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IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA™
CIVIL ACTION - LAW
Erica Nenger
VS. No 24-01844 © 1
COMMONWEALTH OF PENNSYLVANIA.
DEPARTMENT OF TRANSPORTATION,
BUREAU OF DRIVER LICENSING
APPEAL FROM THE SUSPENSION OF OPERATING PRIVILEGES
TO THE HONORABLE, THE JUDGES OF SAID COURT.
AND NOW comes Petitioner, EI Qa eager who, respectfully
avers as follows
1 Petitioner, Evica, \enacy resides at ] wader & Chris ON A
(Your Name) (Your Complete
Mailing Address)
~a ] 15{ 4 Petitioner’s Pennsylvania Operator’s Number is ] | S| L Hf
2. PennDOT proposes by Notice dated 2 L| 207.4 _ to suspend
Petitioner’s driving privileges for a period of (days) (months) aL year(s).
pursuant to Section! 049 of the Vehicle Code, effective 02 2A | 1024
5 The withdrawal and suspension of Petitioner’s operating privileges is unlawful
for the following reasons: [ dudn4 Kano My licence, Was
suspended ihn 7. enabling
shyla Hr
AOD CASK
CSHC
RING
24-01844
WHEREFORE, Petitioner respectfully requests that this Honorable Court allow him/her
to take an appeal from the suspension of his operating privileges.
Respectfully Submitted,
>
Name: Er/Ca’ ¥ er
Address: 7 Water +
ChreBhanw You V1S0F
Phone Number: Ul tO A294
awa 312 2¢/
t t
CSHC
OL —
NAME —
WW
A ——
COMMONWEALTH OF PEN LVANIA
24-01844
DEPARTMENT OF TRANSPORTATION
Bureau of Driver Licensing
252.
Mail Date: FEBRUARY 23, 2024
ERICA N
7 WATER
YEAGER
ST Hy WID # 240479283219812 O01
PROCESSING DATE
DRIVER
O2/1b/2024
LICENSE # 27351334
CHRISTIANA PA 17509 DATE OF BIRTH 04/23/1985
SUS6 |
Dear MS. YEAGER: =fe -
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 02/14/2024 conviction of
violating Section 1543A of the Vehicle Code DRIVING WHILE
SUSP/REVOKE on 10/16/2023:
Your driving privilege is SUSPENDED for a period of 1
YEAR(S) effective 03/29/2024 at 12:01 a.m.
Before PennDOT can restore your driving privilege, you must
follow the instructions in this letter for COMPLYING WITH
THIS SUSPENSION, PAYING THE RESTORATION FEE and PROVIDING
PROOF OF INSURANCE. You should follow ALL instructions very
carefully. Even if you have served all the time on the
suspension/revocation, we cannot restore your driving
privilege until all the requirements are satisfied.
c PLYING TART NSTI
You must return all current Pennsylvania driver's licenses,
learner's permits, temporary driver's licenses (camera
cards)_in your possession by 03/29/2024. SURRENDERING THESE
ITEMS PRIOR TO THIS DATE WILL NOT START YOUR SUSPENSION
EARLY. You may not drive after these items are surrendered.
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. You must
present two (2) forms of proper identification (e.g., birth
certificate, valid U.S. Passport, marriage certificate,
etc.) to obtain your photo identification card. For
additional information relating to fees, visit
www.dmv.pa.gov.
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
24-01844
240479283219812 ory,
you do not have any. of these items, send a sworn
notarized letter statingyyou are aware of the suspension
of your driving privilege. You must specify in your
letter why you are unable” to return your driver's
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.
68693 Box
Harrisburg, PA 17106-8693
Upon receipt, review and acceptance of your Pennsylvania
driver's license(s), learner's permit(s), and/or a sworn
notarized letter, PennDOT will send you a receipt. If
you do not receive a receipt within three (3) weeks,
Please contact our office. 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.
PAYING THE RESTORATION FEE
You must pay a restoration fee to PennDOT to be restored
from a suspension/revocation of your driving privilege. To
pay the applicable restoration Paymentfee, can be made at
anytime online at www.dmv.pa.gov or mailed to the address
listed below. Please include your driver's license number
on your check, money order or correspondence.
