HomeMy WebLinkAbout12-7237IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
Dawn M Lewis No. /a j ?vt
(Type your name) ?-
°
?
Vs. /rt?3 ?
L
Driver's License/Auto Registration AppeAp r
r -
Commonwealth of Pennsylvania co
-G
-
Department of Transportation GG'
0
Bureau of Drivers Licensing
APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION . J:
ca
AND NOW, this (enter today's date) November 27 2012 , comes the Appellant, (Type your name)
Dawn M Lewis , by his/her attorney, and states as follows:
1. Appellant's PA operator's number or automobile registration number is:
KM8SB12B34U716117
2. PennDOT proposes, by Notice dated (insert "mailing" date here) October 28 , 2012 to suspend
Appellant's driving privileges ?n automobile registration for a period of (Insert length of suspension)
three months pursuant to Section 1960 of the Vehicle Code, which
suspension is to be effective (Insert suspension effective date) December 02 2012
****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).
Other (Specify reason:)
/no,?ac
CW
t?l
-OR-
The suspension of Appellant's automobile registration is contrary to law in that:
F1 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).
7
Other (specify reason:)
The conviction on which my suspension is based was made under speculation that I had been operating my vehicle
during the time that it was with out insurance.
WHEREFORE, Appellant respectfully requests this Honorable Court to sustain the appeal from the suspension
of operating privileges or automobile registration.
Respectfully submitted,
J
(Sign name here)
Dawn M Lewis
(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: Dawn M Lewis
Address: 3 Santa Maria Avenue
City / State / Zip Code: Camp Hill, PA, 17011
Telephone Number:
717-599-0726
Email address: dl1220 -@messiah.edu
2
ww
m 0 2
Z wz
o U- O
r
wa Q
V N Q IL to
J Z Fn
a0o w¢W=
Z ?0 t=om
a > '?
w ()CO
Z LL =CL o co
LL CL 2
QZ o7i M zN ?'l ¢ 0 }N ?Y
2 ' O
Q U O
)-7 P N N
Q - ?ro a g c, E
J m 0 a
U k
_ d X p
IL ~ r w a O
z o `4 `N' w d
Z € ww ro v >
W LL O C.,
m w; ELL
mM
(L as w w QI°. cep crn
0 C.4
O w cr>LL
z C11 'a
W > d ?a2 rp } > Nro
am7 z V W N > ?ZO_ Z(n .LN
' N S
az? a R Wz O z WVv oa0A ¢'
cc 0 o ?` J G
° cc o m I c F-
JW 3? ? >' Zm0 0- COL ZQ - 06
W ()Z0 ce"'tm € act c ac py
u Q > oo-a LL ? 8 o `O 0)'2 cc <=
H z:3 N y?t m N :3= .8E0 ULL
Z LL'ZZ cE o,w ?,a a , Co G-? NL -0
a'-0 0 u? o E W .? C 0 mtF W
Z O ~ >tcwc cm ZF-
Q }Ja 8a? c? oz, W>u°?,m wG E (D 75. 4,5.9
g 0ya. o - Em a10 M 2 5)E Q=_ ci y pUW.
WW `mo8SQ viio 2mc? ??>(D c rW
Ix ? m? T" -0 o - ? ?-0 ?i ? 00
75
W W
y toy 0 rn L y i. N 0 0 y c" W H
I Lv
F- ..: R a N O N
I;i
0 'r
Co N
3 N
.-.
w
'O N
t Q N
s U
C
Z i!l
Q O T
E W c
v T
c{ ?'
J
W N N
y
o?
E
0
W IU W E
Z, ip
y 'co L L
3 3
a C N
ft- ° ?
?, Q -0
O :s w m N E
CL Z
W O yU ° U 0 a
0 ? N ?
a I1 N
> N
Z=
O F- N t
V. V U O
W
`W
W
0
O N
> C
N
O
N
UZ
w W
d N F
.
o
?
®
ao
=
W co a) O _
P 4) 0
T
pO y N. W o E
av
CO
(D
> m
o F
O
N o
m
2
0
=
O F-
w
o°
Z
c
E
3
N
in
LL >- E
7 T
v T g
-o .>
r .C 1=
Z y
C CO
- o a
WO
W LY ca
-66 9 0
S ° 0
p,
CD W 'O -
-6 Q C 0 c
O
a V
Q c 3?
9 (D 4D w 5
w m «.
0
y ? V
C? o
O' O m 8
? y9 5
W 0? ?
j
a
r Q
Q0
Ca >-
U) o
Lo G v Q
w e 0 >
? v? .+
O
.
?p
a 00
Q C y
v E y
c c
m
w
- c 0
U) 6 r> o
r >
'a LL
cQ 'G "' Q C y
?'?'??'y o
-
as y
> W =
z C
m
w to
¢ 2 a W
to m m W?
' y
0 7
$
o
O
Vl
E W
C IC
N
Vw '°
sa 2 0 0
F- }} 0
0
tg}? j
?m L
LL y
c > 0
D) A ?
E CL _ W•
(D
CaL a?.
c
FN Sit z 092 Orn> o
D aQ
N vi
12
y z
z
N
O C
Z
1 r
r. m
0 d
m z
z d z° 0 c y
y N1 Z m m C Z N
o` 2 2 a v a> . -1 I° 3 2
COMMONWEAI:111 OF PENNSYLVANIA
DEPAR7:MEN'I' OF '1'RANSPOR'CA'I'ION
BUREAU OF MOTOR VF,HICLES
PO BOX 68674
HARRISBURG, PA 17106-8674
www.dmv.state.pa.us
DAWN M LEWIS
3 SANTA MARIA AVE
CAMP HILL, PA 17011
OFFICIAI, NOTICE
Dear Customer:
WID# 122959999041736 001
TITLE# 70686001
PROCESSING DATE 121021
TRANSACTION CODE 00060
S
MAIL, DATE: 10/28/12
The Department recently requested that you provide us with proof of financial responsibility (insurance) for the
following vehicle:
MAKE: IIYUNDAI YEAR: 2004 BODY TYPE: STATION WAGON
LICENSE; I1I,A7'E#: II%51192 'ITITE#: 70686001 VIN#: KM8S13121334tJ716117
'I'bis information was requested because S'I'ATF FARM MUTAJAL AUI'OM0I3II,I,' INS notified us that the
insurance policy covering the vehicle listed above was terminated on 08/ 28/ 12. Fither 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 12/02/12 at
12:01 A.N1. as authorized by Section 1786(d) of the Vehicle Code.
'I'IIIS IS A FINAI. 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 "I'ransportation. Do not send cash. You can also pay by credit
card online at www.dmv.state.pa.us by selecting "Pay Your Financial Responsibility Restoration Fee 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 ; weeks confinring 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
thirtv(30) davs 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