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HomeMy WebLinkAbout13-6148 Supreme Couto Pennsylvania rum Cou>>f" Commo leas For Prothonotary Use Only: CY il=CO3 is t Docket No: �. County The information collected on this form is used solely for court administration purposes. This farm does not supplement or-replace the filing and service ofpleadings or other papers as required by Icav or rules ofcourt. Commencement of Action: n Complaint Writ of Summons Petition S M Transfer from Another Jurisdiction Declaration of Taking E. CLead Plaintiff's Name: ` Led Defendant's Name: T 4 y2A i Y Dollar Amount Requested: Owithin arbitration limits I Are money damages requested? El Yes (check one) Moutside arbitration limits O N Is this a Class Action Suit? ❑Yes Is this an MDJAppeal? C Yes A ' Name of Plaintiff/Appellant's Attorney: P Check here if you have no attorney(are it Self-Represented (Pro Sel Litigant) Nature of the Case: Place an"X"to the left of the ONE case category that most accurately describes your PRIMARY CASE. If you are making more than one type of claim, check the one that you consider most important. TORT (do not include,illoss Tort) CONTRACT (do not include Judgments) CIVIL APPEALS Q Intentional El Buyer Plaintiff Administrative Agencies 0 Malicious Prosecution © Debt Collection: Credit Card Board of Assessment © Motor Vehicle F Debt Collection: Other Board of Elections 0 Nuisance pt.of Transportation 0 Premises Liability Statutory Appeal: Other S F� Product Liability(does not include 0 Employment Dispute: E mass tort) Slander/Libel/Defamation Discrimination I D Other: l Employment Dispute:Other Q Zoning Board ,I, ® Other: 1 Q Other: O MASS TORT El Asbestos N_ M Tobacco F1 Toxic Tort-DES F Toxic Tort-Implant Q Toxic Waste REAL PROPERTY MISCELLANEOUS Other: F1 Ejectment 0 Common Law/Statutory Arbitration Bll Eminent Domain/Condemnation l] Declaratory Judgment 17 Ground Rent E] Mandamus El Landlord/Tenant Dispute n Non-Domestic Relations El Mortgage Foreclosure:Residential Restraining Order PROFESSIONAL LIABLITY 0 Mortgage Foreclosure: Commercial Quo Warranto M Dental l] Partition ©Replevin F1 Legal 0 Quiet Title El Other: F1 Medical Other: M Other Professional: Updated 1/1/2011 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA . �3 — 6l �l , I-ncu LAQUITA CHISOLM No `-�' '"1: (Type your name) / n7 `�} �-i -V 7. ro Vs. Driver's License/Auto Registration Appeal�--<,,'-� c- -x Commonwealth of Pennsylvania _- —� c4{ Department of Transportation Bureau of Drivers Licensingr APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION AND NOW,this(enter today's date) , G'o2 I , 20 / 3 ,comes the Appellant, (Type your name) LAQUITA CHISOLM , by his/her attorney, and states as follows: 1. Appellant's PA oator's number or automobile registration number is: per 2. PennDOT proposes, by Notice dated (insert"mailing"date here) / �7 ,201,to suspend Appellant's 0driving privileges automobile registration for a period of(Insert length of suspension) pursuant to Section of the Vehicle Code,which suspension is to be effective (Insert suspension effective date) /6 ..r ,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. 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:) fit# 1 -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:) WHEREFORE,Appellant respectfully requests this Honorable Court to sustain the appeal from the suspension of operating privileges or automobile registration. Respectfully submitted, Sig�nn er LAQUITA CHISOLM (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: LAQUITA CHIS M Address: 329 APT B N. 17TH STREET City/State/Zip Code: CAMP HILL, PA 17011 Telephone Number: 717-379-0998 Email address: @ 2 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNSYLVANIA LAQUITA CHISOLM 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 /D °- al , 20 13 , 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: �U a , 20 f Signature: Type your Name: LAQUITA CHISOLM Address: 329 APT B N. 17TH STREET City/State/Zip Code: CAMPHILL, PA 17011 Telephone: 717-379-0998 **This form must be completely filled out and filed in the Prothonotary's office promptly after mailing the documents to PennDOT** R IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA LAQUITA CHISOLM No /3 — � Iq4y 6 c , L (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 R " day of (Qh�_, 2043 , a hearing is scheduled on the appeal of Petitioner for the day of , 20.1�y at __9: WA. M in Courtroom #I of the Cumberland County Courthouse, One Courthouse Square, 4`h 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, l Judge Is t W -R CD n� • �iy1 •yam ..��r \1� VJy rl BCD G/�.rItiJL7.L� C -7- 'r. LAQUITA CHISOLM, IN THE COURT OF COMMON PLEAS OF PETITIONER CUMBERLAND COUNTY, PENNSYLVANIA V. COMMONWEALTH OF PA DEPT. OF TRANSPORTATION BUREAU OF DRIVER LICENSING, 13-6148 CIVIL IN RE: CHANGE OF HEARING DATE ORDER OF COURT AND NOW, this 5t" day of February, 2014, the Court now having a conflict with the hearing date of May 30, 2014, IT IS HEREBY ORDERED AND DIRECTED that the hearing will now be held on Monday, June 2, 2014, at 9:30 a.m. in Courtroom No. 2 of the Cumberland County Courthouse, Carlisle, Pennsylvania. By the Court, M. L. Ebert, Jr., J. Laquita Chisolm Pro Se Petitioner Philip Bricknell, Esquire Attorney for PennDot 4 ` --O ZZ --� f=ib -n bas ' rn ch -- ,v w<.