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Parental Authorization Affidavit

XNotarizationState of , County of Signed or attested before me on by Name of person (Seal or stamp) SignaturePrinted or stamped nameTitle and Notary expiration dateParental Authorization Affidavit This Affidavit must be signed by the applicant s parent or legal guardian. In the event the applicant, who is still a minor, has neither parent nor guardian, an employer s signature will be accepted. An employer may not sign if parent or guardian has custody of the applicant. The signature below grants us permission to consider this application. Once granted, parent/ guardian/employer permission cannot be certify that I am the custodial parent legal guardian employer of:Last name of applicantFirst nameMiddle name Suffixwhose date of birth is and who is applying for: Instruction permit Driver license Motorcycle instruction permit Motorcycle endorsement Enhanced Driver License/ ID card I certify that the above named individual has had at least fifty hours of driving experience, ten of whic

State of Washington County of X Signed or attested before me on Signature of notary public or licensing services representative Title My appointment expires

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  Affidavits, Authorization, Parental, Parental authorization affidavit

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