Dsmv 450 Form PDF Details

The DSMV 450 form serves as a comprehensive application and agreement document, facilitating multiple aspects of driving and identification processes in New Hampshire. Spearheaded by the Division of Motor Vehicles, it's not merely a formality but a pivotal step for residents aiming to obtain a driver's license, state I.D. card, or seeking to renew, replace, or update their existing credentials. It meticulously collects applicant details, including personal information such as name, address, social security number—which is utilized under specific legal authorities for maintaining driver records and other lawful purposes—and physical attributes. Notably, it offers applicants a chance to make a life-saving choice by registering as organ donors, underlining the state’s commitment to fostering a culture of giving. Furthermore, the form addresses residency statuses, tax liabilities, and the necessity for proof of insurance, ensuring compliance with state laws. It also caters to individuals' preferences regarding the display of personal information on their licenses, reflecting a blend of service provisioning and privacy considerations. Completing the DSMV 450 is not only about legal compliance but also articulates a citizen’s responsibilities towards maintaining accurate records and adhering to state regulations, emphasizing its integral role in New Hampshire’s driving and identification landscape.

QuestionAnswer
Form NameDsmv 450 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnh dmv forms, form dsmv 450, dmv forms nh, state of nh dmv forms

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Talk to your family about your organ donor decision.

STATE OF NEW HAMPSHIRE

DIVISION OF MOTOR VEHICLES

APPLICATION FOR DRIVER’S LICENSE OR I.D. CARD

(PRINT CAREFULLY)

ORIGINAL

RENEWAL

DUPLICATE

NON-DRIVER I.D.

REPLACEMENT

Reason:

Are you a United States Citizen?

 

 

 

 

Yes

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

 

 

 

 

MIDDLE

 

 

 

 

 

 

LAST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS

 

 

 

 

 

 

 

 

 

 

 

PERMANENT ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOWN/CITY

STATE

ZIP

 

 

 

TOWN/CITY

 

 

STATE

ZIP

-

-

 

 

 

 

 

 

 

 

 

 

 

/

 

 

/

 

 

S.S. # *

 

 

 

DATE OF BIRTH

 

 

 

 

 

 

 

 

SEX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONTH

 

DAY

 

YEAR

 

HEIGHT

WEIGHT

 

 

 

 

EYES

 

 

 

 

 

 

HAIR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE CHECK HERE IF YOU WISH TO BE AN ORGAN DONOR

APPLICANT MUST COMPLETE EITHER SECTION “A” OR SECTION “B” BELOW:

SECTION A

I HAVE NOT PREVIOUSLY HELD A DRIVER LICENSE IN THIS OR ANY OTHER STATE OR COUNTRY.

SECTION B

I HAVE PREVIOUSLY HELD A DRIVER LICENSE, AS FOLLOWS:

EXACT NAME APPEARING ON PRIOR LICENSE:

LICENSE WAS HELD IN: STATE/COUNTRY:

EXPIRATION DATE:

 

MO. DAY

YEAR

LICENSE NUMBER:

 

 

CLASS:

STATE ANY RESTRICTIONS APPEARING THEREON:

*Social Security Numbers are being requested under authority of RSA 263:40-a and are being used to check and maintain driver records, to administer child support enforcement laws, and to conduct investigations for law enforcement purposes. Out of state applicants applying for a New Hampshire driver license MUST provide their social security number, however, once a license is issued, an individual may request to have his/her social security number removed from his/her department record.

I wish to have my social security number removed from DMV Records, pursuant to RSA 263:40-a (see above).

I do not wish to have my computerized image, likeness, or photograph retained

CIRCLE ALL APPLICABLE FEES

License Type:

Original

Renewal

 

 

 

 

 

 

Operator

$

50.00

$

50.00

 

Motorcycle

$

30.00

$

5.00

 

Endorsement

 

 

 

 

 

 

Motorcycle Only

$

55.00

$

55.00

 

Motor Driven Cycle

$

55.00

$

55.00

 

 

Moped

$

8.00

$

8.00

 

Duplicate

$

10.00

$

10.00

 

 

Reason: ______________________

Non-Driver

$

10.00

$

10.00

 

Identification

 

 

 

 

 

 

TOTAL DUE

$

 

 

 

 

 

 

 

 

I AM

 

I AM NOT

 

 

 

A resident of the State of New Hampshire. As a resident, you may be liable for Interest and Dividends Tax (RSA 77). Contact: Dept. of Revenue Admin., P.O. Box 457, Concord, N.H. 03302-0457 Telephone: (603) 271-2191.

I AM

 

I AM NOT

 

 

 

Required to file proof of insurance by any Jurisdiction because of default suspension or revocation.

DMV USE ONLY

PAYMENT METHOD:

CASH

 

CHECK

 

CREDIT CARD

in the records of the Department of Safety, pursuant to RSA 263:40-a.

I wish to have only my mailing address appear on my driver’s license

I wish to have my social security number displayed on my driver’s license

I am 18 years old and consent to registration with the Selective Service System, as required by Federal Law.

I do hereby certify, under penalty of false statement, that I have paid all resident taxes for which I am liable, that, if required, insurance certificates are on file with the Director of Motor Vehicles, and that my driving privileges are not subject to or under disqualification, suspension or revocation by any jurisdiction.

I do hereby certify that all information I have provided the department is accurate and complete. This application is signed under penalty of unsworn falsification pursuant to RSA 641:3.

APPLICANT: COMPLETE THE REVERSE SIDE ALSO.

SIGNATURE

DATE

DSMV 450 (Rev.01/03)

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dsmv 450 form writing process detailed (part 1)

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dsmv 450 form completion process outlined (stage 2)

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