(2) The person's assigned identification number.(3) The person's date of birth.(4) Whether the person is a citizen of the United States.(5) The person's present residence address.(6) The address of the person's previous residence in Indiana, including the county.(7) The person's statement that the person satisfies the conditions set forth in section 3 of this chapter.As added by P.L.12-1995, SEC.68. Amended by P.L.169-2015, SEC.82.
Indiana Legal Code