GOVERNMENT OF THE VIRGIN ISLANDS
GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES BMV FORM NO. (2019-08) – REV. Jun. 24-2020 CONSENT AND ASSUMPTION OF FINANCIAL RESPONSIBILITY KNOW ALL MEN BY THESE PRESENT: I, ____________________________________ PURSUANT TO TITLE 20, SECTION 374, SUB-DIVISION OF THE VIRGIN ISLANDS CODE, BEING THE PARENT, GUARDIAN OR OTHER PERSON RESPONSIBLE FOR THE CARE, CUSTODY OR CONTROL OF _____________________________ A MINOR _________ YEARS OF AGE, HEREBY GIVE MY CONSENT TO THE VIRGIN ISLANDS BUREAU OF MOTOR VEHICLES FOR THE ISSUANCE TO THE SAID MINOR OF A LICENSE TO OPERATE AN AUTOMOBILE, IF THE MONOR IS 16, OR MORE YEARS OF AGE. I ALSO ASSUME FINANCIAL RESPONSIBILITY FOR DAMAGES RESULTING FROM ANY TORT COMMITTED BY THE AFORESAID MINOR ARISING FROM HIS OR HER OPERATION OF A MOTOR VEHICLE. THE CONSIDERATION FOR THIS ASSUMPTION OF LIABILITY IS THE ISSUANCE OF SAID LICENSE AND THE BENEFITS TO SAID MINOR WHICH MAY RESULT. I AUTHORIZE (IF APPLICABLE) TO ACT ON MY BEHALF. …
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GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES BMV FORM NO. (2019-08) – REV. Jun. 24-2020 CONSENT AND ASSUMPTION OF FINANCIAL RESPONSIBILITY KNOW ALL MEN BY THESE PRESENT: I, ____________________________________ PURSUANT TO TITLE 20, SECTION 374, SUB-DIVISION OF THE VIRGIN ISLANDS CODE, BEING THE PARENT, GUARDIAN OR OTHER PERSON RESPONSIBLE FOR THE CARE, CUSTODY OR CONTROL OF _____________________________ A MINOR _________ YEARS OF AGE, HEREBY GIVE MY CONSENT TO THE VIRGIN ISLANDS BUREAU OF MOTOR VEHICLES FOR THE ISSUANCE TO THE SAID MINOR OF A LICENSE TO OPERATE AN AUTOMOBILE, IF THE MONOR IS 16, OR MORE YEARS OF AGE. I ALSO ASSUME FINANCIAL RESPONSIBILITY FOR DAMAGES RESULTING FROM ANY TORT COMMITTED BY THE AFORESAID MINOR ARISING FROM HIS OR HER OPERATION OF A MOTOR VEHICLE. THE CONSIDERATION FOR THIS ASSUMPTION OF LIABILITY IS THE ISSUANCE OF SAID LICENSE AND THE BENEFITS TO SAID MINOR WHICH MAY RESULT. I AUTHORIZE (IF APPLICABLE) TO ACT ON MY BEHALF. RESIDENCE ADDRESS: _________________________________ _________________________________ PARENT/GUARDIAN SIGNATURE: _________________________________ SWORN AND SUBSCRIBED TO BEFORE ME AS TRUE AND CORRECT, THIS __________ DAY OF _______, _________ NOTARY PUBLIC: ________________________