Abstract of Lifetime Driving Record - New York DMVState of New Ytxk DEPARTMENT OF MOTOR VEHICLES. Empire State Pbza. Albany, New Y ot K 52228 ABSTRACT OF LIFETIME DRIVING RECORD DOCUMENT#:

Record Summary Line

(SAMPLE)

[SIGNATURE]

DEPUTY COMMISSIONER OF MOTOR VEHICLES

State o* New York DEPARTMENT OF MOTOR VEHICLES. Empire State Dlaza, Albany, New York 12228

STATUS: REVOKED

ABSTRACT OF LIFETIME DRIVING RECORDDOCUMENT#: UFC0019 TIME: 16:26:58

ID NUMBER: 522367836

MOTORIST,MICHELLE 6 EMPIRE STATE PLZ ALBANY, NY 12228-0001

(SAMPLE)OPERATOR: JFC

PRINT DATE: 11/30/2018 OFFICE: ITS

MAILING COUNTY: ALBANY

NAME ON LICENSE/ID: MOTORIST MICHELLE

DATE OF BIRTH: 01/25/1983 HEIGHT: 5-06

RESTRICTIONS: IGNITION INTERLOCK DEVICE, CORRECTIVE LENSES Record Summary Line .

LICENSE CLASS:

ENDORSEMENTS: NONE

GENDER: FEMALE EYE COLOR: BLUE

EXPIRATION: 01/25/2018

19A STATUS: NOT APPLICABLE

HAZMAT STATUS: NOT APPLICABLE

** to****., -i** t »*.*«*«**** *» * * SUSPENSION / REVOCATION SUMMARY* *•*******+*»*****»******** SUSPENSION/REVOCATION SUMMARY - TOTAL OPEN: 3 (OPEN SCOFFLAWS 1 ON 1 DATES)

********************4+*+****#*âctivity***************************** *

’****’+ ♦*»'t +***** t *■»*♦■»* **QASS CHANGE /PRIVILEGE CHANGE**

CLASS CHANGE: NEW: *D* OLD: *DJ* 01/25/2001CLASS CHANGE: NEW: *DJ* OLD: PERMIT 06/17/1999

***,M*********r****»***»»*(.*»»**»#*OO£tjMENTS ISSUED**************************** ******

CLASS: D CLASS; OJ

ISSUED: 01/25/2001 ISSUED: 06/17/1999

TYPE: LICENSE TYPE: PERMIT

4 * » 4 * 4 **»»* + ** 4 * * 4 * ** j» * 4 4 ******■»* + **»♦ « 4 *4 ****** 4 » + +*** + + 4 * - 4 * * i » *♦ » • iM*» i H

ID NUMBERS: 446408707, 522367836 NAME: MOTORIST,MICHAEL DATE OF BIRTH: 01/01/1534

RESULT:522367836 POST DATE: 04/02/1999

GENDER; MALE

**************»******* 4*4 * * ** *| [VTPAIRED DRIVING PROGRAM* ***************************** *

The Undersigned certifies, on behalf of the New York State Department of Motor Vehicles (DMV>. that this document is a true and complete copy of an electronic record that is on file at DMV, in Albany, New York. This record was made in the ordinary course of DMV s regular business, it is the business of the DMV io create and maintain the records of drivers in the State of New York. Entries in this document are made contemporaneously with the time the recorded transactions or events took place, or within a reasonable time thereafter. The person who reports the information to record such transactions or events performs this function pursuant to a business duty to do so accurately.

ABS-3 Page 1 of 3SIGNATURE]

DS-242.3 (12/18) PAGE 1 OF 7

State of New York DEPARTMENT OF MOTOR VEHICLES. Empire State Dfaza, Albany, New York 12228

ABSTRACT OF LIFETIME DRIVING RECORDDOCUMENT#: UFC0019 TIME: 16:26:58 OPERATOR: JFC



START DATE: 10/07/2016 PROVIDER: 0065

PROVIDER: 0065

END DATE: 11/23/2016

STATUS: COMPLETED

SUSPENSIONS / REVOCATIONS

NON-SCOFFLAWS***************’“***•**********'****

SUSPENSION EFFECTIVE: 03/14/2011

REASON: INSURANCE NOT IN EFFECT

ORDER#:C1103010000 CLASS AFFECTED: ALL

CLEAR ON

CASE#: C101271 PERIOD: INDEFINITE

TERMINATION FEE: $50 DUE

REASON:

