HomeMy WebLinkAbout12-3888n+. S
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVAi"k
(Type ur name)
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Vs. Driver's License/Auto Registration A"
Commonwealth of Pennsylvania 47-
Department of Transportation
Bureau of Drivers Licensing
APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION
AND NOW, this (enter todfa 's date) JQYJC ) 20 comes the Appellant, (Type your name)
Y(\????YYY)? 1 , by his/her attorney, and states as follows:
1. Appellant's PA operator's number or automobile registration number is:
2. Penn DOT proposes, by Notice dated (insert "mailing" date here) , 20 f y , to suspend
Appellant's driving privileges automobile registration for a period of (Insert length of suspension)
M o-)PS -n ? pursuant to Section 1-1 b(o of the Vehicle Code, which
suspension is to be effective (Insert suspension effective date) 20 Z
****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).
F-1 Other (Specify reason:)
4 ) o 3. rl 6-?J?
R76?a7701s
-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:)
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Chic)- rtak user or cA,,sj c??-??ur?+. vz? vek,Q_LQ vKA-%l
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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,
?mgn name here
J
( ype n e 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: . , A:::?4
Type Name: i?n 2:,, { SM (`A-
Address: r?
City / State / Zip Code: e W CQ wy60- / (0111 (0 A I ? V ?I U
Telephone Number: ?UZ--
Email address: @
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
?" I I No. /r- 3998 611,
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(Type your n e)
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 ?n?, ZI , 20 1-Z,., , 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, P Floor
1101 South Front Street
Harrisburg, PA 17104-2516
Date:3xD yl Q, Zt , 20 )-1-
Signature:
Type your Name:
Address:
City / State / Zip Code:
Telephone:
3
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** 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
(Print yo name)
Vs.
No. l) -388E Driver's License/Auto Registration Appeal
Commonwealth of Pennsylvania
Department of Transportation
Bureau of Driver Licensing
ORDER SCHEDULING HEARING ON APPEAL
AND NOW, this v?b a day of a nom 20/-2 , a hearing is scheduled
on the appeal of Petitioner for the day of ?.crzt. 20? at -: ,jM
in Courtroom # -61--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, 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
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ANGELA SMALL, IN THE COURT OF
Petitioner COMMON PLEAS OF
CUMBERLAND COUNTY
v.
COMMONWEALTH OF PENNSYLVANIA, NO. 12-3888 CIVIL TERM
DEPARTMENT OF TRANSPORTATION,
BUREAU OF MOTOR VEHICLES, APPEAL OF VEHICLE
Respondent : REGISTRATION SUSPENSION
ORDER
AND NOW, this 24th day of October, 2012, the appeal filed in the above-
captioned matter is:
REMANDED to the Department of Transportation for
correction of its records.
,,,_
ri``_ DISMISSED and the suspension which is the basis of this
appeal shall be REINSTATED, ~~F~~.n +~~' ~~'~~'~ ~ ~~ :~~~~j ~~~-~
_ SUSTAINED and the suspension which is the basis of this
appeal shall be RESCINDED.
_ WITHDRAWN and the suspension which is the basis of this
appeal shall be REINSTATED.
CONTINUED and RESCHEDULED for the ___ day of
20', at _.m., in Courtream
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Room No. of the Cumberland County Courthp, ''~
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Carlisle, Pennsylvania. ~ ~' `~ ~T
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BY THE COURT: ~~, ~ f-~-;.
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Rttest:
~ Angela L. Small, 136 A Bridge St., New Cumberland, PA 17070
'~ Philip M. Bricknell, Esq., PennDOT, Riverfront Office Center, Office of Chief Counsel,
3rd Floor, 1101 South Front Street, Harrisburg, PA 17104-2516
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