Fillable AFFIDAVIT OF NEW MEXICO RESIDENCY Applicant Information (New Mexico)

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AFFIDAVIT OF NEW MEXICO RESIDENCY Applicant Information (New Mexico)

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City
Resident
Address
Applicant Information
AFFIDAVIT OF
NEW MEXICO RESIDENCY
of Applicant under age 18
Taxation & Revenue Department - Motor Vehicle Division
MVD - 10021
REV. 10/16
My Name Is
Phone
Number
State
Zip
Code
Email
Address
Signature of Parent or Guardian
Date
I am the Parent or Guardian of
Name
Who is applying for a New Mexico Driving Permit, Driver License or Identification Card.
The above-named applicant is under age 18 and resides at:
Warning: Any person who makes any false affidavit, or knowingly swears or affirms falsely to any matter
required by the Motor Vehicle Code is guilty of perjury, which is a fourth degree felony (Sections 66-5-38 and
30-25-1 NMSA 1978).
Notes:
This statement must be accompanied by the parent’s or guardian’s New Mexico driver license or
identification card, or two proofs of the parent’s/guardian’s New Mexico residency.
All documents must be original. Photocopies will not be accepted.
I hereby declare under penalty of perjury that the information given in this statement is true
and correct to the best of my knowledge.
Bring this completed affidavit and all required original documents to your local MVD Field Office.
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AFFIDAVIT OF NEW MEXICO RESIDENCY Applicant Information (New Mexico)

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Completed 10 May 2021

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