REVOCATION EFFECTIVE: 01/28/2011

REASON: REFUSED TO SUBMIT TO A CHEMICAL TEST

ORDER#: H1102180000 CASE #: ]

CLASS AFFECTED: ALL PERIOD:CIVIL PENALTY: $500 DUE TERMING

CLEAR ON: REASON

INCIDENT DATE: 12/16/2010


REASON: COURT REVOCATION

ORDER#: D0101190000

CLASS AFFECTED: ALL

CLEAR ON: 10/05/2002

CASE#: D0102719 TICKE

PERIOD: 1 YEAR EVEN WITHOUT DDP

TERMINATION FEE: NO FEE DUE

REASON; REAPPLICATION APPROVED

* SCOFFLAWS*** * **. ***♦***’"’*************’'****’»*»**


REASON: FAILURE TO PAY FINE (SCOFFLAW)ORDER #: Z060QDH

LOCATION: CHEMUNG COUNTY, TOWN OF VETERAN

CLEAR ON: REASON

TICKET #: 100600DHJ1

The Undersigned certifies, on behalf of the New York State Department of Motor Vehicles |DMV), that this document is a true and complete copy of an electronic record that is on file at DMV. in Albany, New York. This record was made in the ordinary course of DMVs regular business. It is the business of the DMV to create and maintain the records of drivers in the State of New York. Entries in this document are made contemporaneously with the time the recorded transactions or events took place, or within a reasonable time thereafter. The person who reports the information to record such transactions or events performs this function pursuant to a business duty to do so accurately.

[SIGNATURE]DEPUTY COMMISSIONER OF MOTOR VEHICLES

DS-242.3 (12/18) PAGE 2 OF 7


>: *D* STATUS: REVOKED










LICENSE CLASS:

ENDORSEMENTS: NONE






********************4+*+****#*âctivity***************************** *



***,M*********r****»***»»*(.*»»**»#*OO£tjMENTS ISSUED**************************** ******

CLASS: D CLASS; OJ

ISSUED: 01/25/2001 ISSUED: 06/17/1999


4 * » 4 * 4 **»»* + ** 4 * * 4 * ** j» * 4 4 ******■»* + **»♦ « 4 *4 ****** 4 » + +*** + + 4 * - 4 * * i » *♦ » • iM*» i H


RESULT:522367836 POST DATE: 04/02/1999

GENDER; MALE





DS-242.3 (12/18) PAGE 1 OF 7


>: *D* STATUS: REVOKED










LICENSE CLASS:

ENDORSEMENTS: NONE






********************4+*+****#*âctivity***************************** *



***************.*t*,*M»»*tMô».D0CUMENTS ISSUED**********

CLASS: D CLASS; OJ

ISSUED: 01/25/2001 ISSUED: 06/17/1999


**»»» + **»»***»»**«»» +**»>*♦*> + **♦»»*+> » +MERG£$** * *'***********■** + *** ' - +*


RESULT:522367836 POST DATE: 04/02/1999

GENDER; MALE





DS-242.3 (12/18) PAGE 1 OF 7DS-242.3 (12/18) PAGE 1 OF 7

State of New York DEPARTMENT OF MOTOR VEHICLES. Empire State Dfaza, Albany, New York 12228




START DATE: 10/07/2016 PROVIDER: 0065

PROVIDER: 0065

END DATE: 11/23/2016

STATUS: COMPLETED

SUSPENSIONS / REVOCATIONS

NON-SCOFFLAWS***************’“***•**********'****


REASON: INSURANCE NOT IN EFFECT

ORDER#:C1103010000 CLASS AFFECTED: ALL

CLEAR ON

CASE#: C101271 PERIOD: INDEFINITE

TERMINATION FEE: $50 DUE

REASON:

REVOCATION EFFECTIVE: 01/23/2011 lh

REASON: REFUSED TO SUBMIT TO A CHEMICAL TEST

ORDER#: H1102180000 CASE 8: 1070479

CLASS AFFECTED: ALL PERIOD: 1 YEARSCIVIL PENALTY: $500 DUE TERMINATION FEE: NCFEE DLE

CLEAR ON: REASON:

