Loading...
HomeMy WebLinkAbout12-2149IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ??hr?s+©ph .? Bak- No. X01 a -a?? ? G?? ??=_ (Type your name) Vs. Driver's License/Auto RegistratiRtppeijT P Cn - Commonwealth of Pennsylvania 4 -- Department of Transportation y _L.J Bureau of Drivers Licensing > S7 . APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION AND NOW, this (enter today's date) 3 f 20 J Z , comes the Appellant, (Type your name) , by his/her attorney, and states as follows: 1. Appellant's PA operator's number or automobile registration number is: nn CY\ 2. PennDOT proposes, by Notice dated (insert "mailing" date here) 60 20_Q___, to suspend Appellant's driving privileges automobile registration for a period of (Insert length of suspension) S irkM3S pursuant to Section , U6 ` U l of the Vehicle Code, which suspension is to be effective (Insert suspension effective date) ` 1 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. 1-1 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:) 0 G*4 a? ?? 1 -OR- The suspension of Appellant's automobile registration is contrary to law in that: Fie 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:) WHEREFORE, Appellant respectfully requests this Honorable Court to sustain the appeal from the suspension of operating privileges or automobile registration. Respectfully submitted, L A' 4 ? lu ___1 (Sign name here) h (ype name h re) 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: 6 `' i f a City / State / Zip Code: rYJMrk) p(U71 CS (? S? Telephone Number: ?1?- Email address: ?C/t a? I 197? @ h, au Cb -\, tka IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Ch- Ra No. (Type your name) Vs. 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 , 20 , 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: , 20 Signature:' 7 Type your Name: Address: City / State / Zip Code: nrh QA (l. S Wam CA 1763 Telephone: ** This form must be completely filled out and filed in the Prothonotary's office promptly after mailing the documents to PennDOT ** MV-221 (9-07) STATEMENT OF PA Department of Transportation NON-OPERATION OF P.O. Box 68674 Harrisburg, PA 17106-8674 VEHICLE(S) PLEASE TYPE OR PRINT IN INK ALL INFORMATION NOTE: THIS STATEMENT IS UNACCEPTABLE IF INSURANCE LAPSE IS GREATER THAN 30 DAY (? ALL INFORMATION MUST BE COMPLETED BY THE VEHICLE OWNER ONLY. I, I I (I ?j, ey f+ I I , hereby state that I did not operate or peri not Name operation of the following motor vehicle(s) between I // to / d to lapse in insurance coverage. Insurance Cancellation Date Insurance Replacement Date Last Name (or Full Business Name) First Name Middle Name hoto Date of Birth Telephone Number or Bus. ID# < < M,? e Nev, LL 4 17 Co-Owner Last Name First Name Middle Name UPhoto ID# Date of Birth Telephone Number ' j / A, I Title Number License Plate Number Vehicle Identification Number Make Title Number License Plate Number Vehicle Identification Number Make Title Number License Plate Number Vehicle Identification Number Make Title Number License Plate Number Vehicle Identification Number Make Signature of Owner or Authorized Signer 4h /Date Signature of Co-Owner/Title of Authorized Signer Date WARNING: Misstatement of fact is a misdemeanor of the third degree punishable by a fine of up to $2,500.00 and/or imprisonment up to one year (18 PA C.S. Section 4904[b]). This form may be reproduced. Visit us at www.dmv.state.pa.us Pennsylvania Financial Responsibility gei co . com IdentiflCatbn Card 1-800-841-3000 GEICO CASUALTY COMPANY ONE GEICO BOULEVARD FREDERIC VA 22412-0003 K, NAIC Code: 41491 Policy Number ElSictlve D IlnRlon Date 4250569581 11-23-11: >03-23-12 Not Valid More T Year From Effect Year Make Molt 1996 FORD EXPO Insured:REBECCA C AND CHRISTOPH HALL 1225 YORK RD MECHANICSBURG, PA 17055 Vohide ID No. 1FMDU34X4TUB90750 Authorized RepnesenteNve SEE IMPORTANT NOTICE ON REVERSE SIDE What to do at the time of an accident • Do not admit fault • Do not reveal the limits of your lability coverage to anyone • Exchange contact Information; get year, make, model, plate number, Insurance