HomeMy WebLinkAbout11-9089IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
y No. 11- 90Fn
(Type our name)
Vs.
Commonwealth of Pennsylvania
Department of Transportation
Bureau of Drivers Licensing
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Driver's License/Auto Registration Appev. m
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APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION w
AND NOW this (enter today's date) 402 ?' , 20 ?? . comes the Appellant, (Type your name)q
LL.1nl*? f&r'-= by his/her attorney, and states as follows:
1. Ap is PA6operator s number or automobile registration number is:
2. PennDOT proposes, by Notice dated (insert "mailing" date here) AILl- AS , 20 `Z . to suspend
Appellant's [7driving privileges 19 automobile registration for a period of (Insert length of suspension)
hill S pursuant to Section f(
J) of the Vehicle Code, which
suspension is to be effective (Insert suspension effective date) eQV 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)
F] 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).
1^ 1 Other (Specify reason:)
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-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).
Utner (specity reason:)
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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 submitted,
(Sig name r
(Ty a 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:
Type Name:
Address:
City / State / Zip Code:
Telephone Number:
Email address:
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
BUREAU OF MOTOR VEHICLES
PO BOX 68674
HARRISBURG, PA 17106-8674
www.dmv.state.pa.us W I D E 113109999013490 001
TITLE## 55457562
PROCESSING DATE 111106
TRANSACTION CODE 00060
CRYSTAL LYNN HOLT
805 W TRINDLE RD * 1
MECHANICSBURG, PA 17055
OFFICIAL NOTICE MAIL DATE: 11/13/11
Dear Customer:
The Department recently requested that you provide us with proof of financial responsibility (insurance) for the
following vehicle:
MAKE: SATURN YEAR: 2001 BODY TYPE: COUPE.
LICENSE PLATE: IIBN3822 TITLE: 55457562 VIN#: IG87_Y14711Z258080
This information was requested because GE.ICO INDEMNITY COMPANY notified us that the insurance policy
covering the vehicle listed above was terminated on 09/17/11. Either no response was received or the information
you provided was not acceptable.
As a result, the registration for the vehicle listed above will be suspended for three months effective 12/18/11 at
12:01 A.M. as authorized by Section 1786(d) of the Vehicle Code.
THIS IS A FINAL ORDER OF SUSPENSION. You are required to return your current registration plate,
sticker and card to the Department immediately. Credit toward serving this suspension will not begin until the
Department receives your registration products. Additionally, you are required to pay a restoration fee in the
amount of $50 to the Department in accordance with Section 1960 of the Vehicle Code. Please make check or
money order payable to the PA Department of Transportation. DO NOT SEND CASH. Within 30 days of your
eligibility date for restoration, you will also be required to show proof of insurance for this vehicle.
We have enclosed a self-addressed envelope for your use when corresponding and a mailing label to assist with the
return of your registration plate, sticker and card. When the Department receives your registration products, we
will send you a letter within 3 weeks confirming that they were received. If, after 3 weeks of mailing your
registration plate, sticker and card to the Department you do not receive a letter stating your registration products
were received, please contact us immediately.
You have the right to appeal this suspension to the Court of Common Pleas of the county of your residence within
thirty(30) days of the mail date of this letter. If you file an appeal in the County Court, the Court will give you
a time-stamped certified copy of the appeal. In order for the appeal to be valid, you must send this time stamped
certified copy of the appeal by certified mail to:
Pennsylvania Dept of Transportation
Office of Chief Counsel
1101 S Front Street-3rd Floor
Harrisburg, PA 17104-2516
By Order of
Director
Bureau of Motor Vehicles
Department of Transportation
Information (8:00 AM to 5:00 PM)
Pennsylvania 800-932-4600
Out of State 717-412-5300
TDD Pennsylvania 800-228-0676
TDD Out of State 717-412-5380
00-000 55457562
PAY THIS AMOUN'I- -------------------------------------$50.00
---- BY CHECK OR MONEY ORDER
---- PAYABLE TO PA DEPT OF TRANSPORTATION
554575620006050.00
DO NOT SEND CASH
CRYSTAL LYNN HOLT
805 W TRINDLE RD * 1
MECHANICSBURG, PA 17055
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
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Driver's License/Auto Registration Appeal
Commonwealth of Pennsylvania
Department of Transportation
Bureau of Driver Licensing
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on &(?-- I• , 20 Gl , I 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: Oee 'F , 20 `l
Signature: 1-141es?'
Type your Name: 4?z
Address: ?? ?• Tr f? 0
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City / State / Zip Code:FLr?i?r5l?rV
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Telephone: '`7 we ** This form must be completely filled out and filed in the Prothonotary's office
promptly after mailing the documents to PennDOT **
CRYSTAL LYNN HOLT, IN THE COURT OF COMMON PLEAS OF
Petitioner CUMBERLAND COUNTY, PENNSYLVANIA
V.
COMMONWEALTH OF PENNSYLVANIA,
DEPARTMENT OF TRANSPORTATION,
BUREAU OF DRIVER LICENSING,
Respondent NO. 11-9089 CIVIL TERM
IN RE: LICENSE SUSPENSION APPEAL
ORDER OF COURT
AND NOW, this 16th day of April, 2012, the Court
reluctantly sustains the action of the Department and dismisses
the appeal.
By the Court,
Edward E. Guido, J.
? Philip M. Bricknell, Esquire
For the Respondent
? Crystal Lynn Holt
805 West Trindle Road
Mechanicsburg, PA 17055
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