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Non Liability Form
______________________ when the vehicle was cited
for running a red light. The person named below was the driver of the vehicle.
Actual Driver's Full Name (please print):_____________________________________________;
Address: ____________________________; City/State/Zip Code:_________________________
I understand that providing false information is a violation of the law and could lead to criminal
prosecution and additional charges against me. I further understand that this is my...
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