carrier and policy number of all Involved. Also Identify witnesses and collect contact informetion • Contact the police or call 911 9 applicable • Contact GEICO by calling 1-800-841-3000 to report the accident IMPORTANT NOTICE Regardfng Your Financial Responsiblitty Insurance Identifloallon Card. We are required by Pennsylvenle law to send you an identiflcedon (ID) canc. The card shows that an insurance policy has been Issued for the vehicle(s) described satisfying the flnenclal responsibility requirements of the law. If you lose the card, contact your Insurance company or agent for a replacement. The ID card Information may be used for vehicle registration and replacing loense plates. If your liability Insurance Is not in effect, the card is no longer valid. You are required to maintain financial responsibility on your vehicle. It Is against Pennsylvania law to use the ID card fraudulently such as using the card as proof of financial responsbilty after the insurance policy Is terminated. Please notify us promptly of any change In your address to be sure you receive all Important policy documents. Prompt notiflostion will enable us W service you better. If you would Ike additional ID cards you can go online to Aeico.com or call us at 14=411141-3000. THIS CARD MUST BE CARRIED FOR PRODUCTION UPON DEMAND. IT IS SUGGESTED THAT YOU CARRY THIS CARD IN THE INSURED VEHICLE. WAR(tNNO: Any owner or rMistrent of a motor vehicle who drives or pennb a motor vehicle Io be driven In this 8fate wRhout the required fhranotal responsbft may have his registration suspended or revoked. NOTE: THIS CARD IS REQUIRED WHEN: (a) You are Involved In a rotor vehids accident. (b) You am oonvicled of a traft olfenee other than a parking olrense that requlrea a court appearance. (o) 10YOU 1-M 0s) end requested Io produce a police V o?Alo?er Code (75 Pa.C.8. Section You must provide a copy of this owd to the Depertrnent of Tmnsportatfon when you request restoration of your opeaUng prNllsgs andlbr registration prhrllaps which has been previously suspended or revoked. U-4-PA (12-W COMMONWEALTH OF PENNSYLVANIA DEI'ARTMENI' OF 'I'RANSPORTA"TION BUREAU OF MOTOR VEHICLES PO BOX 68674 HARRISBURG, PA 17106-8674 www.dmv.state.pa.us WID# 120619999020798 001 TITLE# 49535398 PROCESSING DATE 120301 TRANSACTION CODE 00060 CHRISTOPHER A 1225 YORK RD MECHANICSBURG, HALL PA 17055 OFFICIAI. NOTICE Dear Customer: MAIL. DATE: 03/08/12 The Department recently requested that you provide us with proof of financial responsibility (insurance) for the following vehicle: MAKE: FORD YEAR: 1996 BODY TYPE: STATION WAGON LICENSE PI.AI'E#: IIXN8202 TITLE##: 49535398 VIN##: 1FMDU34X4TU1390750 This information was requested because GEICO CASULTY CO notified us that the insurance policy covering the vehicle listed above was terminated on 01/ 12,112. Hither 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 04/12/12 at 12:01 A.M. as authorized by Section 1786(d) of the Vehicle Code. THIS IS A SINAI. 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 CASII. 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 CO'I?IOVNVF,AI.TI-I OF I'F1NNSYI,VAVIA DEI'AR"C,\IE\'"I' OF "I'RAVSPOR"CA"['ION BLJRL;AIJ OF '\lO'I'OR VIJ11CLES 110 13OX 68674 LIARRISBURG, IA 171l)6-8674 WID# 120319992000056 001 TITLE# 49535398 PROCESSING DATE 120131 TRANSACTION CODE 48800 CHRISTOPHER A HALL 1225 YORK RD MECHANICSBURG, PA 17055 January 31, 2012 Dear' Iotorist The Bureau of \lotor Vehicles has determined that there ivws a lapse of financial responsibility (insurance) from (11/12/12 to 01/21/12 on the following vehicle: MAKE: FORD, BODY TYPE: STATION WAGON, VIN NO: lF\IDI134X4T1_IB90750, 'I'I"I'LE: 49535398. Financial responsibility is required to be maintained on all currently registered vehicles for the period of registration. Failure to maintain financial responsibility on a motor vehicle required to be registered in Pennsylvania will result in the suspension of your registration privilege. In order to prevent the suspension of your registration privilege and allow us to update our records, you must provide