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driving school affidavit - bradford county, …c9d8f2d5...i elect driving school. i swear or affirm...

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945 N. Temple Avenue P.O. Drawer B Starke, FL 32091 Phone: (904\966-6289 tra ffi c@ b rad fo rd co u n tyfl . gov DRIVING SCHOOL AFFIDAVIT READ AND SIGN AFFIDAVIT BELOW IF ELECTING DRIVING SCHOOL Commercial driver's license holders MAY NOT elect driving school. Affidavit, certificate and payment are due w/n 90 calendar days of citation issuance. I elect driving school. I swear or affirm that I have not made the election to attend a driving improvement course as provided by s.381.14 (9), Florida Statues, within the past l2 months and no more than five times in my lifetime. I understand that the Clerk's Office will be notified by the Florida Department of Highway Safety & Motor Vehicles if I am in violation of s. 381 .14(9), Florida Statutes. tf I do not pay the APPLICABLE FINE* PLUS A $7.00 AFFIDAVIT FEE and provide proof of completion from the driving course to your office within 90 calendar days from the date my citation was issued, the following will occur: 1. I WIL FORFEIT ONE (1) OF MY FIVE (s) DRTVTNG SCHOOL ELECTTONS FOR MY LIFETIME AND ALL MONIES PAID. 2. MY DRIVER'S LICENSE WILL BE SUSPENDED WITHOUT ANY FURTHER NOTICE. 3. I WILL BE REQUIRED TO PAY ADDITIONAL FINES AND PENALTIES INCLUDTNG AN $I8.OO PROCESSING FEE AND ANY DELINQUENCY FEE. POINTS WILL BE APPLIED TO MY DRIVER'S LICENSE. *For a detailed fine sheet, please visit www.bradfordcountyfl.gov/traffic or call our office at the number above. SIGNATURE

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Page 1: DRIVING SCHOOL AFFIDAVIT - Bradford County, …C9D8F2D5...I elect driving school. I swear or affirm that I have not made the election to attend a driving I swear or affirm that I have

945 N. Temple AvenueP.O. Drawer BStarke, FL 32091Phone: (904\966-6289tra ffi c@ b rad fo rd co u n tyfl . gov

DRIVING SCHOOL AFFIDAVIT

READ AND SIGN AFFIDAVIT BELOW IF ELECTING DRIVING SCHOOL

Commercial driver's license holders MAY NOT elect driving school.

Affidavit, certificate and payment are due w/n 90 calendar days of citation issuance.

I elect driving school. I swear or affirm that I have not made the election to attend a drivingimprovement course as provided by s.381.14 (9), Florida Statues, within the past l2 months and

no more than five times in my lifetime. I understand that the Clerk's Office will be notified bythe Florida Department of Highway Safety & Motor Vehicles if I am in violation of s. 381 .14(9),Florida Statutes. tf I do not pay the APPLICABLE FINE* PLUS A $7.00 AFFIDAVIT FEEand provide proof of completion from the driving course to your office within 90 calendar days

from the date my citation was issued, the following will occur:

1. I WIL FORFEIT ONE (1) OF MY FIVE (s) DRTVTNG SCHOOL ELECTTONS FORMY LIFETIME AND ALL MONIES PAID.

2. MY DRIVER'S LICENSE WILL BE SUSPENDED WITHOUT ANYFURTHER NOTICE.

3. I WILL BE REQUIRED TO PAY ADDITIONAL FINES AND PENALTIESINCLUDTNG AN $I8.OO PROCESSING FEE AND ANY DELINQUENCY FEE.POINTS WILL BE APPLIED TO MY DRIVER'S LICENSE.

*For a detailed fine sheet, please visit www.bradfordcountyfl.gov/traffic or call our office at thenumber above.

SIGNATURE

mikala_waters
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__________________________ CITATION NUMBER

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