INCIDENT DATE: 12/16/2010


REASON: COURT REVOCATION

ORDER#: D0101190000

CLASS AFFECTED: ALL

CLEAR ON: 10/05/2002

CASE #: D0102719 TICKET #: LK4019632

PERIOD: 1 YEAR EVEN WITHOUT DDP

TERMINATION FEE: NO FEE DUE

REASON; REAPPLICATION APPROVED

* SCOFFLAWS*** * **. ***♦***’"’*************’'****’»*»**


REASON: FAILURE TO PAY FINE (SCOFFLAW)ORDER #: Z060QDH

LOCATION: CHEMUNG COUNTY, TOWN OF VETERAN

CLEAR ON: REASON

TICKET #: 100600DHJ1

The Undersigned certifies, on behalf of the New York State Department of Motor Vehicles <DMV), that this document is a true and complete copy of an electronic record that is on file at DMV. in Albany, New York. This record was made in the ordinary course of DMV's regular business. It is the business of the DMV to create and maintain the records of drivers in the State of New York. Entries in this document are made contemporaneously with the time the recorded transactions or events took place, or within a reasonable time thereafter. The person who reports the information to record such transactions or events performs this function pursuant to a business duty to do so accurately.

ABS-8 Page 2 of 3 _____________[SIGNATURE]DEPUTY COMMISSIONER OF MOTOR VEHICLES

DS-242.3 (12/18) PAGE 2 OF 7

State of New Ytxk DEPARTMENT OF MOTOR VEHICLES. Empire State Pbza. Albany, New YotK 52228




SUSPENSION EFFECTIVE: 01/27/2002 REASON: FAILURE TO PAY FINE (SCOFFLAW)

ORDER#: 2424215

LOCATION: CHEMUNG COUNTY, TOWN OF ELMIRA CLEAR ON: 07/25/2002 REASON: SCOFFLAW ANSWERED

TICKET#: LK4242151

CONVICTIONS

CONVICTION: AGGRAVATED DWI - CHILO IN VEHICLE VIOLATION: 12/16/2010 CONVICTED ON: 03/07/2011LOCATION: CHEMUNG COUNTYCOMMERCIAL VEHICLE: N HAZMAT: N TICKET#: LW3580850

CONVICTION: SPEED IN ZONE 40/30VIOLATION: 07/18/2000 CONVICTED ON: 08/21/2000LOCATION: CHEMUNG COUNTY, TOWN OF ELMIRA PENALTY: F|NE-$60 POINTS: 03

COMMERCIAL VEHICLE: UNKNOWN HAZMAT: UNKNOWN THTICKET#: U2291446

’ACCIDENTS*

ACCIDENT DATE: 11/21/2010 POLICE REPORT

CASE #:33662362

PROPERTY DAMAGECOUNTY: ALBANY

* + ft-t +. *** ■ e* it t •»»’: * »*« ¥ t ’ADDRESS HISTORY* * * * ’**»■■**+ sm •* > + ♦ * * * ** * * * *

POSTED: 07/05/2011 ADDRESS: 6 EMPIRE STATE PLZ

A.3ANY, NY 12228-0001

POSTED: 11/12/2008ADDRESS: 391 SING SING RD LOT 47

HORSEHEADS, NY 14845-1064

TYPE: MAILING COUNTY: ALBANY COUNTRY: US

TYPE: MAILING COUNTY: CHEMUNG COUNTRY: US

TYPE: MAILING COUNTY: CHEMUNG COUNTRY: US

POSTED: 01/04/2006 ADDRESS: 63 STONECROFT DR

HORSEHEADS, NY 14845-1659^„*******^#*****#+*t,(tEND 0FABSTRACT***************************

The Undersigned certifies, on behalf of the New York State Department of Motor Vehicles |DMV), that this document is a true and complete copy of an electronic record that is on file at DMV. in Albany, New York. This record was made in the ordinary course of DMV's regular business. It is the business of the DMV to create and maintain the records of drivers in the State of New York, Entries in this document are made contemporaneously with the time the recorded transactions or events took place, or within a reasonable time thereafter. The person who reports the information to record such transactions or events performs this function pursuant to a business duty to do so accurately.

abs-s Page 3 of 3 ........ ..............[SIGNATURE]DEPUTY COMMISSIONER OF MOTOR VEHICLES

DS-242.3 (12/18) PAGE 3 OF 7

DESCRIPTION OF ABSTRACT OF LIFETIME DRIVING RECORD

An Abstract of Lifetime Driving Record (form ABS-9) provides all the information in DMV’s records for a person who has a permit, license

or non-driver ID, including information that is older than the retention time periods required by the Vehicle and Traffic Law. However, the

abstract may not include information from when the person’s record was created.

