RECURSO CONTRA PENALIDADE DECORRENTE DE

INFRAO DE TRNSITO EM RODOVIA ESTADUAL

JARI DER/MG
Ex -186

Ilmo.sr. Diretor do DER/MG

___________________________________________________________________
Nome do recorrente
Residente ___________________________________________________________
Bairro____________ CEP_________/________ Cidade_________ Estado_________
Telefone________________
Proprietrio

Condutor

do veculo placa__________

Tendo sido notificado no incurso da(s) penalidade(s) descriminada(s) nos documentos anexos, vem
requerer a V.Sa., a remessa do presente recurso para julgamento pela Junta Administrativa de Recurso
de Infraes Jar- DER/MG, conforme motivo(s) que possa se expor:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

Pede deferimento
______________________________________ , _____________ de ___________de ________

___________________________________________________
Assinatura do Recorrente
DOCUMENTOS NECESSRIOS PARA A APRESENTAO DO PRESENTE RECURSO
Original ou cpia da notificao de infrao de trnsito
Cpia do documento do veculo (DUT/CRLV)
Cpia da Carteira Nacional de Habilitao ou Identidade (frente ou verso)