Free affidavit of identity 28Free affidavit of identity 28Free affidavit of identity 28
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DRIVER’S LICENSE/IDENTIFICATION CARD RESIDENCY ELIGIBILITY AFFIDAVIT

(Check the box if same as above, or insert complete mailing address if different from physical address.)

Other: ________________________________
(Please State Relationship to Applicant)

I ____________________________________________, of ________________________________________________,
(Printed Name of Person Certifying Residency)

(Street Address of Person Certifying Residency)

in _____________________, ______ ________, certify that ________________________________________________
(City/Town)

(State)

(Zip Code)

(Printed Name of Applicant)

of ________________________________________ in __________________ physically resides in the State of Maine.
(Applicant’s Street Address)

My mailing address is:

(City/Town)

same as above, or: ___________________________________________________________.

Relationship to applicant:

Parent/Guardian;

Spouse;

Sibling;

Date of Birth: __________________; Telephone: home: ____