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Texas Residency
Affidavit
Instructions for completion are on back of form
To be eligible for a Texas driver license or identification card, the applicant must be a resident of or domiciled in Texas.
If the applicant cannot provide two acceptable residency documents from the list found on the back of this form, this
affidavit may be used as evidence of residency in Texas.
*Texas domicile rules are in the Texas Administrative Code (37 TAC §§ 15.49 and 16.15).
The applicant for a Texas driver license or identification card must complete Section A.
A. Applicant Information
Name
Residence Address

City

State

ZIP Code

I certify that the information provided above is true and correct. I understand that according to Texas law, it is a crime
to knowingly make any false statement relating to the application for a driver license or identification card.
Applicant’s Signature

Date

A representative who provides services to the applicant at the address in Section A must complete Section B certifying