Maine Resident Lifetime License Application

1 Persons 65 years and older requesting hunting licenses must complete this I swear I am not a convicted felon; or if I am a felon, I have a permit to carry a firearm. Applicant Signature_____2 Will you hunt migratory birds? yes* no *If yes is checked, the following questions must be many of each of the following types of birds did you kill last year? Did not hunt last year 0 1-10 11-30 30+Ducks o Sea Ducks Geese/Brant Woodcock Rails/Gallinules Coot/Snipe Signature_____ Make checks payable to: Treasurer, State of by: o Visa o Mastercard o DiscoverExpiration date: / Card #.

2 Name_____Mailing Address_____City/Town_____State_____Zip Code_____ Physical Address_____City/Town_____State_____Zip Code_____Legal Address-City/Town_____State_____Date of Birth ____/_____/_____Sex M or F Eyes Br Bl Gr Hz Height*_____Weight*_____ Hair*_____ Drivers License #_____Telephone _____Social Security #_____Maine Resident Lifetime License ApplicationThe following is required with your Application :YOUTH Lifetime LICENSES 0-15 years of age:Copy of BIRTH CERTIFICATE with parent(s) listed, andTWO of the following proofs of residency on parent or guardian: 1.

3 CURRENT Maine Driver s License 2. CURRENT Maine Vehicle Registration 3. CURRENT Maine Hunting or Fishing License 4. Maine Income Tax Form for most current tax year (show name and address but blank out monetary values.)SENIOR Lifetime LICENSES 65 years of age and older:TWO of the following proofs of residency: 1. CURRENT Maine Driver s License 2. CURRENT Maine Vehicle Registration 3. CURRENT Maine Hunting or Fishing License 4. Maine Income Tax Form for most current tax year (show name and address but blank out monetary values), AND If applying for a firearms authority: A copy of a Hunter Education Course from any state or province or a copy of a previous adult firearms hunting License issued since 1976, andIf applying for an archery authority: A copy of an Archery Safety Course from any state or province or a copy of a previous archery hunting License issued since 1980, andIf applying for a trapping authority.

4 A copy of a Trapper Education Course from any state or province or a copy of a previous trapping License issued since you fish in tidal waters of the State of Maine last year? ___yes ___No (Eye color required)Age 0 to 5 years Fish 1732 $ Hunt 1733 $ Trap 1906 $ Archery Hunt 1601 $ Fish & Hunt 1734 $ Fish & Archery Hunt 1602 $ Hunt & Archery Hunt 1603 $ 1604 $ Year Old (for customers turning 65 between Jan 1-Dec 31 of the current year) Fish 1735 $ Hunt 1737 $ Trap 1908 $ Archery Hunt 1609 $ Fish & Hunt 1738 $ Fish & Archery Hunt 1610 $ Hunt & Archery Hunt 1611 $ Fish, Hunt & Archery Hunt 1612 $ Year Old (for customers turning 66 between Jan 1-Dec 31 of the current year) Fish 1935 $ Hunt 1937 $ Trap 1936 $ Archery Hunt 1909 $ Fish & Hunt 1938 $ Fish & Archery Hunt 1910 $ Hunt & Archery Hunt 1911 $ Fish, Hunt & Archery Hunt 1912 $ Year Old (for customers turning 67 between Jan 1-Dec 31 of the current year)

5 Fish 2035 $ Hunt 2037 $ Trap 2036 $ Archery Hunt 2009 $ Fish & Hunt 2038 $ Fish & Archery Hunt 2010 $ Hunt & Archery Hunt 2011 $ Fish, Hunt & Archery Hunt 2012 $ 6 to 15 years Fish 1728 $ Hunt 1781 $ Trap 1907 $ Archery Hunt 1605 $ Fish & Hunt 1784 $ Fish & Archery Hunt 1606 $ Hunt & Archery Hunt 1607 $ Fish, Hunt & Archery Hunt 1608 $ Year Old (for customers turning 68 between Jan 1-Dec 31 of the current year) Fish 2135 $ Hunt 2137 $ Trap 2136 $ Archery Hunt 2109 $ Fish & Hunt 2138 $ Fish & Archery Hunt 2110 $ Hunt & Archery Hunt 2111 $ Fish, Hunt & Archery Hunt 2112 $ Year Old (for customers turning 69 between Jan 1-Dec 31 of the current year)

6 Fish 2235 $ Hunt 2237 $ Trap 2236 $ Archery Hunt 2209 $ Fish & Hunt 2238 $ Fish & Archery Hunt 2210 $ Hunt & Archery Hunt 2211 $ Fish, Hunt & Archery Hunt 2212 $ And Over (for customers turning 70 between Jan 1-Dec 31 of the current year)A one time fee of $ covers all authorities that you are qualified to receive. Fish 1901 Hunt 1901 Trap 1438 Archery Hunt 1901 Please note that Crossbow is a permit and is automatically included in your Over 70 Lifetime License if you qualify. To be legal, you must carry your Over 70 Lifetime License and either the required safety card(s) or a previous Crossbow License .

7 *Do not need info on 0-15 years of ageFish, Hunt & Archery Hunt(SS # req. for trapping License only)(Telephone number required)YOUTH Lifetime LICENSES (Please select one)SENIOR Lifetime LICENSES (Please select one)Rev. 2016 What is a Resident Lifetime License ?Buy Nowand Start Saving!A great gift for the next generation of Mainers!Definition ofMaine LicenseCaring for Maine s Outdoor FutureIf you have any questions please call: 207-287-8000 Resident means a citizen of the United States who is domiciled in Maine or an alien who has been domiciled in Maine for one year. These requirements must all be met to be a Resident of Maine : 1.

8 If registered to vote, registered in Maine ; 2. If licensed to drive, made Application for a Maine driver s License ; 3. If owning a motor vehicle or vehicles located in Maine , registered each vehicle in Maine and; 4. In compliance with the Maine income tax laws. A child is considered a resi-dent if the parent(s) or legal guardian is a Maine send this Application to: Resident Lifetime LicenseInland Fisheries & Wildlife 284 State St., 41 SHS Augusta, Maine 04333-0041 Lifetime licenses for hunting, fishing, trapping and archery are now available to residents of Maine who are 65 years of age or older or who are 15 years of age or younger.

9 applications MUST be received by In-land Fisheries & Wildlife or postmarked BEFORE the child s 6th or 16th investment in a Lifetime License for yourself or as a gift, will allow the bearer to fish, trap and/or hunt for their Lifetime , regardless of where they will live in the future. Once purchased, a Resident life-time License is valid for the life of the holder no matter where the holder now in the future of Maine s Fish & Wildlife!.. and a Giftto Last a LifetimeThe Maine Department of Inland Fisheries and WildlifeImportant information for Senior Lifetime Licenses:Applicants ages 65 & over may purchase the Lifetime License anytime within the year of their birthday.

10 For example, if you turn 66 during the current year, you would qualify at the 66 Year Old on aMaine tradition.