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Supreme Court>ofPennsylvania
Court of CommonTleas
Civil Cover Sheet
CcA rAloe— \ a \ a `' County
For Prothonotary Use Only:
Docket No:
The information collected on this form Is used solely fbr court administration purposes. This 'Orin does not
supplement or replace the filing and service of pleadings or other papers cis required bv law or Titles Of court.
Commencement of Action:
❑ Complaint 0 Writ of Summons ❑ Petition
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Lead Plaintiff's Name:
chm\ V P Cas,L
Lead Defendant's Name:
Pe A r b
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Updated 1/1/2011
Phillip Fassl
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
No. (40
(Type your name)
Vs. Driver's License/Auto Registration App.9-1
Commonwealth of Pennsylvania
Department of Transportation r -
Bureau of Drivers Licensing
(17
APPEAL OF DRIVER'S LICENSE/AUTO REGISTRATION SUSPENSION
AND NOW, this (enter today's date) September 12
i2014, comes the Appellant, (Type your name)
Phillip Pass! , by his/her attorney, and states as follows:
1. Appellant's PA operator's number or automobile registration number is:
25266741
2. PennDOT proposes, by Notice dated (insert "mailing" date here) September 5 , 20 14 , to suspend
Appellant's
one year
driving privileges E automobile registration for a period of (Insert length of suspension)
pursuant to Section 1543A of the Vehicle Code, which
suspension is to be effective (Insert suspension effective date) September 5 , 2014
****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)
P
The police lacked reasonable grounds to stop Appellant and / or request Appellant to submit to a chemical
test.
riAppellant did not knowingly or intelligently refuse a chemical test;
E. 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).
,171
Other (Specify reason:)
Appellant did not knowingly or intelligently know that his license was suspended while operating a vehicle.
-7.5 pit .11plod
Iat4 3 M0,9
-OR -
The suspension ofofAppellant's automobile registration is contrary to Iaw in that:
My failure to have insurance was for a period of less than 31 days AND 1 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 reason:)
WHEREFORE, Appellant respectfullyrequeststhisHonoreb|eCourttosustaintheappea|fromthesuspension
of operating privileges or automobile registration.
lly submitted
Phillip Fassl
(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 knowledgeinformation and beliefThe 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: Phillip Fass
Address: 55 Pine St
City / State / Zip Code: Carlisle, RA17O13
Telephone Number: 717433-0881
Email address: Pfassl yahoo.com
2
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
Mail Date: SEPTEMBER 05, 2014
PHILLIP J FASSL
55 PINE STREET
CARLISLE PA 17013
Dear MR. FASSL:
WID # 142419283596951 001
PROCESSING DATE 08/29/2014
DRIVER LICENSE it 25266741
DATE OF BIRTH 06/16/1980
This is an Official Notice of the Suspension of your Driving
Privilege as authorized by Section 1543 of the Pennsylvania
Vehicle Code. As a result of your 08/28/2014 conviction of
violating Section 1543A of the Vehicle Code DRIVING WHILE
SUSP/REVOKE on 08/14/2014:
Your driving privilege is SUSPENDED for a period of 1
YEAR(S) effective 09/05/2014 at 12:01 a.m.
This suspension is in addition to any other suspensions
already on your record.
COMPLYING WITH THIS SUSPENSION
PennDOT records indicate that your driving privilege is
currently suspended/revoked. You must return all current
Pennsylvania driver's licenses, learner's permits,
temporary driver's licenses (camera cards) in your
possession IMMEDIATELY.
YOU MAY NOT RETAIN YOUR DRIVER'S LICENSE FOR IDENTIFICATION
PURPOSES. However, you may apply for and obtain a photo
identification card at any Driver License Center for a cost
of $27.50. You must present two (2) forms of proper
identification (e.g., birth certificate, valid (J.S.
passport, marriage certificate, etc.) in order to obtain
your photo identification card.
You will not receive credit toward serving any suspension
until we receive your license(s). Complete the following
steps to acknowledge this suspension.
