HomeMy WebLinkAbout11-7129IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
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(Print your name)
Driver's License/Auto Registration Appeal
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Commonwealth of Pennsylvania :r
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Department of Transportation Z n . n
Bureau of Drivers Licensing Nr- c?
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APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION ,r,-_- -a
this (enter today's date) S Vte
AND NOW ft y 1`i-4'% 20 It , comes the AppeWrf (T4$e '
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your name) by his/her attorney, ?roS e
and states as follows:
1. Appellant's PA operator's number or automobile registration number is:
#i+?e - (o4`?q yZZ( v?n = '4 T18t'-f!o K 3 Utz 8? 1g, l,,cRV?s, ?c?te _ t- S.3 3`f81
2. PennDOT proposes, by Notice dated (insert "mailing" date here) 91 OZ 120 11
to suspend Appellant's E] driving privileges [A automobile registration for a period of (Insert
length of suspension) -ttnYee mov%tv\& -pursuant to Section 1q8 (a? of the Vehicle
Code, which suspension is to be effective (Insert suspension effective date) l / s / ll
20
****A copy of the Notice sent by PennDOT is attached to this Appeal****
3. The suspension of Appellant's operating privileges is contrary to law in that:
(Check those which apply)
? The police lacked reasonable grounds to stop Appellant and / or request Appellant to submit to
a chemical test.
? Appellant did not knowingly or intelligently refuse a chemical test;
? The conviction on which Appellant's suspension is based was overturned by successful appeal,
OR is currently under appeal. (Attach a copy of the court docket this Appeal).
? Other (Specify reason:)
-OR-
The suspension of Appellant's automobile registration is contrary to law in that:
? My failure to have insurance was for a period of less than 31 days AND I did not
drive nor permit anyone else to drive my vehicle during the time it was without
insurance. (Attach proof of insurance to this Appeal and either a notarized
statement of PennDOT form MV-221 to document non-operation of the vehicle).
® Other (specify reason:) 61 \/Qn „{'hCrm-E r G?Qu nog
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WHEREFORE, Appellant respectfully requests this Honorable Court to sustain the appeal from
the suspension of operating privileges or automobile registration.
Respectfully submitte
(Sign name here)
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(Print name here)
VERIFICATION
The undersigned hereby states that the statements made in the attached Appeal of Suspension
or Registration are true and correct to the best of my knowledge, information and belief. The
undersigned understands that the statements in the attached Appeal are made subject to the penalties
of 18 Pa. C.S. Sec. 4904 relating to unsworn falsification to authorities.
Signature:
Print Name: t\SQ1fl Phn\?
Address: 2,0 Y5 a I k 0 VI dj&u 64
City / State / Zip Code: Corr, D yv? ? t Pp,
Telephone Number: L4- 6ZC\
Email address: f_y?so,\r t*y% ? t cfic_ @ aamct, l -can
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
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(Print your name)
Vs. Driver's License/Auto Registration2ppa
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Commonwealth of Pennsylvania -rnv
Department of Transportation ter- -- p
Bureau of Driver Licensing -C)--4 CD
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CERTIFICATE OF SERVICE 70
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The undersigned hereby certifies that on ' eatevv\ r 1 20 11 1
caused to be mailed by regular mail, postage prepaid, a copy of the Appeal, Order Scheduling
Hearing, and all attachments, to:
Office of Chief Counsel
Vehicle and Traffic Law Division
Riverfront Office Center, 3'd Floor
1101 South Front Street
Harrisburg, PA 17104-2516
Date: SR ?p? e,?rry?e,r ?4 , 20 1\
Signature:
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Type your Name: E \ i sG b-e cv? ?E ex\\?
Address: -Lob o-\\o\n&o-Qt City / State / Zip Code: cax?np In; \\ PA i-4 61 k
Telephone: Lj1AkA - (,,2--R - 3U3 }
** This form must be completely filled out and filed in the Prothonotary's office
promptly after mailing the documents to PennDOT **
ELISABETH REILLY, IN THE COURT OF COMMON PLEAS OF
Petitioner CUMBERLAND COUNTY, PENNSYLVANIA
v.
COMMONWEALTH OF
PENNSYLVANIA, DEPARTMENT
OF TRANSPORTATION, BUREAU:
OF DRIVER LICENSING,
Respondent
NO. 11-7129 CIVIL TERM
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CIVIL ACTION - LAW
ORDER OF COURT
AND NOW, this 7th day of November,
appearing to the Court that the appeal was untimely filed, it is
quashed.
By the Court,
Edward E. Guido, J.
/Elisabeth Reilly '
208 Allendale Way 00,6d
Camp Hill, PA 17 011 0'oeso' if(
Petitioner, Pro se ?q
is
Philip Bricknell, Esquire
Department of Transportation
Office of Chief Counsel, 3rd Floor
River Front Office Center
Harrisburg, PA 17104-2516
For the Respondent
srs