Fill and Sign the Forfeiture of Drivers License Form

File No. STATE OF NORTH CAROLINA Pursuant to the above Or der, t he de fend ant's drivers lic en se was revok ed be cau se the de fend ant had willfully f ailed to com ply wi th the community service c ondition o f probation . A dispu te has aris en as to whet her the de fend ant has now done so. A fter due notice and hearing, t he Court finds: FO RFE ITUR E O F DR IVERS LICENSE FA ILUR E T O COMPLETE COMM UNITY SERVICE FINDING ON COMPLETION DISPUTE Hours Of Co mmunity Service Work Ordered 1. T he de fend ant ha s no t com plied with the community service c ondition o f probation, t he de fend ant's f ailure is willful , and the de fend ant's drivers lic en se s hould remain revok ed un til t he de fend ant does com ply wi th the con dition. Un der all the circumst ances the de fend ant is en titled to t he restoration o f hi s/ he r drivers lic en se as a ma tter of f ai rne ss and equity and i t is O RD ERED that t he de fend ant be deem ed to ha ve com plied with the community service c on dition o f probation. 2. 3. T he de fend ant ha s com plied with the community service c ondition o f probation and is entitled to t he restoration of hi s/ he r drivers lic en se. If option Number 1 or option Number 2 is checked, report compliance with the co mmunity service condition to the Division of Motor Vehicles using the appropriate field in ACIS. If this field is unavailable, mail a copy of this side to: Division of Motor Vehicles, Driver License Data Processing Unit, 3120 Mail Service Center, Raleigh, NC 27699-3120. Date NOTE TO CLERK: Si gnature Of Presiding Judge Name Of Presiding Judge (Type Or Print) Si gnature Of Presiding Judge State I. FIND INGS AND ORD ER REVOKIN G LICENSE Report this Forfeiture to the Division of Motor Vehicles using the appropriate field in ACIS. If this field i s unavailable, mail a copy of this side to: Division of Motor Vehicles, Driver License Data Processing Unit, 3120 Mail Service Center, Raleigh, NC 27699-3120. T he de fend ant wa s plac ed on probation pursuant to the Judgm ent Sus pendi ng Senten ce or or der to defer prosecution previously enter ed in thi s case, and was or dered as a c ondition o f probation to pe rform the nu mbe r of hours o f community service work s pecified above , as direct ed by the judicial service c oordi nator, and to pa y an y f ee li st ed above. Upon report by the judicial service c oordi nator o f a s ignific ant vio lation of t his c ondition o f probation, upon due notice to t he de fend ant o f a hearing to de termine if t here is a willful fai lure to com ply wi th tha t con dition, and a fter such hearing, t he Court FINDS that t he de fend ant willfully f ailed to com ply wi th the community service c ondition o f probation . T he Court O RDERS that t he de fend ant's drivers lic en se is revok ed as of t he da te of t his Or der and s hall r emain revok ed un til t he de fend ant ha s com plied with the community service c ondition of t he de fend ant's probation , as report ed by the judicial service c oordi nator di rectly to t he Clerk of Super ior Court. NOTE TO CLERK: Defendan t's Drivers License No. Date II. FIND ING AND ORD ER - POST REVO CATIO N COMPLET ION DISPUTE If the co mmunity service staff has filed a Co mmunity Service Work Program Form DCC-CSW-2, this Section should not be completed and the Clerk should report the completion of co mmunity service work to the Division of Motor Vehicles as explained below. NOTE: STATE VERSUS G.S. 143B-708 Material opposite unmarked squares is to be disregarded as surplusage. (Over) Co unty Name Of Defendant Date Of Birth AOC-CR-317, Rev. 8/12 © 2012 Administrative Office of the Courts Super ior Court Divis ion Di strict In T he Gener al Cour t Of Justice Name Of Presiding Judge (Type Or Print) Comm unity Service Fee Ordered $ None STATE OF NORTH CAROLINA On the basis o f the record in this case and any evid ence present ed, the Cou rt, hav ing entered the attac hed judg ment, whi ch is incorporated by reference, makes the f ollowing further f inding s and inclu des these f inding s in the judg men t. The j udg ment is m odifie d to the extent necessary to inclu de these f inding s, bu t the inclus ion of these f inding s doe s not otherwise alter, am end, or m odify the judg ment in any respect. State The "Beginning Date Of Forfeiture" is the date of the entry of this judgment. The "Ending Date Of Forfeiture" is the end date of the full probationary term as set at the time of conviction. The license forfeiture may not extend beyond the end date of the defendant's probation as set at the time of conviction. Report the forfeiture of a drivers license to the Division of Motor Vehicles using the appropriate field in ACIS. If this field is unavailable, mail a copy of this side to: Division of Motor Vehicles, Driver License Data Processing Unit, 3120 Mail Service Center, Raleigh, NC 27699-3120. Report t he forfeiture of any other license to the licensing agency by mailing a copy of this side to the agency at the address shown above. Name And Address Of Any Other Licensing Agency (Felony Revocation Only) Signature Of Presiding Judge Date Name Of Presiding Judge (Type Or Print) Beginning Date Of Forfeiture Ending Date Of Forfeiture Date Of Judgment Suspending Sentence Name Of County & File No. (Co. Of O rigin) License Privilege No. Name And Address Of Any Other Licensing Agency (Felony Revocation Only) License Privilege No. License Privilege No. Defendant's Drivers License No. Name And Address Of Any Other Licensing Agency (Felony Revocation Only) NOTE: NOTE TO CLERK: North Carolina Division of Motor Vehicles Dri ver License Data Proce ssing Unit 31 20 Mail S ervice Center Raleigh, NC 27699 -312 0 The Court FINDS tha t the def endan t ho lds a licens ing priv ile ge iss ued by each o f the licens ing ag encies named below, has be en convicted of a fel ony and is subjec t to forfeiture o f those licens ing priv ile ge s because the def endan t's pr obation was revoked or sus pended an d the def endan t fai led to make reas onable efforts to comply with the con dition s of pr obatio n. The per iod of license forfeiture begins on the "B eginning Date O f Forfeiture" sho wn abo ve and end s on the "E nding Date Of Forfeiture" sho wn abo ve. Material opposite unmarked squares is to be disregarded as surplusage. STATE VERSUS FORFEITURE OF LI CENSING PRIVILEGES FELONY PRO BATIO N REVO CATIO N G.S. 15A-1331.1 Co unty AOC-CR-317, Side Two, Rev. 8/12 © 2012 Administrative Office of the Courts Date Of Birth Social Security No. Name Of Defendant S upe rior Cou rt Division District In The G eneral Cou rt Of Justice File No.