VIRGINIA: IN THE CIRCUIT COURT OF PRINCE WILLIAM COUNTY __________________________________ (Petitioner’s printed name) VS. CL NO. ______________ COMMONWEALTH OF VIRGINIA SERVE: D. B. SMIT, COMMISSIONER DEPARTMENT OF MOTOR VEHICLES 2300 WEST BROAD STREET RICHMOND, VIRGINIA 23269 SERVE: PAUL B. EBERT, ATTORNEY FOR THE COMMONWEALTH 9311 LEE AVENUE MANASSAS, VIRGINIA 20110 NOTICE AND MOTION FOR RESTORATION OF DRIVING PRIVILEGE TAKE NOTICE that on Friday, the ________ day of ____________________, 200__, at 9:00 a.m., the Petitioner, pro se, will appear before the Circuit Court of Prince William County and ask to be heard on the attached petition for restoration of driving privilege. I ASK FOR THIS: ________________________________________ (Petitioner’s signature) Address of Petitioner: _______________________________________________ _______________________________________________ _______________________________________________ Petitioner’s Phone Number: _________________________________ Revised 4/17/08 American LegalNet, Inc. www.FormsWorkflow.com