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STATE OF OHIO; COUNTY OF WARREN IN THE WARREN COUNTY COURT CRIMINAL/TRAFFIC DIVISION STATE OF OHIO Plaintiff v. _____________________________ : : : : : : : : : : CASE NO: ___________________ PETITION FOR LIMITED DRIVING PRIVILEGES Defendant. Now comes the Defendant in the abovecaptioned case and hereby petitions the Court for limited driving privileges. The Defendant represents to the Court, under penalty of perjury, that he/she is not under license suspension by any other court, and has proof of financial responsibility. Print Your Name Here: ____________________ Date __________________________________ Defendant __________________________________ Signature Defendant/Attorney JUDGMENT ENTRY AND ORDER This matter having come before the Court upon the petition of Defendant for limited driving privileges, the Court finds the petition to be welltaken and hereby grants same. The Defendant is hereby granted Limited Driving Privileges for the following purposes: q Occupational; q Educational; q Vocational; q Medical; q Court; q Courtordered treatment. The Limited Driving Privileges shall be effective immediately / _____ days from the date of the offense / on __________________. No driving letter shall be issued by the Clerk without proof of financial responsibility. SO ORDERED. Date: ___________________ Judge: ______________________________________________ Petition for Limited Driving Privileges Judgment Entry and Order Revised 11.08 American LegalNet, Inc. www.FormsWorkFlow.com