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OLD APPLICANT (Last, First, Middle) APPLICANT'S DATE OF BIRTH (Month, Day, Year) NAME OF APPLICANT'S PARENT, GUARDIAN OR SPOUSE OVER 18 CONSENTER'S DATE OF BIRTH (Month, Day, Year) RELATIONSHIP TO APPLICANT FOSTER PARENT PARENT LEGAL GUARDIAN (Court Appointed) SPOUSE OVER 18 YEARS OLD OTHER RELATIVE If the person giving consent IS NOT a parent, proper documentation of authority must be shown. The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the und.

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