This form is for demonstration purposes only.
| Information | |||||||||||||||
| Last Name | First Name | MI | |||||||||||||
| Date of Birth | Social Security Number | License Number | |||||||||||||
| Information | |||||||||||||||
| Street Address (including suite number, etc. if applicable) | |||||||||||||||
| City | County | Zip Code | Date of Purchase | ||||||||||||
| Random Declarations | |||||||||||||||
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I have never checked a checkbox on a form before today. I probably will not ever check on again. I think that these declarations are stupid. I have almost certainly made more inane statements or promises. I have never made such stupid statements on a government form. That last statement does not include federal tax statements. Bank security questions are the most insecure thing in the history of history. I love Brussel sprouts. This whole thing is stupid. The only thing that is more stupid than this is Dumb and Dumber To. I haven’t watched that movie, but it seemed like a pretty safe statement after watching the first one. I swear under penalty of perury that this is the single stupidest form I’ve ever laid eyes upon, and that I have examined every jot and tittle of this document, and there are exactly two errors. |
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| Affirmation | |||||||||||||||
| Signature | First Name | ||||||||||||||