Rule 62 - Drivers' Cases
Rule 62.3.2 - Form 452
IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
AT KANSAS CITY AT INDEPENDENCE
APPLICANT,
v. Case ____________
DIRECTOR OF REVENUE,
STATE OF MISSOURI,
RESPONDENT.
AFFIDAVIT IN SUPPORT OF APPLICATION FOR
HARDSHIP DRIVING PRIVILEGES
State of Missouri )
County of )
COMES NOW Applicant, __________________________ and after being first duly sworn, upon his/her oath, informs the Court as follows:
1. Applicant has never been convicted of any of the following offenses which would prohibit the granting of hardship driving Privileges:
(b) driving while intoxicated, in violation of state law or a county or municipal ordinance twice within five years of each other, the second violation being within five years of this application and where the judge in such cases was an attorney and defendant was represented by or waived the right to an attorney in writing;
(c) driving while intoxicated more than twice in violation of state law or county or municipal ordinance, where the judge in such cases was an attorney and defendant was represented by or waived the right to an attorney in writing;
FORM 452
Adopted 5/20/94
Effective 6/19/94
(d) involuntary manslaughter while operating a motor vehicle in an intoxicated condition;
(e) failing to stop and disclose identity following an accident, said conviction having occurred within one year prior to this application;
(f) driving a motor vehicle without the owner's consent, said conviction having occurred within one year prior to this application;
(g) operating a motor vehicle under the influence of narcotics;
(h) leaving the scene of an accident in violation of section 577.060 RSMo.
2. Applicant is not ineligible for hardship driving privileges because of the following reasons:
(a) habitual drunkard or addicted to the use of narcotic drugs;
(b) adjudicated incapacitated and not restored to partial capacity;
(c) required to submit to an examination and has failed the examination or failed to take the examination;
(d) unsatisfied judgment as defined in Chapter 303, RSMo;
(e) denied a license because of suspension, revocation, or conviction in another state;
(f) suspended under Non-Resident Violator Compact due to failure to respond to another state's citation;
(g) commercial driving privileges are suspended, revoked, canceled or disqualified;
FORM 452
Adopted 5/20/94
Effective 6/19/94
(h) previously granted a hardship driving privilege within five years of this application;
(I) two refusals to submit to a chemical test in violation of section 577.041 RSMo, or a similar implied consent law of any other state.
3. Although convicted under section 577.010 or section 577.012 RSMo or a similar provision of any federal, state, municipal or county law, where the judge in such case was an attorney and Applicant was represented by or waived the right to an attorney in writing, Applicant has completed the first thirty days of the suspension or revocation imposed.
4. Although Applicant's license has been revoked for the first time for failure to submit to a chemical test pursuant to section 577.041, RSMo, or for refusal to submit to a chemical test in any other state, Applicant has completed the first ninety days of such revocation.
5. Although Applicant has received a revocation under section 302.525.2, RSMo, Applicant has completed such revocation.
6. Although Applicant has received a suspension under section 302.525.2, RSMo, Applicant has completed the first thirty days of such suspension.
_______________________________
Subscribed and sworn to before me on ________________, 19 ___.
________________________________
My Commission Expires: _______________________________
FORM 452
Adopted 5/20/94
Effective 6/19/94