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Get Doh 669 321 Form

He legal authority to change your name. We may ask you to prove your legal name. If you use any name other than your legal name on this form, your application may be denied. Birth date: Provide the month, day and year of your birth. Birth place: Provide the city, state and country where you were born. Address: List the address we should use to send any information about your license. Be sure to include the city, state, zip code, county, and country. This will be your permanent address.

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