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Home My WebLink About12-2959IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA -/ No. Civil F" - (Type your name) --T = -A Vs. Driver's License/Auto Registration Appe , -e Commonwealth of Pennsylvania L. Department of Transportation Bureau of Drivers Licensing ?w 0 APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION AN"OW, this (enter today's /date) l ( 20 ? comes the Appellant, (Type your name) k?A ; c, i`C l? by his/her attorney, _ and states as follows: 1. Appellant's PA operator's number or automobile registration number is: 2. PennDOT proposes, by Notice dated (insert "mailing" date here) 20to suspend Appellant's driving privileges automobile registration for a period of (Insert length of suspension) _3--,4kc ' pursuant to Section / of the Vehicle Code, which suspension is to be effective (Insert suspension effective date) ( 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) El El 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:) r ' ?C. c i1> T ?J1.c? J le C? / 03.75 Pa A'te' easN -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). 9, Other (specify reason:) _?f S? Y' f WHEREFORE, Appellant respectfully requests this Honorable Court to sustain the appeal from the suspension of operating privileges or automobile registration. Respectfully submitted, r i (Sin ame here) (Type 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: L& -7 C, 7? ?r 7 .22 //rte 2 -OR- The suspension of Appellant's automobile registration is contrary to law in that: C] 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 kspecny redss/un.) G\ (V j 1A/NFRFFnPF AnnPllant rPCnPrtfully rPrn,PSts this Honorable Court to sustain the appeal from the suspension of operating privileges or automobile registration. Respectfully submitted, ? L- ? , Ll?, (Sign na here) (Type 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: 57- V V-q ( ) , -,? S U"/ T 70V c _ 2 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA (Type your name) Vs. Commonwealth of Pennsylvania Department of Transportation Bureau of Driver Licensing No. Driver's License/Auto Registration Appeal CERTIFICATE OF SERVICE The undersigned hereby certifies that on 120 , 1 caused to be mailed by regular mail, postage prepaid, a copy of the Appeal, Order Scheduling Hearing, and all attachments, to: Date: ,20 Office of Chief Counsel Vehicle and Traffic Law Division Riverfront Office Center, 3rd Floor 1101 South Front Street Harrisburg, PA 17104-2516 r' ?I Signature: Type your Name: t-) c?? Address: 4 02 ?-/L 7`r SZI r' City / State / Zip Code: MAL f 19 Telephone: ** This form must be completely filled out and filed in the Prothonotary's office promptly after mailing the documents to PennDOT ** IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 6 (Type your name) Vs. Commonwealth of Pennsylvania Department of Transportation Bureau of Driver Licensing No. Driver's License/Auto Registration Appeal 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: Type your Name: Address: City / State / Zip Code: Telephone: v.7 `rS r? ** This form must be completely filled out and filed in the Prothonotary's office promptly after mailing the documents to PennDOT ** V L, ? - L? No. 12 1.?? Yi ?? a,, , C, ?q w,•? ?i ORDER SCHEDULING HEARING ON APPEAL _ -°-" AND NOW, this day of 20,2a hearing is scheduled on the appeal of Petitioner for the 5 day of 20 J-4 at 9 %W d -M in Courtroom # I of the Cumberland County Courthouse, One Courthouse Square, 4th Floor, Carlisle, I THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA (Print your name) r- Ci Vs. Driver's License/Auto Registratic = ear Commonwealth of Pennsylvania Department of Transportation Bureau of Driver Licensing C:) 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, 3'd 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. By the Court, Judge ? Jodie E. Nickel ??ce, ? Chi' JODIE E. NICKEL, 4 `~ ~i~I~l~ f'i~~T~f~~~~: ~r,F:,`' IN THE COURT OF Petitioner COMMON PLEAS OF ~~ AEG I ~ ~'~ Zt 02 CUMBERLAND COUNTY v. t1Ml~ERl.~al~p C17~1~T'{ P~NC~SY~VAldIAt COMMONWEALTH OF PENNSYLVANI . DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING, Respondent ORDER NO. 12-2959 CIVfL TERM APPEAL OF LICENSE SUSPENSION 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 of its records. DISMISSED and the suspension which is the basis of this appeal shall be REINSTATED. SUSTAINED and the suspension which is the basis of this appeal shall be RESCINDED. WITHDRAWN and the suspension which is the basis of thi appeal shall be REINSTATED. CONTINUED and RESCHEDULED for the day of 2012, at _.m., in Courtroom Room No. of the Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT: Attest: /Jodie E. Nickel, 107 Yates Street, Mt. Holly Springs, PA 17065 Philip M. Bracknell, Esq., PennDOT, Riverfront Office Center, Office of Chief Counsel, 3`~ Floor, 1101 South Front Street, Harrisburg, PA 17104-2516 ~jor~°-S ~,'~~d ~~jl~a ~~