Form VN-142 template
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Affidavit of Non-Licensure
Used when converting a license from out of state and the physical license is not available to surrender.
The document is an affidavit for non-licensure or out of state licensure from the Vermont Department of Motor Vehicles. It requires applicants to provide their full name, current and previous mailing and physical addresses, date of birth, social security number, out of state license number and expiration date, and a certification that they have never been licensed in any jurisdiction or currently possess a valid license from another state. Applicants are instructed to obtain a clearance letter if they cannot provide their license number and expiration date. The document includes fields for PDPS check, NLETS/Driver History, and SSOLV.
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