this Bureau with a notarized affidavit stating the vehicle was not operated during the lapse of coverage or if you had insurance during the lapse, you must provide proof of insurance indicating an effective date of coverage during this lapse. Please provide a cope of one of the following: your insurance identification card, the declaration page of your insurance police, a valid binder of insurance, or an application for insurance to the Pennsylvania Auto Insurance flan for the described motor vehicle. It is necessary for you to provide copies of the specified documents and return this notification. A self-addressed envelope has been enclosed for your convenience. Financial responsibility covering the indicated vehicle is no longer required because the vehicle has been: O Junked O 't'raded In O Sold O Transferred As A Gift O Other - Please provide license plate receipt or other supporting documentation. If Von have checked aov of (lie above reasons or if your vehicle :S n: storage or inoperable at this tittle, you must immediately surrender any current registration plate, sticker and card for the described motor vehicle to the Department at the time insurance coverage is tcrninated or financial responsibility lapsed to prevent the suspension of your registration privilege. Please return your registration plate, sticker and card to: DF.1'ARTNIF.N7' OF TRANSPORTATION, BUIZF,AU OF NIOTOR VEHICLES, FINANCIAL RESPONSIBILI"I-Y SFICTIOV, P.O. BOX 68674. IIARRISI3I!11G, PA 17106-8674. Sincerely, Service Representative Team Bureau of Motor Vehicles Information (8:1)0 A\I to 5:00 Phi Pennsylvania 800-932-4600 Out of State 717-412-5301) TDD Pennsylvania 800-228-0676 TDD Out of State 717-412-53811 00-000 49535398 PAY 'I'I IIS AMOUN'I- -------------------------------------$50.00 ---- 13Y CHECK OR MONEY ORDER ---- ----------------------- ---- PAYABLE TO PA DEPT OF 'I'RANSPOR'I'A'I'ION 495353980006050.00 DO NOT SEND CASH CHRISTOPHER A HALL 1225 YORK RD MECHANICSBURG, PA 17055 By Order of Director Bureau of Motor Vehicles Department of Transportation Information (5:00 AM to 5:00 I'M Pennsylvania 800-932-4600 Out of State 717-412-5300 T'DD Pennsylvania 800-228-0676 TDD Out of State 717-412-5380 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Ch Hmj N o. (Print your name) Vs. Driver's License/Auto Registration Appeal Commonwealth of Pennsylvania Department of Transportation Bureau of Driver Licensing ORDER SCHEDULING HEARING ON APPEAL AND NOW, this 11-6&- day of ? 20_L! -A, a hearing is scheduled on the appeal of Petitioner for the day of 20 Q at 7 :,-'TO 4 M in Courtroom # I of the Cumberland County Courthouse, One Courthouse Square, 4th Floor, Carlisle, PA 17013, at which time testimony will be taken and argument heard. A copy of this Order has been served on Appellant. It shall be Appellant's responsibility to serve a copy of this Appeal, all attachments, and this Order on the attorney for the Commonwealth, at the following address: Office of Chief Counsel Vehicle and Traffic Law Division Riverfront Office Center, P Floor 1101 South Front Street Harrisburg, PA 17104-2516 It shall further be Appellant's responsibility to file a Certificate of Service with the Prothonotary stating that service was made on the Commonwealth of Pennsylvania. ? Mt.-* me-5. a ,54op4er ?Ct?l PA S Me Trans. ?G By the Court, Judge `T __y. CHRISTOPHER A. HALL, Petitioner v. COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING, Respondent ORDER IN THE COURT OF COMMON PLEAS OF CUMBEF~LAND CUMBERLAND COUNTY NO. 12-2149 CIVIL TEA -gam; ~' -< c~ ~~ ~`} ~' ~~~ d , . ~- N AND NOW, this 15~' day of August, 2012, the appeal filed in the above- captioned matter is REMANDED to the Department of Transportation for correction its records. BY THE COURT: Attest: t~ Christopher A. Hall, 1225 York Road, Mechanicsburc,~, PA 17055 ~ Philip M. Bricknell, Esq., Pennsylvania Department of Transportation, Office of Chief Counsel, RiverFront Office Center, 3"~ Floor, 1101 South Front Street; Hamsb~ PA 17104-2516 _; ~T,__u. V {•0~4 ~J ~1 1 ~1 ~, rr-'f ~ ~,,, ~p;es .~.'l ed i:'~G~i~