Free Untitled-1 - Kentucky

AOC-495.3 1-03

Doc. Code: AH
01/9/2007 11:41 am

Case No. _____________________ Court _________District__________ County _______________________ Citation No. ___________________

Ver. 1.01

Commonwealth of Kentucky Court of Justice www.kycourts.net KRS 189A.085(2) Commonwealth Vs.

APPLICATION AND ORDER FOR HARDSHIP VEHICLE REGISTRATION

_________________________________________ First Middle Last _________________________________________ Address _________________________________________

Sex

Race

Date of Birth

Height State

Weight

Operator License No.

APPLICATION Pursuant to KRS 189A.085(1), the Court has impounded license plates for all vehicles owned, either jointly or individually, by the above-named defendant. Comes _______________________________________________, and moves the court to grant a hardship vehicle registration for a vehicle identified as: _____________________________ VIN Number _________________ License Plate No.

(1.) My relationship to the defendant is ______________________________________. (2.) I am adversely affected by the license plate impoundment because: _________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ (3.) I understand that if the Court grants a hardship vehicle registration, the above-named defendant will not be permitted to operate the vehicle under any circumstances, and that I may face criminal penalties if I knowingly permit said defendant to operate the motor vehicle. WHEREFORE, applicant prays this application for a hardship vehicle registration will be granted for the abovedescribed vehicle. _________________________________________ Date Doc. Code: OHVR ORDER The Court being satisfied applicant's inability to use the above-described vehicle for which the Court has impounded the license plate would pose an undue hardship to the applicant, the Court hereby ORDERS the county clerk to reinstate registration for the above-described vehicle. Under no circumstances shall the above-named offender, _______________________________________________, be permitted to drive the vehicle once registration has been been reinstated during the period of the offender's driver license suspension. _________________________________________ Date Copy Distribution: White - Court File Yellow - Applicant _____________________________________________ Judge Pink - If granted, Applicant delivers to County Clerk _____________________________________________ Applicant

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