Pennsylvania Department of Transportation
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
The Restoration Fee
is based on the Consumer Price Index and
subject to change. For the current restoration fee amount
due, please visit PennDOT's website at www.dmv.pa.gov to
obtain a copy of your restoration requirements letter. If
you do not have internet access, please call PennDOT's
Customer Care Center at 1-717-412-5300 to request a copy of
your restoration requirements letter.
Please note: Paying the restoration fee DOES NOT satisfy
the requirement to acknowledge your suspension/revocation.
24-01846
240479283219812
ROVIDING PROOF OF INSURANC
Within the last 30 days of your suspension/revocation, we
will send you a letter asking that you provide proof of
imsurance at that time. This letter will list acceptable
documents and what will be needed if you do not own a vehicle
registered in Pennsylvania.
TMPORTANT: 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, FEBRUARY 23, 2024, 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
Remember, this is an OFFICIAL NOTICE OF SUSPENSION. You
must return all current Pennsylvania driver license products
to PennDOT by 03/29/2024.
Sincerely,
Dirclacl CMa
Diosdado Arroyo, Director
Bureau of Driver Licensing
SEND FEE/LICENSE/DL-16LC/TO: ricopuaeiii (8:00 AM TO 5:00 PM)
Department of Transportation 717-412-5300
Bureau of Driver Licensing
P.O. Box 68693
Harrisburg, PA 17106-8693
IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA
COURT ADMINISTRATION OFFICE SCHEDULING COVER SHEET (CAOSCS)
IN ORDER TO BE PROCESSED ALL REQUESTED INFORMATION MUST BE COMPLEXED
PLEASE TYPE OR PRINT LEGIBLY
ORIGINAL CAPTION
9
=e
ay
EY IC Oo HANGE OF ADDRESS
cage { DOCKET NO. Cl- 2 4 @ 4 8 4 &
DEFENDANT C) CHANGE OF ADDRESS
i at +70 nSPAtanmM
Vey sylvama Deparme
NAME, ADDRESS AND TELEPHONE NUMBER OF ATTORNEYS/PRO SE
PLAINTIFF 0 CHANGE OF ADDRESS. DEFENDANT © CHANGE OF ADDRESS
Check one
CIVIL O FAMILY O DOMESTIC RELATIONS (SEE INSTRUCTIONS ON BACK OF FORM)
Name of person submitting CAOSCS:
SECTION A EVENT INFORMATION
C Hearing type: CO Conference type: Length of time
SECTION B: SCHEDULING INFORMATION (Select one option below)
OC REQUEST TO SCHEDULE AN EVENT: Family Business Court pick-up date if applicable:
Date: Time: Place: judge/CCO/DM:
O REQUEST FOR CHANGE OF A SCHEDULED EVENT:
Continuance Cancellation Opposing counsel/Parties Is IS NOT in agreement
Presently scheduled for: Date: Time: Place Judge/CCO/DM
Continued to: Date Time: Place Judge/CCO/DM
Reason:
Special instructions for rescheduling event:
OC REQUEST TO SCHEDULE A CONTINUATION AFTER START OF HEARING
Date Started: Time: Place Judge/CCO/DM:
Continuation scheduled for: Date: Time: Place Judge/CCO/DM
SECTION C: COURT USE ONLY
Approved by Judge Date
For Court Administration Use Only
© Report Enter/Deleted on CCSC co CDAEVNT © Scheduled in BANNER © Letters Sent
(if a continuation, this must be indicated on CCSC) Initials/Date
Updated 06/14/11
CSHC
IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA.
CIVIL ACTION - LAW
Evia \eaaer
VS. wo 2H- 01844
COMMONWEALTH OF PENNSYLVANIA,
DEPARTMENT OF TRANSPORTATION,
BUREAU OF DRIVER LICENSING
SCHEDULING ORDER
AND NOW, this day of » 20. , upon presentation of the within
Petition, a hearing is scheduled for , 20. at o'clock m.,
in Courtroom No. of the Lancaster County Courthouse, Lancaster, Pennsylvania.
BY THE COURT:
CSHC
24-01844
CERTIFICATE OF COMPLIANCE
pocket noM\- 92102-TR- po02 23%- Lol
I certify that this filing complies with the provisions of the Case Records Public
Access Policy of the Unified Judicial System of Pennsylvania that requires filing
confidential information and documents differently than non-confidential information
and documents.
