Field for the Public Prosecutor s Office or the Officer authorised to impose the administrative fine:

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Abraham Martin
6 years ago
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1 TURNHOUT Judicial District Local Police 5364 PRO JUSTITIA Initial findings n Municipal Administrative Sanction dated Drafted: ex officio Reported findings against: The driver of a passenger car, make: licence plate: issued to: For a violation of: Parking violation Notification of the facts by means of: Destination of the place: public road Means of transport: Chassis number: CIM identification: Owner: registered on Sent to: the Sanctioning Officer at TURNHOUT the offender at TURNHOUT (original copy) (copy) Annexes: Sent on: Field for the Public Prosecutor s Office or the Officer authorised to impose the administrative fine:

2 Local Police 5364 PRO JUSTITIA 1 st continuation of initial reported findings n. dated: This, day We, the undersigned, Reporting Officer, Reporting Officer, wearing our uniform and in possession of our police identification card, members of the Police Zone PZ TURNHOUT REGION, inform your Office of the following: Violation: Date and time of the violation: on at o clock. Parking violation Reported findings: Offender: The driver of a, make: license plate: issued to: Means of transport: Chassis number: CIM identification: Owner: registered on Report closed on at o clock.

3 TURNHOUT Judicial District *5364VR /15* Local Police 5364 Report number: Vehicle with licence plate: (Original copy for the Sanctioning Officer) This day, We, member of the (5364) notify your Office that the following violation(s) have been registered: Place and time of the violation: Offender: The driver of a with licence plate issued to: Violation: on parking violation For this violation section fine of. of the uniform Municipal Police Regulation provides for an administrative Information and findings: On a copy of the present report was sent to the offender. In a couple of days the Office for Municipal Administrative Sanctions will send you a second letter with a payment request.

4 PRO JUSTITIA Initial report Original copy *5364VR /15* Police Police Station Turnhout 1 Grote Markt TURNHOUT Identity of the owner of the licence plate according to the Department for the Registration of Vehicles On, We, Reporting Officer have established, by means of an unmanned and automated device, that this device has registered the following: Place and time of the violation: Vehicle characteristics: Date: Make: Place: Category: Direction: Violation(s): The driver of the above vehicle has violated against: Section 3.3 of the Law of 24 June 2013 (Belgian Law Gazette 01/07/2013) Ignoring a pedestrian zone Technical findings Cf. annex. Additional information Reported findings n : On a copy of the present reported was sent to the owner of the licence plate. In a couple of days the Office for Municipal Administrative Sanctions will send you a second letter with a payment request.

5 REPLY FORM (to be completed by the driver) *5364VR /15* Reference n : Date of the violation: Please fill out and sent the present form back within 30 days if you do not agree with the fine and wish to present your means of defence. In such case, please send the present form back within 30 days after the day of the notice to: DIENST GEMEENTELIJKE ADMINISTRATIEVE SANCTIES, Campus Blairon 200, 2300 Turnhout, or via gas@turnhout.be Identity of the driver: Name: First names: Place and date of birth: Occupation: Address: QUESTIONNAIRE (to be completed by the driver) 1. Is the vehicle with licence plate your property? yes no, the owner is (name and address): 2. Were you driving for other parties at the time of the violation? no, I was driving for my personal account yes, I was driving in my capacity as: non-emancipated, unmarried and minor child a single person living with my guardian(s) an employee, for the account of (name and address): 3. In case you do not agree with the fine, please state your means of defence: please tick the appropriate box Date Signature Section 29 2 of the Law of 24 June 2013 (Belgian Law Gazette of 01/07/2013) on the municipal administrative sanctions: If the Sanctioning Officer declares the means of defence unfounded he shall notify this to offender stating the reasons thereof, and referring to the administrative fine that is due within a new thirty-day term from the present notice.

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