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2. IN THE COUNTY COURT OF THE FIFTH JUDICIAL CIRCUIT, IN AND FOR 
   CITRUS COUNTY, FLORIDA

4. Citation Number*
5. Click Link below to find your Citation Number
   Secured Online Records Search System (SCORRS)
7. Name*

9. DRIVER LICENSE ACKNOWLEDGEMENT FORM 

11. I acknowledge that per Florida Statute 322.15, the Clerk of the Courts can provide me with a D6 Clearance form that allows the reinstatement of the driver license suspension that was issued for non-payment of the above case number. 

    I further acknowledge that I must provide proof of a valid and reinstated driver license to the Clerk of Courts by the close of business 30 days from today. Failure to provide such proof within the required 30 day period will result in the re-suspension of my driver license for this case and the assessment of additional fees.

13. Under penalties of perjury, I declare that I have read the foregoing plea and that the facts stated in it are true*

    Please enter your full legal name in the box above

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