Ignition Interlock Affidavit
State of [Your State], County of [Your County]
I, [Your Name], residing at [Your Address], hereby submit this Ignition Interlock Affidavit in compliance with the laws of [Your State]. This affidavit serves to certify my adherence to court-ordered requirements following my conviction for driving under the influence (DUI) or driving while intoxicated (DWI) offense.
Statement of Facts
I attest to the following regarding the installation, maintenance, and utilization of the ignition interlock device:
The ignition interlock device was installed by a certified technician or authorized service provider in my vehicle, as per court specifications.
I have diligently maintained the ignition interlock device in good working condition, scheduling regular maintenance appointments as required.
I have faithfully utilized the ignition interlock device as instructed, ensuring proper operation each time I start my vehicle and complying with additional testing requirements.
I confirm that I have not tampered with or attempted to bypass the ignition interlock device at any time, and I have cooperated fully with monitoring and reporting requirements.
Oath and Affirmation
I, [Your Name], solemnly affirm that all statements made herein are true and accurate to the best of my knowledge and belief. I understand that any false statements can result in penalties as provided by law, including but not limited to, monetary fines, forfeiture of rights, and/or imprisonment.
Signature
[Your Name]
[Date]
NOTARY PUBLIC INFORMATION:
On this [Date], the undersigned personally appeared and swore under the penalties of perjury that the contents of the document are truthful and accurate to the best of his/her knowledge.
[Notary Public Name]
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