Form LIC111 template
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Alternative Residency Affidavit
Complete this form to prove Massachusetts residency if you are under the age of 18.
This document is an Alternative Residency Affidavit for individuals under 18 years old unable to prove Massachusetts residency through established documents due to their age. The affidavit includes two certification options: Option 1, where the applicant and parent/guardian appear at an RMV Service Center with a Massachusetts license/ID showing the same residential address; or Option 2, where the applicant and parent/guardian complete the form in the presence of a Notary Public prior to presentation at the RMV. The document requires the applicant's name, residential address, email, phone number, applicant signature, parent/guardian name, Massachusetts driver's license or ID number, parent/guardian relationship, and their signature with the notary public's certification.
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