Title: STATE OF SOUTH CAROLINA
Author: Bobby G. Frederick
Company: BGF

STATE OF SOUTH CAROLINA	)          IN THE COURT OF GENERAL SESSIONS
					)          FIFTEENTH JUDICIAL CIRCUIT
COUNTY OF HORRY		)          CASE NUMBER:_____________________

IN THE MATTER OF:		)	AFFIDAVIT IN SUPPORT OF
					)	  PETITION TO REINSTATE
XXXX XXXX			)	        DRIVER’S LICENSE
DRIVERS’ LICENSE #0009055867	)
					)
______________________________)

	PERSONALLY APPEARED BEFORE ME, Xxxx Xxxx, who, after being duly sworn, testifies as followed:

1.	I was charged with and pled guilty to Driving Under the Influence on October 27, 1989, June 9, 1990 and November 1, 1992.   
2.	As a result of said charges, my driver’s license was indefinitely revoked.
3.	I have completed the terms of my sentence and have not driven a motor vehicle since 1992.  (A copy of my current driver record is attached.)
4.	I have not been convicted in this State or any other state of an alcohol or drug violation during the seven-year period before the filing of this Petition.
5.	I have not been convicted of or have charges pending in this State or another State for a violation of driving while my license was suspended or revoked during the previous seven-year period.
6.	I successfully completed the ADSAP program in March 2004
7.	I stopped drinking on the day that I went to jail in 1992.  I have been clean and sober since that time. I attend church at Springfield Baptist Church in Loris, South Carolina.
8.	I must depend on my wife or other family and friends to transport me everywhere that I need to go.
9.	I am sixty-four years old and greatly desire to have my driver’s license reinstated so that I may responsibly enjoy the privileges of driving a motor vehicle again.
	
Dated this _____ day of May, 2004.

				________________________________
				Xxxx Xxxx

SWORN TO BEFORE ME this _____ day of May, 2004

____________________________________
Notary Public for the State of South Carolina
My commission expires: ________________