Complete this form to apply for, renew, replace, covert from out of state, or reinstate a learner's permit, driver's license, or Mass ID. You must file the Affidavit in cases involving the care, custody, visitation, or change of name of a child.I am first duly sworn and state I am: Name. DECEDENTS, ESTATES AND FIDUCIARIES. Chapter. 1. If you witness a fellow Notary committing a crime, find out how you can report it and what information you will need to provide. You can report most scams with Form 14242, Report Suspected Abusive Tax Promotions or Preparers. Submit Form 14242 online or mail or fax Form 14242 PDF.