1. Return all current Pennsylvania driver's licenses,
learner's permits and/or camera cards to PennDOT. If
you do not have any of these items, send a sworn
notarized letter stating you are aware of the suspension
of your driving privilege. You must specify in your
letter why you are unable to return your driver's
142419283596951
license. Remember: You may not retain your driver's
license for identification purposes. Please send these
items to:
Pennsylvania Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
2. Upon receipt, review and acceptance of your Pennsylvania
driver's license(s), learner's permit(s), camera
card(s), and/or a sworn notarized letter, PennDOT will
send you a receipt confirming the date that credit
began. If you do not receive a receipt from us within
three (3) weeks, please contact our office. Otherwise,
you will not be given credit toward serving this
suspension. PennDOT phone numbers are listed at the end
of this letter.
3. If you do not return all current driver license
products, we must refer this matter to the Pennsylvania
State Police for prosecution under SECTION 1571(a)(4)
of the Pennsylvania Vehicle Code.
PROVIDING PROOF OF INSURANCE
Within the last 30 days of your suspension/revocation, we
will send you a letter asking that you provide proof of
insurance at that time. This letter will list acceptable
documents and what will be needed if you do not own a vehicle
registered in Pennsylvania.
IMPORTANT: Please make sure that PennDOT is notified if you
move from your current address. You may notify PennDOT of
your address change by calling any of the phone numbers
listed at the end of this letter.
APPEAL
You have the right to appeal this action to the Court of
Common Pleas (Civil. Division) within 30 days of the mail
date, SEPTEMBER 05, 2014, 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
your appeal to be valid, you must send this time -stamped
certified copy of the appeal by certified mail to:
Pennsylvania Department of Transportation
Office of Chief Counsel
1101 South Front Street
Third Floor, Riverfront Office Center
Harrisburg, PA 17104-2516
142419283596951
Remember, this is an OFFICIAL NOTICE OF SUSPENSION. You
must return all current Pennsylvania driver license products
to PennDOT IMMEDIATELY.
SEND FEE/LICENSE/DL-16LC/TO:
Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
Sincerely,
Kara N. Templeton, Director
Bureau of Driver Licensing
INFORMATION (8:00 AM TO 5:00 PM)
IN STATE 1-800-932-4600
OUT-OF-STATE 717-412-5300
TDD IN STATE 1-800-228-0676
TDD OUT-OF-STATE 717-412-5380
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
1i-cissl No. / S�3 �P &MA
(Print your name)
D
Vs. Driver's License/Auto Registration Appeal
Commonwealth of Pennsylvania
Department of Transportation
Bureau of Driver Licensing
AND NOW, this
ORDER SCHEDULING HEARING ON APPEAL
day of
on the appeal of Petitioner for the day of
, 20J. a hearing is scheduled
tsi2 20/4(at Lid 44m,
in Courtroom # 6 of the Cumberland County Courthouse, One Courthouse Square, 4"' 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, 3rd 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.
M�``
t Ic:c-L.
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,
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Tho cif A. riacey
Commonleas Judge
Judge
PHILLIP J. FASSL,
Petitioner
v.
COMMONWEALTH OF PENNSYLVANIA,
DEPARTMENT OF TRANSPORTATION,
BUREAU OF DRIVER LICENSING,
Respondent
ORDER
IN THE COURT OF COMMON
PLEAS OF CUMBERLAND
CUMBERLAND COUNTY
NO. 14-5656 CIVIL TERM
DRIVER LICENSE
SUSPENSION APPEAL
AND NOW, this 18th day of December, 2014, the appeal filed in the above -
captioned matter is:
Attest:
illip J. Fassl, 55 Pine Street, Carlisle, PA 17013
Philip M. Bricknell, Esq., PennDOT, Riverfront Office Center, Office of Chief Counsel,
3rd Floor, 1101 South Front Street, Harrisburg, PA 17104-2516
Co
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 this
appeal shall be REINSTATED.
CONTINUED and RESCHEDULED for the Zq day of
MAA , 2015, at `� °O .m., in Courtrooib
Room No. Zof the Cumberland County Courtho-,
y r -
n
rZEi
Carlisle, Pennsylvania.
BY T
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j.