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Docketing Statement (Civil) - Texas

Docketing Statement (Civil) Form. This is a Texas form and can be used in General District Court Of Appeals Appellate Courts .
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Appellate Docket Number: Appellate Case Style: Vs. Companion Case No.: Amended/corrected statement: DOCKETING STATEMENT (Civil) Appellate Court: (to be filed in the court of appeals upon perfection of appeal under TRAP 32) I. Appellant Person Organization (choose one) II. Appellant Attorney(s) Lead Attorney First Name: First Name: Middle Name: Last Name: Suffix: Pro Se: Middle Name: Last Name: Suffix: Law Firm Name: Address 1: Address 2: City: State: Texas Zip+4: ext. Telephone: Fax: Email: SBN: III. Appellee Person Organization (choose one) IV. Appellee Attorney(s) Lead Attorney First Name: First Name: Middle Name: Last Name: Suffix: Pro Se: Middle Name: Last Name: Suffix: Law Firm Name: Address 1: Address 2: City: State: Fax: Email: SBN: Page of Texas Zip+4: ext. Telephone: American LegalNet, Inc. www.FormsWorkFlow.com V. Perfection Of Appeal And Jurisdiction Nature of Case (Subject matter or type of case): Date order or judgment signed: Date notice of appeal filed in trial court: If mailed to the trial court clerk, also give the date mailed: Interlocutory appeal of appealable order: Yes No If yes, please specify statutory or other basis on which interlocutory order is appealable (See TRAP 28): Accelerated appeal (See TRAP 28): Yes No Type of judgment: If yes, please specify statutory or other basis on which appeal is accelerated: Parental Termination or Child Protection? (See TRAP 28.4): Permissive? (See TRAP 28.3): Yes No Yes No If yes, please specify statutory or other basis for such status: Agreed? (See TRAP 28.2): Yes No If yes, please specify statutory or other basis for such status: Appeal should receive precedence, preference, or priority under statute or rule: If yes, please specify statutory or other basis for such status: Does this case involve an amount under $100,000? Judgment or order disposes of all parties and issues: Appeal from final judgment: Yes Yes Yes No No No Yes No Yes No Does the appeal involve the constitutionality or the validity of a statute, rule, or ordinance? VI. Actions Extending Time To Perfect Appeal Motion for New Trial: Motion to Modify Judgment: Request for Findings of Fact and Conclusions of Law: Motion to Reinstate: Motion under TRCP 306a: Other: If other, please specify: Yes Yes Yes Yes Yes Yes No No No No No No If yes, date filed: If yes, date filed: If yes, date filed: If yes, date filed: If yes, date filed: VII. Indigency Of Party: (Attach file-stamped copy of affidavit, and extension motion if filed.) Affidavit filed in trial court: Contest filed in trial court: Date ruling on contest due: Ruling on contest: Sustained Overruled Date of ruling: Page of Yes Yes No No If yes, date filed: If yes, date filed: American LegalNet, Inc. www.FormsWorkFlow.com VIII. Bankruptcy Has any party to the court's judgment filed for protection in bankruptcy which might affect this appeal? If yes, please attach a copy of the petition. Yes No Date bankruptcy filed: Bankruptcy Case Number: IX. Trial Court And Record Court: County: Trial Court Docket Number (Cause No.): Clerk's Record: Trial Court Clerk: District County Yes No Was clerk's record requested? If yes, date requested: Trial Judge (who tried or disposed of case): First Name: Middle Name: Last Name: Suffix: Address 1: Address 2 : City: State: Texas Zip + 4: ext. If no, date it will be requested: Were payment arrangements made with clerk? Yes No (Note: No request required under TRAP 34.5(a),(b)) Telephone: Fax: Email: Reporter's or Recorder's Record: Is there a reporter's record? Was reporter's record requested? Yes Yes No No Yes No Was there a reporter's record electronically recorded? If yes, date requested: If no, date it will be requested: Were payment arrangements made with the court reporter/court recorder? Yes No Page of American LegalNet, Inc. www.FormsWorkFlow.com Court Reporter Official Court Recorder Substitute First Name: Middle Name: Last Name: Suffix: Address 1: Address 2: City: State: Texas Zip + 4: ext. dd Another Report Telephone: Fax: Email: X. Supersedeas Bond Supersedeas bond filed: Will file: Yes No Yes No If yes, date filed: XI. Extraordinary Relief Will you request extraordinary relief (e.g. temporary or ancillary relief) from this Court? If yes, briefly state the basis for your request: Yes No XII. Alternative Dispute Resolution/Mediation (Complete section if filing in the 1st, 2nd, 4th, 5th, 6th, 8th, 9th, 10th, 11th, 12th, 13th, or 14th Court of Appeal) Should this appeal be referred to mediation? If no, please specify: Has the case been through an ADR procedure? If yes, who was the mediator? What type of ADR procedure? At what stage did the case go through ADR? If other, please specify: Type of case? Give a brief description of the issue to be raised on appeal, the relief sought, and the applicable standard for review, if known (without prejudice to the right to raise additional issues or request additional relief): Pre-Trial Post-Trial Other Yes No Yes No How was the case disposed of? Summary of relief granted, including amount of money judgment, and if any, damages awarded. If money judgment, what was the amount? Actual damages: Punitive (or similar) damages: Att 'f (t i l) Page of American LegalNet, Inc. www.FormsWorkFlow.com Attorney's fees (trial): Attorney's fees (appellate): Other: If other, please specify: Will you challenge this Court's jurisdiction? Yes No Yes No Does judgment have language that one or more parties "take nothing"? Does judgment have a Mother Hubbard clause? Yes No Other basis for finality? Rate the complexity of the case (use 1 for least and 5 for most complex): 1 2 3 Yes 4 5 No Please make my answer to the preceding questions known to other parties in this case. Can the parties agree on an appellate mediator? Yes No If yes, please give name, address, telephone, fax and email address: Name Address Telephone Fax Email Languages other than English in which the mediator should be proficient: Name of person filing out mediation section of docketing statement: XIII. Related Matters List any pending or past related appeals before this or any other Texas appellate court by court, docket number, and style. Docket Number: Style: Vs. Trial Court: Page of American LegalNet, Inc. www.FormsWorkFlow.com XIV. Pro Bono Program: (Complete section if filing in the 1st, 3rd, 5th, or 14th Courts of Appeals) The Courts of Appeals listed above, in conjunction with the State Bar of Texas Appellate Section Pro Bono Committee and local Bar Associations, are conduc
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