Submitted by: Erica. \Yeag er
Signature: YOILA
‘Name:
/
Attorney No. (if applicable):
IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA
PROTHONOTARY
CIVIL COVER SHEET
PLEASE LIST NAMES AND ADDRESSES OF ADDITIONAL PARTIES ON A SEPARATE SHEET.
ALL PARTY INFORMATION IS REQUIRED INCLUDING ZIP CODES. ALL PARTY INFORMATION MUST MATCH THE PLEADING. PLEASE
DO NOT STAPLE THE COVER SHEET TO THE PLEADING. IF AN EVENT NEEDS TO BE SCHEDULED, A CAO SCHEDULING COVER
SHEET MUST ALSO BI TTACHED.
ono |
For Prothonotary Use Only:
TYPE OF ACTION:
DOCKET No: Cl -
PARTY INFORMATION
4h
nannersreQpartmet
Of antparat exons eC. "Teed
ADDRESS: ADDRESS:
If confidential,
oe" £0 .yx WIP Twoter
St Br
municipauty: LAV S PUA MUNICIPALITY: Mr Shank
TWP/BOROUGH TWP/BOROUGH
DOB: TELEPHONE # | / UZ DOB: Za
(mm/dd/yyyy) (ass sHHEEHE IEEE (HHAHAHHHH)
ILING ATTORNEY / FILING PARTY INFORMATION
FIRM/OFFICE
FILING ATTORNEY/PARTY. AOPC: (Attorney ID) #:
ADDRESS: CITY STATE ZIP CODE
TELEPHONE #: EMAIL:
(HHHHHHHHHE)
TAX LIEN INFORMATION
MUNICIPALITY: MAP REFERENCE
DEED BOOK DEED PAGE: DEED DATE
SALE PRICE. TAX YEAR: TAX LIEN AMOUNT:
PROPERTY DESCRIPTION
FA/SVPO/PFI INFORMATIO!
HEARING DATE SOCIAL SECURITY #: (Defendant — Last 4 digits)
POLICE DEPARTMENT:
PREVIOUS PETITIONS: ves] noO] If ‘YES’, File Date
Page 1
=
‘Supreme Court of Pennsylvania
Teen:
Court of Common Pleas
For Prothonotary Use Only:
Lan ast
vil: Cover S. eet
Docket No:
County
a
24-01844
The information collected on this form is used solely for court administration purposes. This form does not
supplement or replace the filing and service of pleadings or other papers as required by law or rules offéourt.
Commencement of Action:
O Complaint O Writ of Summons O Petition & Notice of Appeal
O Transfer from Another Jurisdiction O Declaration of Taking
Evita Yeogor
Lead Defendant’s Name:
ot franspoctahon
Plaintiff's Name:
4ment
C. partmen
Check here if you are a Self-Represented (Pro Se) Litigant _
Name of Plaintiff/Appellant’s Attorney
O Yes GKNo
Dollar Amount Requested within arbitration limits
Are money damages requested? (Check one) outside arbitration limits
Is this a Class Action Suit? O Yes A No
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 Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS
CO Intentional Buyer Plaintiff Administrative Agencies
O Malicious Prosecution O Debt Collection: Credit Card O Board of Assessment
Motor Vehicle O Debt Collection: Other O Board of Elections
O Nuisance (4. Dept. of Transportation
CO Premises Liability O Zoning Board
O Product Liability (does not include O Statutory Appeal: Other
O Employment Dispute:
mass tort)
Discrimination
OO Slander/Libel/ Defamation
O Employment Dispute: Other
O Other:
Judicial Appeals
O MD) - Landlord/Tenant
O MDJ - Money Judgment
O Other:
O Other:
MASS TORT
O Asbestos
O Tobacco
O Toxic Tort - DES
0 Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS
O Toxic Waste O Ejectment O Common Law/Statutory Arbitration
O Other: O Eminent Domain/Condemnation O Declaratory Judgment
O Ground Rent O Mandamus
O Landlord/Tenant Dispute O Non-Domestic Relations
O Mortgage Foreclosure Restraining Order
PROFESSIONAL LIABLITY O Partition OG Quo Warranto
O Dental O Quiet Title O Replevin
O Legal
O Medical O Other: O Other:
O Other Professional:
Pa.R.C.P. 205.5 2/2010
Preview
5 > IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA™ CIVIL ACTION - LAW Erica Nenger VS. No 24-01844 © 1 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING APPEAL FROM THE SUSPENSION OF OPERATING PRIVILEGES TO THE HONORABLE, THE JUDGES OF SAID COURT. AND NOW comes Petitioner, EI Qa eager who, respectfully avers as follows 1 Petitioner, Evica, \enacy resides at ] wader & Chris ON A (Your Name) (Your Complete Mailing Address) ~a ] 15{ 4 Petitioner’s Pennsylvania Operator’s Number is ] | S| L Hf 2. PennDOT proposes by Notice dated 2 L| 207.4 _ to suspend Petitioner’s driving privileges for a period of (days) (months) aL year(s). pursuant to Section! 049 of the Vehicle Code, effective 02 2A | 1024 5 The withdrawal and suspension of Petitioner’s operating privileges is unlawful for the following reasons: [ dudn4 Kano My licence, Was suspended ihn 7. enabling shyla Hr AOD CASK CSHC RING 24-01844 WHEREFORE, Petitioner respectfully requests that this Honorable Court allow him/her to take an appeal from the suspension of his operating privileges. Respectfully Submitted, > Name: Er/Ca’ ¥ er Address: 7 Water + ChreBhanw You V1S0F Phone Number: Ul tO A294 awa 312 2¢/ t t CSHC OL — NAME — WW A —— COMMONWEALTH OF PEN LVANIA 24-01844 DEPARTMENT OF TRANSPORTATION Bureau of Driver Licensing 252. Mail Date: FEBRUARY 23, 2024 ERICA N 7 WATER YEAGER ST Hy WID # 240479283219812 O01 PROCESSING DATE DRIVER O2/1b/2024 LICENSE # 27351334 CHRISTIANA PA 17509 DATE OF BIRTH 04/23/1985 SUS6 | Dear MS. YEAGER: =fe - 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 02/14/2024 conviction of violating Section 1543A of the Vehicle Code DRIVING WHILE SUSP/REVOKE on 10/16/2023: Your driving privilege is SUSPENDED for a period of 1 YEAR(S) effective 03/29/2024 at 12:01 a.m. Before PennDOT can restore your driving privilege, you must follow the instructions in this letter for COMPLYING WITH THIS SUSPENSION, PAYING THE RESTORATION FEE and PROVIDING PROOF OF INSURANCE. You should follow ALL instructions very carefully. Even if you have served all the time on the suspension/revocation, we cannot restore your driving privilege until all the requirements are satisfied. c PLYING TART NSTI You must return all current Pennsylvania driver's licenses, learner's permits, temporary driver's licenses (camera cards)_in your possession by 03/29/2024. SURRENDERING THESE ITEMS PRIOR TO THIS DATE WILL NOT START YOUR SUSPENSION EARLY. You may not drive after these items are surrendered. 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. You must present two (2) forms of proper identification (e.g., birth certificate, valid U.S. Passport, marriage certificate, etc.) to obtain your photo identification card. For additional information relating to fees, visit www.dmv.pa.gov. 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 24-01844 240479283219812 ory, you do not have any. of these items, send a sworn notarized letter statingyyou are aware of the suspension of your driving privilege. You must specify in your letter why you are unable” to return your driver's 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. 68693 Box Harrisburg, PA 17106-8693 Upon receipt, review and acceptance of your Pennsylvania driver's license(s), learner's permit(s), and/or a sworn notarized letter, PennDOT will send you a receipt. If you do not receive a receipt within three (3) weeks, Please contact our office. 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. PAYING THE RESTORATION FEE You must pay a restoration fee to PennDOT to be restored from a suspension/revocation of your driving privilege. To pay the applicable restoration Paymentfee, can be made at anytime online at www.dmv.pa.gov or mailed to the address listed below. Please include your driver's license number on your check, money order or correspondence. Pennsylvania Department of Transportation Bureau of Driver Licensing P.O. Box 68693 Harrisburg, PA 17106-8693 The Restoration Fee is based on the Consumer Price Index and subject to change. For the current restoration fee amount due, please visit PennDOT's website at www.dmv.pa.gov to obtain a copy of your restoration requirements letter. If you do not have internet access, please call PennDOT's Customer Care Center at 1-717-412-5300 to request a copy of your restoration requirements letter. Please note: Paying the restoration fee DOES NOT satisfy the requirement to acknowledge your suspension/revocation. 24-01846 240479283219812 ROVIDING PROOF OF INSURANC Within the last 30 days of your suspension/revocation, we will send you a letter asking that you provide proof of imsurance at that time. This letter will list acceptable documents and what will be needed if you do not own a vehicle registered in Pennsylvania. TMPORTANT: 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, FEBRUARY 23, 2024, 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 Remember, this is an OFFICIAL NOTICE OF SUSPENSION. You must return all current Pennsylvania driver license products to PennDOT by 03/29/2024. Sincerely, Dirclacl CMa Diosdado Arroyo, Director Bureau of Driver Licensing SEND FEE/LICENSE/DL-16LC/TO: ricopuaeiii (8:00 AM TO 5:00 PM) Department of Transportation 717-412-5300 Bureau of Driver Licensing P.O. Box 68693 Harrisburg, PA 17106-8693 IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA COURT ADMINISTRATION OFFICE SCHEDULING COVER SHEET (CAOSCS) IN ORDER TO BE PROCESSED ALL REQUESTED INFORMATION MUST BE COMPLEXED PLEASE TYPE OR PRINT LEGIBLY ORIGINAL CAPTION 9 =e ay EY IC Oo HANGE OF ADDRESS cage { DOCKET NO. Cl- 2 4 @ 4 8 4 & DEFENDANT C) CHANGE OF ADDRESS i at +70 nSPAtanmM Vey sylvama Deparme NAME, ADDRESS AND TELEPHONE NUMBER OF ATTORNEYS/PRO SE PLAINTIFF 0 CHANGE OF ADDRESS. DEFENDANT © CHANGE OF ADDRESS Check one CIVIL O FAMILY O DOMESTIC RELATIONS (SEE INSTRUCTIONS ON BACK OF FORM) Name of person submitting CAOSCS: SECTION A EVENT INFORMATION C Hearing type: CO Conference type: Length of time SECTION B: SCHEDULING INFORMATION (Select one option below) OC REQUEST TO SCHEDULE AN EVENT: Family Business Court pick-up date if applicable: Date: Time: Place: judge/CCO/DM: O REQUEST FOR CHANGE OF A SCHEDULED EVENT: Continuance Cancellation Opposing counsel/Parties Is IS NOT in agreement Presently scheduled for: Date: Time: Place Judge/CCO/DM Continued to: Date Time: Place Judge/CCO/DM Reason: Special instructions for rescheduling event: OC REQUEST TO SCHEDULE A CONTINUATION AFTER START OF HEARING Date Started: Time: Place Judge/CCO/DM: Continuation scheduled for: Date: Time: Place Judge/CCO/DM SECTION C: COURT USE ONLY Approved by Judge Date For Court Administration Use Only © Report Enter/Deleted on CCSC co CDAEVNT © Scheduled in BANNER © Letters Sent (if a continuation, this must be indicated on CCSC) Initials/Date Updated 06/14/11 CSHC IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA. CIVIL ACTION - LAW Evia \eaaer VS. wo 2H- 01844 COMMONWEALTH OF PENNSYLVANIA, DEPARTMENT OF TRANSPORTATION, BUREAU OF DRIVER LICENSING SCHEDULING ORDER AND NOW, this day of » 20. , upon presentation of the within Petition, a hearing is scheduled for , 20. at o'clock m., in Courtroom No. of the Lancaster County Courthouse, Lancaster, Pennsylvania. BY THE COURT: CSHC 24-01844 CERTIFICATE OF COMPLIANCE pocket noM\- 92102-TR- po02 23%- Lol I certify that