The top section of the abstract shows personal information, license class and expiration date, status information (license status, military status,

organ donor status, etc.), and any restrictions and endorsements the person has.

The line that shows License Class, Status, and Expiration is considered the record summary line.

THE RECORD SUMMARY LINE MAY BE USED TO DETERMINE THE STATUS OF THE DRIVER'S LICENSE OR DRIVING PRIVILEGE.

The record summary line will also show the type of document the person has (a permit, license, conditional license, restricted use license, or a

non-driver ID card) and the date the document expires. The record summary line shows NO NY LICENSE if the person does not have a New

York State driver license, permit or non-driver ID. There will be more than one record summary line if the person has a valid license in one

class and a valid permit in a different class, and if the person has a valid non-commercial license while the commercial privilege is revoked or

suspended. More detailed information about the record summary line is provided on the pages that follow.

Below the record summary line are sections and sub-sections that provide additional information. These sections and sub-sections are

separated by asterisks. The sections are: ACTIVITY, SUSPENSIONS/REVOCATIONS, CONVICTIONS/BAIL FORFEITURES,

VESSEL/SNOWMOBILE, ACCIDENTS, and ADDRESS HISTORY.

The ACTIVITY section shows: commercial driver license (CDL) history, permit history, driver education information, change of class or

privilege, documents issued, merges, information that the NY license was surrendered to another jurisdiction; reciprocity information (a NY

license issued on the basis of a valid license presented from another jurisdiction), impaired driving program.

The SUSPENSIONS/REVOCATIONS section shows two types of suspensions and revocations: scofflaws and non-scofflaws. Non-scofflaws

and Scofflaws are listed separately and in order by effective date from newest to oldest. For out-of-state courts, the court’s address and phone

number are recorded as provided by the issuing jurisdiction.

Non-scofflaws: The type of sanction imposed (suspension or revocation) which results from reasons other than failure to answer a

summons or pay a fine/surcharge/assessment. The following fields may appear:

• Suspension/Revocation Date

• Incident Date (if applicable)

• Reason (reason for sanction)

• Order Number

• Case Number (if applicable)

• Ticket Number (if applicable)

• Class Affected

• Civil Penalty (if applicable)

• Termination Fee (if applicable)

• Length of Sanction

• Clear On (clearance date)

• Reason (reason for clearance)

• Out of State Information (if applicable)

• Rescission (if applicable)

Scofflaws: The suspension imposed as a result of failure to answer a summons or pay a fine, surcharge, or assessment. The following

fields may appear:

• Suspension Date


• Order Number

• Ticket Number

• Court Name



DS-242.3 (12/18) PAGE 4 OF 7

The CONVICTIONS/BAIL FORFEITURES section lists conviction and bail forfeitures in order of violation date. The following fields may appear:

• Conviction/Forfeiture (violation description)

• Violation Date

• Conviction Date

• Location

• Penalty (if applicable)

• Points (if applicable)

• Commercial Vehicle

• Hazmat

• Ticket Number

The VESSEL/SNOWMOBILE lists suspensions and convictions for boats and snowmobiles.

Vessel/Snowmobile Privilege Suspensions: section lists boat and snowmobile suspensions in order of effective date. The following

fields may appear:

• Suspension Effective Date


• Order Number


• Civil Penalty (if applicable)

• Period (length of sanction)



Vessel/Snowmobile Convictions: section lists boat and snowmobile convictions in order of violation date. The following fields may appear:

• Conviction

• Violation Date

• Convicted On


• Location

• Penalty (if applicable)

The ACCIDENTS section lists accidents in order of accident date. The following fields will appear:

• Accident Date

• County

• Case Number

• Accident Type

• Accident Reports Filed

The ADDRESS HISTORY section lists addresses on file in order of effective date. The following fields will appear:

• Posted (effective date)

• Type

• Address

• County

• Country

EXPLANATION OF LICENSE STATUS ON THE RECORD SUMMARY LINE

An expired license, permit, or non-driver ID card may still be recorded as valid. This designation refers solely to the status of the privileges

extended to the person, not to the status of the person’s current (or most recent) document.

