Tax Filing Certification for the Delaware Driving Privilege Card

* indicates required field
Only English Letters, hyphens, and spaces.
Only English Letters, hyphens, and spaces.
For Tax year 2021 and later: Delaware Resident Form line 26a, or Non-resident line 43a. For tax year 2020 and prior: Delaware Resident form line 9a, or Non-resident line 43.
For tax year 2021 and later: Resident line 12, or Non-resident line 37. For tax year 2020 and prior: Resident line 1, or Non-resident line 37.
Enter 0 if no amount due.
Enter 0 if no refund claimed.