South Carolina Department of Motor Vehicles CHANGE OF RESIDENCY AFFIDAVIT DL-222 (Rev. 8/11) South Carolina Department of Motor Vehicles – (803) 896-5...
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AFFIDAVIT OF VEHICLE THEFT. Page 1 of 5. All questions must be answered. Please print. Claim Number. Name of Insured. Home Phone. Cell Phone. Social Security ... Monetary estimate of vehicle damage. Specific location ... Name and address of insurance
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You must present the required six (6) points of identification as well as verification of your address. remember that you must confirm your decision each and every time you renew your license or non driver ID. Fore more information, visit njmvc. gov
South Carolina Department of Motor Vehicles
DL-222 (Rev. 8/11)
CHANGE OF RESIDENCY AFFIDAVIT SECTION I – To be completed by the applicant.
Reference #446
Name of Applicant: S.C. Driver License No:
Date of Birth:
Customer’s Home No:
(
)
Cell Phone No:
(
)
Work Phone No:
(
)
Under penalties of perjury, I declare that the following facts concerning my change of residency from South Carolina are true and correct: 1. On the
day of
, 20
, I became a resident in the state of
My current address is:
2. I applied for a driver’s license in the above referenced state on the
day of
, 20
3. I do not wish to obtain a South Carolina Driver’s License. Signature of Applicant Subscribed and sworn to me this
Date day of
, 20
My commission expires on Signature of Notary Public
Seal
SECTION II – To be completed by a DMV Official in the new resident state. The above named person has applied to receive a license in this state. If a DMV Official from South Carolina certifies that the applicant’s S.C. drivers license is not under suspension, the applicant is eligible for a Class License in the State of DMV Official Title
Date (Area Code) Telephone Number
SECTION III – To be completed by a S.C. Motor Vehicle Official. The SR-22 Certificate of Insurance requirement has been waived. S.C. DMV Official Date
South Carolina Department of Motor Vehicles – (803) 896-5000 - PO BOX 1498 - Blythewood, SC 29016
