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Get OH BMV 5791 2008

OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES FIFTY HOUR AFFIDAVIT PLEASE PRINT NAME OF TEMPORARY PERMIT HOLDER TEMPORARY INSTRUCTION PERMIT I. D. ADDRESS CITY NAME OF PARENT GUARDIAN OR CUSTODIAN DRIVER LICENSE/I. D. CARD STATE ZIP CODE RELATIONSHIP TO TEMPORARY PERMIT HOLDER E-MAIL ADDRESS OR TELEPHONE The above named parent guardian or custodian personally appeared before me and has duly sworn that the above named temporary permit holder under the age of 18 has completed fifty 50 hours of driving including a minimum of ten 10 hours of driving at night between one-half hour after sunset and one-half hour before sunrise. D. ADDRESS CITY NAME OF PARENT GUARDIAN OR CUSTODIAN DRIVER LICENSE/I. D. CARD STATE ZIP CODE RELATIONSHIP TO TEMPORARY PERMIT HOLDER E-MAIL ADDRESS OR TELEPHONE The above named parent guardian or custodian personally appeared before me and has duly sworn that the above named temporary permit holder under the age of 18 has completed fifty 50 hours of driving including a minimum of ten 10 hours of driving at night between one-half hour after sunset and one-half hour before sunrise. X SIGNATURE OF PARENT GUARDIAN OR CUSTODIAN Sworn to and subscribed in my presence by this day of year. My commission expires NOTARY NOTICE Falsifying an affidavit is punishable by fine and/or imprisonment O. OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES FIFTY HOUR AFFIDAVIT PLEASE PRINT NAME OF TEMPORARY PERMIT HOLDER TEMPORARY INSTRUCTION PERMIT I. D. ADDRESS CITY NAME OF PARENT GUARDIAN OR CUSTODIAN DRIVER LICENSE/I. D. CARD STATE ZIP CODE RELATIONSHIP TO TEMPORARY PERMIT HOLDER E-MAIL ADDRESS OR TELEPHONE The above named parent guardian or custodian personally appeared before me and has duly sworn that the above named temporary permit holder under the age of 18 has completed fifty 50 hours of driving including a minimum of ten 10 hours of driving at night between one-half hour after sunset and one-half hour before sunrise. X SIGNATURE OF PARENT GUARDIAN OR CUSTODIAN Sworn to and subscribed in my presence by this day of year. My commission expires NOTARY NOTICE Falsifying an affidavit is punishable by fine and/or imprisonment O. D. ADDRESS CITY NAME OF PARENT GUARDIAN OR CUSTODIAN DRIVER LICENSE/I. D. CARD STATE ZIP CODE RELATIONSHIP TO TEMPORARY PERMIT HOLDER E-MAIL ADDRESS OR TELEPHONE The above named parent guardian or custodian personally appeared before me and has duly sworn that the above named temporary permit holder under the age of 18 has completed fifty 50 hours of driving including a minimum of ten 10 hours of driving at night between one-half hour after sunset and one-half hour before sunrise. X SIGNATURE OF PARENT GUARDIAN OR CUSTODIAN Sworn to and subscribed in my presence by this day of year. X SIGNATURE OF PARENT GUARDIAN OR CUSTODIAN Sworn to and subscribed in my presence by this day of year. My commission expires NOTARY NOTICE Falsifying an affidavit is punishable by fine and/or imprisonment O. .

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