Have you ever wondered what a Form Ds 1137 is and why your business might need one? A Form Ds 1137 is an exemption form used to claim exemptions from the normal rules and regulations under which the Securities and Exchange Commission (SEC) operates. The SEC was created in 1934 to regulate the securities industry, making sure that investors are protected. If your company falls under one of the categories listed on the Form Ds 1137, you may be exempt from certain regulations set forth by the SEC. You will need to file this form with the SEC in order to receive these exemptions. If you have any questions about whether or not your company needs a Form Ds 1137, please contact our office for more information. We can help you determine if filing this form is right for you and your business. Thanks for reading!
| Question | Answer |
|---|---|
| Form Name | Form Ds 1137 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | juvenile complaint form georgia, 2nd, ga juvenile complaint form, Suffix |
State of Georgia
Juvenile Court Report of Suspension
Operator/Drivers License Number/Class |
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Last Name |
First Name |
Middle Name |
Suffix |
Country/State of License
Street Address
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Date of Birth |
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Gender |
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City |
State |
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Zip Code |
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Commercial Vehicle? |
Yes |
No |
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Interlock Device Ordered? |
Yes |
No |
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Involved in an Accident? |
Yes |
No |
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If Accident, Fatality? |
Yes |
No |
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License Attached? |
Yes |
No |
Lost License Affidavit |
Blood Alcohol Concentration, if applicable |
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Male Female
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Georgia Code Section |
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If applicable, Actual Speed |
Speed Limit |
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Date of Violation/Offense |
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County of Violation |
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CHECK THE APPROPRIATE BOX (ONE ONLY) AND FILL IN THE REQUIRED INFORMATION.
O.C.G.A. §
1st Conviction |
2nd or Subsequent Conviction |
O.C.G.A. §
or permit for a period of:(Fill in the amount of time, not exceed 12 months.)
O.C.G.A. §
_____ (Fill in the amount of time, not to exceed the date on which the child becomes 18 years of age.)
O.C.G.A. §
(Fill in the amount of time, not to exceed the date on which the child becomes 18 years of age.)
Date of Disposition |
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Citation Number |
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Juvenile Court ___________________ / ___________________________________ Court Case Number ________________________________________
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NCIC# |
Court Name |
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Address of Court |
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Phone (_____)_______________________ |
Signature of Judge, Court Clerk or Court Official ______________________________________________________________________________________
Mail to: Georgia Department of Driver Services, Conviction Processing Unit, P.O. Box 80447, Conyers, GA 30013