Request for Extension of Penalty Payment Date
REQUEST FOR EXTENSION OF PENALTY PAYMENT DATE
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I acknowledge, pursuant to Fla. R. Traf. Ct. 6.480(b) and Administrative Order 18-02-S Amended, that I am entitled to a one (1) time extension
of thirty (30) days for payment of any penalty imposed in this matter. I also acknowledge that, by requesting an extension for payment,
I am waiving my right to elect school pursuant to Fla. R. Traf. Ct. 6.330.
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