97683 68 Lifetime License App
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LIFETIME LICENSE APPLICATION Complete and return with check, money order, or cashier’s check to Louisiana Department of Wildlife and Fisheries, Attn: Sports License, P. O. Box 98000, Baton Rouge, Louisiana 70898-9000. 101 102 103 104 105 106 108 202 107 60 61 62 63 64 65 66 67 68 69 221 Resident Lifetime Combination Hunting and Fishing (Age 14 and over) . . . . . . . . . . . . . . . . . . . . . . . . $500.00 Resident Lifetime Hunting License (Age 14 and over) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300.00 Resident Lifetime Fishing License (Age 14 and over) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300.00 Resident Lifetime Combination Hunting and Fishing (Age 5 through 13) . . . . . . . . . . . . . . . . . . . . . . . . . $300.00 Resident Lifetime Hunting License (Age 5 through 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00 Resident Lifetime Fishing License (Age 5 through 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00 Resident Lifetime Infant Hunting and Fishing (birth through age 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00 Resident Lifetime Senior Combo Hunting and Fishing (Age 60 or older) . . . . . . . . . . . . . . . . . . . . . . . . . $50.00 Nonresident Lifetime Hunting & Fishing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,000.00 Resident Lifetime Crawfish Traps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150.00 Resident Lifetime Crab Trap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00 Resident Lifetime Slat Trap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00 Resident Lifetime Trawl (16ft. and under). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $250.00 Resident Lifetime Trawl (over 16ft, but not to exceed 25ft) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $800.00 Resident Lifetime Oyster Tong . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50.00 Resident Lifetime Wire Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00 Resident Lifetime Pipes/Drums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00 Resident Lifetime Cans/Buckets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00 Resident Lifetime Hoop Nets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $200.00 Nonresident Lifetime Native Disabled Veteran Combo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $300.00 Copy of driver’s license, notarized copy of birth certificate and Application for Disabled Veteran must accompany application) REQUIREMENTS FOR RESIDENT LICENSE Required documents for applicants eighteen and older • • • • Copy of a valid Louisiana Driver’s License issued a minimum of six months and ONE OF THE FOLLOWING: Copy of applicant’s current Louisiana voter’s registration card Copy of Louisiana vehicle registration in applicant’s name, if the applicant is married and vehicle registration is in spouse’s name, copy of marriage license must accompany the application Copies of applicant’s Louisiana state resident personal income tax return (form IT-540) for the two filing periods immediately prior to the date of application, these tax returns must be stamped “received” by the Department of Revenue Required documents for applicants under the age of eighteen • • An original certified birth certificate from the Department of Health (Birth certificate will not be returned if applying by mail) Copy of both parents Louisiana driver’s license MUST SUBMIT ALL DOCUMENTS WITH APPLICATION OR APPLICATION WILL BE RETURNED Applicant’s Name: First Middle Last City State Mailing Address: P. O. Box/ Street Address Date of Birth: Zip Social Security Number: Month Day Year Applicant’s Driver’s License Number: (Mandatory) Telephone Number ( ) Area Code Hunter Education Number: (Required for anyone born September 1, 1969 or later.) A copy of applicant’s Hunter Education Card must accompany the application. Residency Certification I qualify for resident licensing having complied with ALL of the residency certification requirements as I hereby attest to the following statements: 1. I have resided in Louisiana continuously for at least the past six months. 2. I am registered to vote in Louisiana; or, I am not registered to vote anywhere. 3. I am in possession of a valid Louisiana Driver’s license; or, I am not licensed to drive anywhere. 4. I am in possession of Louisiana registrations for all motor vehicles I own within Louisiana; or, I do not own any motor vehicles within Louisiana. 5. I have filed a Louisiana State Income Tax return and complied with state income tax laws and regulations; or I did not earn an income. Date: Signature of applicant or parent: I hereby certify that if applying for resident license, I meet all bona fide resident requirements and all information provided herein is true and correct. ALLOW 3 WEEKS FOR DELIVERY FOROFFICE USE ONLY: TO AVOID ADDITIONAL FEES, CONTACT OUR OFFICE AT (225) 765-2887, IF LICENSE IS NOT RECEIVED WITHIN 30 DAYS. Lifetime licenses are nonrefundable and nontransferable. Date Received: LDWF#: Money Order, Check or Cash: (over) • License application must be completed, signed and all requested information provided or application will be returned. • Lifetime licenses are valid anywhere in the state. If you buy a lifetime license and later move out of the state, your license will remain valid any time you return to Louisiana to hunt and/or fish. • Lifetime Licenses are issued from the Baton Rouge office only. Lifetime licenses cover basic fishing, saltwater fishing, basic hunting, big game hunting, bow hunting and primitive firearm, state duck license, turkey stamp and the WMA hunting permit. (Recreational gear and Federal duck stamps are not included) • Requests for a duplicate lifetime license to replace a lost, stolen, or destroyed license must be accompanied by a completed and notarized affidavit for duplicate license. The cost of duplicates is $7.50. • A Lifetime card will be issued to all individuals who purchase a Lifetime License. In order for your Hunter Education number to appear on your Lifetime Hunting or Lifetime Combo card, you will need to submit a copy of your Hunter Education card at the time of applying for a Lifetime license. If proof of Hunter Education is not submitted at the time of applying, the Lifetime card will reflect “00000000” in the Hunter Education field. At any time in the future, if you would like a Lifetime card to reflect your Hunter Education number, you can apply for a Duplicate Lifetime card by submitting the notarized affidavit, proof of your Hunter Education card and the fee of $7.50 to the Louisiana Department of Wildlife and Fisheries, Attn: Licensing, P. O. Box 98000, Baton Rouge, LA 70898-9000. • If the application is for a gift, the application must be accompanied by all supporting documents required, and the purchaser can sign the application. Revised 2/2014
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