HAMILTON COUNTY MUNICIPAL COURT



HAMILTON COUNTY MUNICIPAL COURT

CINCINNATI, OHIO

COMPLAINT FOR POINTS ONLY

Name___________________________________________________________ Case No.__________________________

Address _________________________________________________________

City, State, Zip Code _______________________________________________

vs.

Franklin R. Caltrider

Bureau of Motor Vehicles

P O Box 16520

Columbus, Ohio 43266

State Bureau Case Number _____________________________________________________________________________________

Plaintiff’s/Appellant’s Social Security Number: _______________-__________-__________________

Now comes the plaintiff/appellant (your name) _____________________________________________________________________

And says that he/she received a letter suspending their driver’s license effective on: _____________________________, 20________

Plaintiff/Appellant can show cause why the suspension should be set aside or modified.

Plaintiff/Appellant agrees to pay court costs.

Plaintiff/Appellant asks that defendant, registrar, send to plaintiff a copy of points accumulated.

Your name_______________________________________________________________

Your address_____________________________________________________________

City, State, Zip Code_______________________________________________________

Phone No._______________________________________________________________

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