VALID: Unless expired, full driving privileges are in effect for the class of license shown.

SUSPENDED: Driving privilege is temporarily withdrawn for class of license shown.

REVOKED: Driving privilege is withdrawn for class of license shown.

CANCELLED: Driving privilege in all classes has been cancelled.

SURRENDERED: The driver has voluntarily given up his or her driving privilege in all classes.

APPROVED: Driver is authorized to have driving privileges returned after revocation, but has not yet obtained a license or learner permit.

DS-242.3 (12/18) PAGE 5 OF 7

CDL B

• single-unit truck/bus/tractor 26,001 lbs

or more GVWR

• Any motor vehicle, other than a tractor, towing a vehicle 10,000 lbs or less GVWR, or any such vehicle towing another vehicle more than 10,000 lbs GVWR if total GCWR is 26,000 lbs or less

• limited use motorcycle (*)

• taxicab

• passenger vehicle

• limited use automobile

• livery

CDL C

Non-CDL C is only issued when a person applies for a Farm (F)(G) and/or Tow Truck (W) endorsement.

Non-CDL C

CLASS VEHICLES ALLOWED TO BE OPERATED CLASS VEHICLES ALLOWED TO BE OPERATED

NEW LICENSE CLASS OLD LICENSE CLASS

NEW YORK STATE LIMITED DRIVING PRIVILEGES

When appropriate, the type of limited driving privilege will show after the License Class on the record summary line.

CONDITIONAL: A limited driving privilege granted to NYS-licensed drivers who are suspended or revoked for alcohol or drug-related convictions.

CONDITIONAL PRIVILEGE: A limited driving privilege granted to drivers licensed in other states who are suspended or revoked in NYS

for alcohol or drug-related convictions.

PRE-CONVICTION CONDITIONAL LICENSE: A limited driving privilege granted to NYS-licensed drivers who are suspended in NYS

for alcohol or drug-related violations and who are not yet convicted.

PRE-CONVICTION CONDITIONAL PRIVILEGE: A limited driving privilege granted to drivers licensed in other states who are

suspended in NYS for alcohol or drug-related violations and who are not yet convicted.

RESTRICTED USE: A limited driving privilege granted to NYS-licensed drivers who are suspended or revoked for reasons other than

alcohol or drug-related convictions.

RESTRICTED USE PRIVILEGE: A limited driving privilege granted to drivers licensed in other states who are suspended or revoked in

NYS for reasons other than alcohol or drug-related convictions.

POST REVOCATION CONDITIONAL LICENSE: A limited driving privilege granted to NYS-licensed drivers who have ignition interlock

devices as a probation condition, and who have completed the minimum revocation period required after an alcohol or drug-related conviction.

LIMITED USE ENDING DATE (MM/DD/YYYY): A limited driving privilege granted to junior drivers who pass their road test within 6

months of receiving a learner permit. After the ending date, full driving privileges are granted.

NEW YORK STATE DRIVER LICENSE CLASSES License class codes are used by every state as a national standard. Commercial driver licenses will appear on the record summary line as license class CDL A, B or C. A driver who has one class of license and obtains a motorcycle license or a learner permit for another class will have more than one record summary line to show the status of each license class. A driver with only a Class M or MJ license is limited to motorcycle operation. (Old classes were issued prior to 1991).

CLASS VEHICLES ALLOWED TO BE OPERATED CLASS VEHICLES ALLOWED TO BE OPERATED

CDL A

• tractor-trailer combination

• truck-trailer combination



• tractor • truck • taxicab • passenger vehicle • livery

1


• taxicab

• livery

• truck

• tractor

• truck-trailer combination

• tractor-trailer combination

CDL B


or more GVWR

• Any motor vehicle, other than a tractor, towing a vehicle 10,000 lbs or less GVWR, or any such vehicle towing another vehicle more than 10,000 lbs GVWR if total GCWR is 26,000 lbs or less.


