LTC-70.pdf - Texas Department of Public Safety Regulatory...
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APPLICANT INFORMATION - NOTE: Name must match the name on DL/IDLTC License NumberTexas Department of Public SafetyRegulatory Services DivisionTo upload your supporting documents please visit RSD secured website: HANDGUN LICENSING Change of Address/Name Change/Replacement/Modification/Lawful PresenceDriver LicenseID CardDL / ID State(2-LETTER CODE)License / ID NumberADDRESS CHANGE (check one)Change Mailing Only Change Physical Only Change BothResidence Address (Cannot be a PO Box)CityState (2-LETTER CODE)ZIP CodeCountyMailing Address (If different from Residence Address)CityState (2-LETTER CODE)ZIP CodeCountyI understand all fees submitted to Handgun Licensing are non-refundableand non-transferable.I verify the information provided is true and correct, and I understand this is an official government recordand any false statement made on this document or any other supplement provided to DPS may result in criminal prosecution.Applicant Signature Date (MM/DD/YYYY)(You may copy and paste a scanned .jpg or pdf of your signature)NAME CHANGE (Include legal documents as supporting documentation for name change: marriage license, divorce decree, etc.)
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