Form SR-59 template
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Conditional Release SR-59
If you are making payments to someone for damages you caused as the result of a traffic accident, you can send in a conditional release to avoid your driver license from being suspended. Please see form for any special instructions.
This document is a conditional release agreement between two parties, one making a claim for damages and injuries due to a motor vehicle accident, and the other making payments in installments. The agreement releases the payer from further compliance with the Motor Vehicle Safety Responsibility Act's security provisions upon completion of installment payments. Witnesses or notaries signatures are required for validity, and addresses must be provided.
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