• taxicab



• livery

2

• bus


• taxicab

• livery

• truck having a

maximum gross weight

of 18,000 lbs or less

3


• taxicab

• livery

• truck

• tractor

CDL C


or less GVWR

• Any passenger or limited use automobile

or any truck 26,000 lbs or less GVWR

towing a vehicle 10,000 lbs or less GVWR,

or any such vehicle towing another

vehicle more than 10,000 lbs GVWR if

total GCWR is 26,000 lbs or less.


• taxicab



• livery NONE

Non-CDL C is only issued when a person applies for a Farm (F)(G) and/or Tow Truck (W) endorsement.

Non-CDL C

• single-unit vehicle 26,000 lbs or less GVWR that does not require CDL endorsement

• Any passenger or limited use automobile or any truck 26,000 lbs or less GVWR towing a vehicle 10,000 lbs or less GVWR, or any such vehicle towing another vehicle more than 10,000 lbs GVWR if total GCWR is 26,000 lbs or less.


• farm vehicle



• livery

• taxicab NONE


DS-242.3 (12/18) PAGE 6 OF 7

MJ

(under 18) • junior motorcycle MJ

(under 18) • junior motorcycle

M

(over 18) • motorcycle M

(over 18) • motorcycle

DJ

(under 18)

• single-unit vehicle 10,000 lbs or less

• class B or C limited use motorcycle (*)



ucation c

D

(Over 18)

over 18 or 17 with driver ed ertificate

• single-unit vehicle 26,000 lbs or less GVWR

• recreational vehicle 26,000 lbs or less GVWR




• Any passenger or limited use automobile or any truck 26,000 lbs

or less GVWR towing a vehicle 10,000 lbs or less GVWR, or

any such vehicle towing another vehicle more than 10,000 lbs

GVWR if total GCWR is 26,000 lbs or less.

ertificate ucation cover 18 or 17 with driver ed ertificate ucation cover 18 or 17 with driver ed ertificate


CLASS VEHICLES ALLOWED TO BE OPERATED CLASS

ucation c

VEHICLE ALLOWED TO BE OPERATED

D

(Over 18)

over 18 or 17 with driver ed ertificate

• single-unit vehicle 26,000 lbs or less GVWR

• recreational vehicle 26,000 lbs or less GVWR




• Any passenger or limited use automobile or any truck 26,000 lbs

or less GVWR towing a vehicle 10,000 lbs or less GVWR, or

any such vehicle towing another vehicle more than 10,000 lbs

GVWR if total GCWR is 26,000 lbs or less.

5 • passenger vehicle

• truck having a maximum gross weight of

18,000 lbs or less

5LU


DJ

(under 18)

• single-unit vehicle 10,000 lbs or less




6



18,000 lbs or less

6LU • limited use automobile

E

• single-unit vehicle 26,000 lbs or less used

to transport up to 14 passengers for hire,

that does not fall under Article 19-A. • Any passenger or limited use automobile or

any truck 26,000 lbs or less GVWR towing a vehicle 10,000 lbs or less GVWR, or any such vehicle towing another vehicle more than 10,000 lbs GVWR if total GCWR is 26,000 lbs or less.


• livery

• taxicab


• limited use

automobile

4


• taxicab

• livery


18,000 lbs or less

M

(over 18) • motorcycle

7 • motorcycle

7A • class A limited-use motorcycle (31 - 40 mph)

7B • class B limited-use motorcycle (21 - 30 mph)

MJ

(under 18) • junior motorcycle

8 • junior motorcycle

8A • class A limited-use motorcycle (31 - 40 mph)

8B • class B limited-use motorcycle (21 - 30 mph)

*Note: Limited use requirements:

Requirement based on speed: Class A, Max 40 mph Class B, Max 30 mph Class C, 20 mph or less

Driver license/permit: M/MJ any license class any license class

OTHER

ID Non-Driver ID - will display if the motorist only has a non-driver identification card

PERMIT Permit

AP FOR ORG Approved for Original

NO NY LIC No New York License - will display if the motorist does not have a NY license or learner permit

DS-242.3 (12/18) PAGE 7 OF 7

Documents

Abstract of Lifetime Driving Record - New York DMVState of New Ytxk DEPARTMENT OF MOTOR VEHICLES. Empire State Pbza. Albany, New Y ot K 52228 ABSTRACT OF LIFETIME DRIVING RECORD DOCUMENT#: