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Pennsylvania form dl 9105-2026

The document is an Employment Affidavit of Intended Use from the Pennsylvania Department of Transportation, designed for businesses to request driver record information. It requires detailed business information, including type, ownership, and contact details. The affidavit includes a series of declarations affirming that the requested information will be used solely for employment purposes and outlines confidentiality obligations. It must be completed by an authorized individual, notarized, and submitted to PennDOT.

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Click ‘Get Form’ to open it in the editor.
Begin by selecting your business type from the options provided: Individual, Partnership, Corporation, or Non-Profit.
Enter the Legal Business Name and any D/B/A (Doing Business As) name if applicable.
Fill in the Person Responsible's name and title, along with the business's street address, city, state, zip code, telephone number, fax number, email address, and website.
Provide your Federal Employer ID Number and the year your business was established. If applicable, include incorporation details.
List all individuals involved in management under Ownership. Include their names, titles, dates of birth, and state driver licenses issued.
Initial each of the nine declaration statements at the bottom of the form to affirm compliance and sign in front of a Notary.

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What is an affidavit of intended use?

Affidavit of Intended Use is a document indicating the End Users intended use of DMV records. An Affidavit of Intended Use states that the End User shall not obtain, use, resell, or transfer the information for any purpose prohibited by law (per 00-00-000 and 42-1-206, C.R.S.).

What is an affidavit of use?

An affidavit of use is a legal document submitted to the United States Patent and Trademark Office (USPTO) that confirms a trademark is still in active use in commerce.

How powerful is an affidavit?

Affidavit of death: An affidavit of death is used when the deceased was a property owner. This type of affidavit is filed after the owner of a property has died and functions to remove their name from the property title so that it can pass to another owner.

What is the purpose of an affidavit?

They are often more convenient than swearing an oath because they do not require the person attesting the information to be present. Legal affidavits are also a more accurate way to keep records of vital details for court cases and other proceedings.