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PIERCE COUNTY DISTRICT COURT TACOMA, PIERCE COUNTY, WASHINGTON ) ) Plaintiff, ) NO. ______________________________ ) vs. ) NOTICE OF APPEAL TO SUPERIOR COURT ) AND CERTIFICATION OF FILING STATUS _____________________________________ ) ) Defendant. ) ________________________________________________________________________________________________________ 1. 2. Appellant __________________________________________ plaintiff/defendant seeks review by Pierce County Superior Court of the Pierce County District Court decision dated _____________________ on the above case. Appellant requests the following decisions be reviewed (RALJ 2.6): __________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Within 14 days the appellant shall file with Pierce County District Court and serve on all other parties a designation of the part of the record that needs to be transmitted to the Superior Court. Pierce County District Court shall prepare the record within 14 days after the designation is filed and shall notify each party that the record was transmitted. Appellant shall transcribe the record of proceedings in accordance with RALJ 6.3.1 and shall file the transcript of the record with the Superior Court Clerk. The appeal is designated as: A criminal appeal for which no filing fee is required to be paid to District Court. (RCW 10.10.060) Preparation fee of $40.00 must be paid at the filing of the Notice of Appeal. Charges/Description: _______________________________________________________________________ ____ ____ A civil, infraction, parking or contempt appeal for which a filing fee must be paid before the Notice of Appeal will be accepted for filing (RALJ 2.4(b)). Fees of $290.00 must be paid at the filing of the Notice of Appeal. A civil, infraction or parking appeal for which an In Forma Pauperis Petition has been granted and filing fee is waived. (RCW 36.18.022) _____________________________________ 3. 4. 5. ____ Dated: ______________________________ ______________________________ Signature ______________________________ ______________________________ ______________________________ Name,Address,Bar #/Atty for Appellant ______________________________ Signature _______________________________ _______________________________ _______________________________ Name/Address of Appellant ______________________________ Signature _______________________________ _______________________________ _______________________________ Name/Address of Respondent Bar#/Atty for Respondent F:\civil\appeal\civilnotice of appeal revised 1109.doc American LegalNet, Inc. www.FormsWorkFlow.com