DECLARAO DE

RESIDNCIA

Ilmo Sr. Presidente do Detran-RJ

Eu __________________________________________________________________________________________________
documento de identidade __________________________________
CPF _______________________________________
nacionalidade __________________________________

rgo exp. ___________________________

CNH ________________________________________________
naturalidade ________________________________________

telefone (DDD e n) ______________________________________

celular ___________________________________

e-mail ______________________________________________________________________________________________
proprietrio do veculo _________________________________________________________________________________
placa ___________________
ano / modelo ___________

RENAVAM _____________________
cor ________________________

marca/ modelo _____________________________

Chassis _________________________________________

Declaro, sob as penas da Lei7.115/83, e para os devidos fins junto ao Detran-RJ que
resido no endereo ________________________________________________________
__________________________________________________________________________________________________

n __________

complemento _____________________________

cidade _________________________________________

bairro ____________________________________

UF ________

CEP _______________________________

Rio de Janeiro, ____/____________/________.

_____________________________________
Assinatura do Requerente

DETRAN - N 0034 - rev. 00