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Get FL HSMV 71120 2022-2024

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTORIST SERVICES 2900 Apalachee Parkway Neil Kirkman Building - Tallahassee FL 32399 CERTIFICATION OF ADDRESS Date I do hereby certify that Name First Middle Last Date of Birth Resides at Street Apartment City State Zip Code SPECIAL CONDITIONS Self Certification Released from Incarceration Homeless Other Signature of Addressee/Customer Print Name of Addressee/Customer INSTRUCTIONS A Certification of Address form completed and signed by the customer is accepted as proof of residential address providing it is accompanied by o One proof of residential address in the customer s name or Homeless customers may present a letter listing the customer s name from a shelter public assistance agency representative along with the completed Certification of Address form. Customers released from incarceration may present an Address Verification Letter from the Department of Corrections with an Inmate Identification Card and Certificate of Discharge along with the completed A list of documents that can be used as proof of residential address can be found at www.

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