Maine Resident Lifetime License Application
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2Maine Resident Lifetime License Application
YOUTH LIFETIME LICENSES
(Please select one)
Name______________________________________________________________________________
Age 0 to 5 years
Age 6 to 15 years
Fish
1732
$150.00
Fish
1728
$300.00
Mailing Address______________________________________________________________________
Hunt
1733
$150.00
Hunt
1781
$300.00
Trap
1906
$150.00
Trap
1907
$300.00
City/Town__________________________________________State_________Zip Code____________
Archery Hunt
1601
$150.00
Archery Hunt
1605
$300.00
Physical Address_____________________________________________________________________
Fish & Hunt
1734
$250.00
Fish & Hunt
1784
$500.00
Fish & Archery Hunt
1602
$250.00
Fish & Archery Hunt
1606
$500.00
City/Town__________________________________________State_________Zip Code____________
Hunt & Archery Hunt
1603
$250.00
Hunt & Archery Hunt
1607
$500.00
1604
$400.00
Fish, Hunt & Archery Hunt
1608
$800.00
Fish, Hunt & Archery Hunt
Legal Address-City/Town______________________________State______________
(Eye color
required)
*Do not need info on 0-15 years of age
SENIOR LIFETIME LICENSES
(Please select one)
Date of Birth ____/_____/_____Sex M or F Eyes Br Bl Gr Hz Height*_____Weight*_____ Hair*_____
65 Year Old
68 Year Old
Drivers License #_____________Telephone __________________Social Security #___________________
(for customers turning 65 between Jan 1-Dec 31 of the current year)
(for customers turning 68 between Jan 1-Dec 31 of the current year)
(SS # req. for trapping license only)
(Telephone number
required)
Fish
1735
$ 50.00
Fish
2135
$ 20.00
Did you fish in tidal waters of the State of Maine last year? ___yes ___No
Hunt
1737
$ 50.00
Hunt
2137
$ 20.00
Persons 65 years and older requesting
The following is required with your application:
Trap
1908
$ 50.00
Trap
2136
$ 20.00
Archery Hunt
1609
$ 50.00
Archery Hunt
2109
$ 20.00
hunting licenses must complete this box.
YOUTH
LIFETIME LICENSES 0-15 years of age:
Fish & Hunt
1738
$ 80.00
Fish & Hunt
2138
$ 32.00
BIRTH CERTIFICATE
1. I swear I am not a convicted felon; or if I am a felon, I have
Copy of
with parent(s) listed, and
Fish & Archery Hunt
1610
$ 80.00
Fish & Archery Hunt
2110
$ 32.00
TWO
of the following proofs of residency on parent or guardian:
a permit to carry a firearm.
Hunt & Archery Hunt
1611
$ 80.00
Hunt & Archery Hunt
2111
$ 32.00
1. CURRENT Maine Driver’s License
Applicant Signature________________________________
Fish, Hunt & Archery Hunt
1612
$110.00
Fish, Hunt & Archery Hunt
2112
$ 52.00
2. CURRENT Maine Vehicle Registration
2 Will you hunt migratory birds?
yes* no
3. CURRENT Maine Hunting or Fishing License
66 Year Old
69 Year Old
*If yes is checked, the following questions must be answered.
4. Maine Income Tax Form for most current tax year
(for customers turning 66 between Jan 1-Dec 31 of the current year)
(for customers turning 69 between Jan 1-Dec 31 of the current year)
(show name and address but blank out monetary values.)
How many of each of the following types of birds did you kill
Fish
1935
$ 40.00
Fish
2235
$ 10.00
SENIOR
last year?
LIFETIME LICENSES 65 years of age and older:
Hunt
1937
$ 40.00
Hunt
2237
$ 10.00
Did not hunt
TWO
Trap
1936
$ 40.00
Trap
2236
$ 10.00
of the following proofs of residency:
last year
0
1-10
11-30
30+
Archery Hunt
1909
$ 40.00
Archery Hunt
2209
$ 10.00
1. CURRENT Maine Driver’s License
Ducks
o
2. CURRENT Maine Vehicle Registration
Fish & Hunt
1938
$ 64.00
Fish & Hunt
2238
$ 16.00
Sea Ducks
3. CURRENT Maine Hunting or Fishing License
Fish & Archery Hunt
1910
$ 64.00
Fish & Archery Hunt
2210
$ 16.00
Geese/Brant
Hunt & Archery Hunt
1911
$ 64.00
Hunt & Archery Hunt
2211
$ 16.00
4. Maine Income Tax Form for most current tax year
Woodcock
Fish, Hunt & Archery Hunt
1912
$ 94.00
Fish, Hunt & Archery Hunt
2212
$ 26.00
(show name and address but blank out monetary values), AND
Rails/Gallinules
Coot/Snipe
67 Year Old
70 And Over
If applying for a firearms authority: A copy of a Hunter Education
Course from any state or province or a copy of a previous adult
(for customers turning 67 between Jan 1-Dec 31 of the current year)
(for customers turning 70 between Jan 1-Dec 31 of the current year)
Make checks payable to: Treasurer, State of Maine.
firearms hunting license issued since 1976, and
Fish
2035
$ 30.00
A one time fee of $8.00 covers all authorities that
Payment by:
Hunt
2037
$ 30.00
you are qualified to receive.
o
o
o
Visa
Mastercard
Discover
Trap
2036
$ 30.00
Fish
1901
If applying for an archery authority: A copy of an Archery Safety
Card #:
Course from any state or province or a copy of a previous archery
Archery Hunt
2009
$ 30.00
Hunt
1901
hunting license issued since 1980, and
Fish & Hunt
2038
$ 48.00
Trap
1438
Fish & Archery Hunt
2010
$ 48.00
Archery Hunt
1901
Expiration date:
/
If applying for a trapping authority: A copy of a Trapper Education
Hunt & Archery Hunt
2011
$ 48.00
Please note that Crossbow is a permit and is automatically included in your
Course from any state or province or a copy of a previous trapping
Fish, Hunt & Archery Hunt
2012
$ 78.00
Over 70 Lifetime license if you qualify. To be legal, you must carry your
Signature_______________________________
Over 70 Lifetime license and either the required safety card(s) or a previous
license issued since 1978.
Crossbow license.
Rev. 2016
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