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This document is a request form for a hearing to contest the revocation of a limited learner's permit, limited provisional license, or full provisional license in the State of North Carolina.
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To fill out the name and address, follow these steps:

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Start by writing your full name in the designated space. Make sure to use your legal name as it appears on official documents.
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Next, provide your complete address. Begin with the street address, followed by the city, state, and postal code. Double-check that all the information is accurate and up-to-date.

Who needs the name and address information?

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In summary, filling out the name and address involves providing accurate personal information on the respective fields of a form. It is necessary for individuals, businesses, and government agencies to obtain this information for various purposes.
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Name and address of refers to the information about an individual or business entity's name and physical address.
Individuals or business entities who are required to provide their legal name and physical address.
To fill out name and address, you need to provide the accurate legal name and complete physical address of the individual or business entity.
The purpose of name and address is to establish and maintain accurate records of individuals or business entities for identification and contact purposes.
The information that must be reported on name and address includes the legal name and complete physical address of the individual or business entity.
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North Carolina license revocation hearing request District Court provisional license legal petition G.S. 20-13.3(d2) court order findings of fact judicial official

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