this filing complies with the provisions of the Case Records Public Access Policy of the Unified Judicial System of Pennsylvania that requires filing confidential information and documents differently than non-confidential information and documents. Submitted by: Erica. \Yeag er Signature: YOILA ‘Name: / Attorney No. (if applicable): IN THE COURT OF COMMON PLEAS OF LANCASTER COUNTY, PENNSYLVANIA PROTHONOTARY CIVIL COVER SHEET PLEASE LIST NAMES AND ADDRESSES OF ADDITIONAL PARTIES ON A SEPARATE SHEET. ALL PARTY INFORMATION IS REQUIRED INCLUDING ZIP CODES. ALL PARTY INFORMATION MUST MATCH THE PLEADING. PLEASE DO NOT STAPLE THE COVER SHEET TO THE PLEADING. IF AN EVENT NEEDS TO BE SCHEDULED, A CAO SCHEDULING COVER SHEET MUST ALSO BI TTACHED. ono | For Prothonotary Use Only: TYPE OF ACTION: DOCKET No: Cl - PARTY INFORMATION 4h nannersreQpartmet Of antparat exons eC. "Teed ADDRESS: ADDRESS: If confidential, oe" £0 .yx WIP Twoter St Br municipauty: LAV S PUA MUNICIPALITY: Mr Shank TWP/BOROUGH TWP/BOROUGH DOB: TELEPHONE # | / UZ DOB: Za (mm/dd/yyyy) (ass sHHEEHE IEEE (HHAHAHHHH) ILING ATTORNEY / FILING PARTY INFORMATION FIRM/OFFICE FILING ATTORNEY/PARTY. AOPC: (Attorney ID) #: ADDRESS: CITY STATE ZIP CODE TELEPHONE #: EMAIL: (HHHHHHHHHE) TAX LIEN INFORMATION MUNICIPALITY: MAP REFERENCE DEED BOOK DEED PAGE: DEED DATE SALE PRICE. TAX YEAR: TAX LIEN AMOUNT: PROPERTY DESCRIPTION FA/SVPO/PFI INFORMATIO! HEARING DATE SOCIAL SECURITY #: (Defendant — Last 4 digits) POLICE DEPARTMENT: PREVIOUS PETITIONS: ves] noO] If ‘YES’, File Date Page 1 = ‘Supreme Court of Pennsylvania Teen: Court of Common Pleas For Prothonotary Use Only: Lan ast vil: Cover S. eet Docket No: County a 24-01844 The information collected on this form is used solely for court administration purposes. This form does not supplement or replace the filing and service of pleadings or other papers as required by law or rules offéourt. Commencement of Action: O Complaint O Writ of Summons O Petition & Notice of Appeal O Transfer from Another Jurisdiction O Declaration of Taking Evita Yeogor Lead Defendant’s Name: ot franspoctahon Plaintiff's Name: 4ment C. partmen Check here if you are a Self-Represented (Pro Se) Litigant _ Name of Plaintiff/Appellant’s Attorney O Yes GKNo Dollar Amount Requested within arbitration limits Are money damages requested? (Check one) outside arbitration limits Is this a Class Action Suit? O Yes A No 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 Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS CO Intentional Buyer Plaintiff Administrative Agencies O Malicious Prosecution O Debt Collection: Credit Card O Board of Assessment Motor Vehicle O Debt Collection: Other O Board of Elections O Nuisance (4. Dept. of Transportation CO Premises Liability O Zoning Board O Product Liability (does not include O Statutory Appeal: Other O Employment Dispute: mass tort) Discrimination OO Slander/Libel/ Defamation O Employment Dispute: Other O Other: Judicial Appeals O MD) - Landlord/Tenant O MDJ - Money Judgment O Other: O Other: MASS TORT O Asbestos O Tobacco O Toxic Tort - DES 0 Toxic Tort - Implant REAL PROPERTY MISCELLANEOUS O Toxic Waste O Ejectment O Common Law/Statutory Arbitration O Other: O Eminent Domain/Condemnation O Declaratory Judgment O Ground Rent O Mandamus O Landlord/Tenant Dispute O Non-Domestic Relations O Mortgage Foreclosure Restraining Order PROFESSIONAL LIABLITY O Partition OG Quo Warranto O Dental O Quiet Title O Replevin O Legal O Medical O Other: O Other: O Other Professional: Pa.R.C.P. 205.5 2/2010