IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ____________________ ) ) ) ) ) ) ) ) ) APPEAL CASE NO. CI ) ) MOTION AND AFFIDAVIT FOR STAY (DMV Appeal to Superior Court) [AS 28.15.166(n)] MOTION I request the court to stay the administrative revocation of my driver's license for the reasons stated in the affidavit below. AFFIDAVIT I state upon oath that there is a reasonable probability that: 1. I will prevail on appeal for the following reasons: Appellant (person bringing appeal) vs. STATE OF ALASKA DEPARTMENT OF ADMINISTRATION DIVISION OF MOTOR VEHICLES, Appellee. 2. For the following reasons, I will suffer irreparable harm if the revocation is not stayed: I state upon oath that I do do not operate a commercial motor vehicle. Appellant's Signature , Alaska Date Subscribed and sworn to or affirmed before me at on , 20____. (SEAL) I certify that on a copy of this motion was mailed personally delivered to (list names): By: AP-145 (3/01) (cs) MOTION AND AFFIDAVIT FOR STAY Notary Public, Clerk of Court, or other person authorized to administer oaths. My commission expires: AS 28.15.166(n) American LegalNet, Inc. www.USCourtForms.com