of statement one through five.

Signature:  _______________________________________   	Vendor License #:___________________

Printed Name:_____________________________________	Phone No.:  ________________________

Address :  _________________________________________________________________________________	

ABOVE SIGNATURE WITNESSED BY:

Signature:  _______________________________________      		Date:   _____________________

Kennel License #’s issued:  _________________________________________________________________