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Age Statement Form - CT.gov 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the date at the top of the form. This should reflect the current date when you are completing the statement.
- In the first blank field, write your full name as it appears on your identification.
- Next, provide the name of the permittee to whom you are making this age statement.
- Fill in your birth date in the designated space, ensuring that it confirms you are over 21 years old.
- Indicate your place of birth in the next blank field.
- Complete your home address and type of ID in their respective fields.
- Finally, enter your ID number to validate your identity before submitting the form.
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