Free 45147.pdf - Indiana

MILITARY AFFIDAVIT
State Form 45147 (R/4-98)

I at Indiana, do hereby state the following: 1. 2. I have applied for an Indiana Driver's License.

, am presently residing ,

I am an active duty military member or dependent of an active duty military member stationed in Indiana. I am obtaining an Indiana Driver's License solely for purposes incident to my or my military sponsor's service in Indiana. It is not my intent to reside in Indiana permanently. I understand I must notify the Bureau of Motor Vehicles immediately of any address change or intent by me to permanently leave the State of Indiana. I have read and understand the above statements and will comply with Indiana Driver's License Laws and requirements. I or my spouse are stationed at military base. My or my spouse's rank or grade is .

3.

4. 5.

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8.

I do hereby swear or affirm the foregoing representations are true and accurate to the best of my knowledge and belief.

Social Security / Military I.D. NO.
SSN IS VOLUNTARY UNLESS YOU ARE APPLYING FOR A COMMERCIAL DRIVER'S LICENSE WHICH FEDERAL LAW REQUIRES.

Affiant's Signature

Affiant's Printed Name

Date