Indiana > Appellate > General
Appellants Case Summary (Appearance) - Indiana
| Appellants Case Summary (Appearance) Form. This is a Indiana form and can be used in General Appellate . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Form #App.R. 15-1 IN THE INDIANA [SUPREME COURT/ COURT OF APPEALS/TAX COURT] CAUSE NO. _____________________ NAME, [Appellant/Petitioner/ Plaintiff/Defendant,] v. NAME, [Appellee/Respondent/ Plaintiff/Defendant.] ) ) ) ) ) ) ) ) ) [Appeal or petition] from the _________ ____________________________ Court. Trial Court case no.: ______________ _________________________________ The Honorable ____________________ ___________________________, Judge. APPELLANT'S CASE SUMMARY (Appearance) Party Information Party or parties that filed Notice of Appeal: Name: ______________________________________________________ Address:_______________________________________________________________________________ The following party information only if not represented by an attorney: Tel. No.:_______________ Fax No.:________________ E-Mail: _________________________________ Requesting service of orders, opinions and notices of the Court by: E-mail , FAX , or U.S. Mail (choose one) Attorney or attorneys representing party filing Notice of Appeal, if any [All fields, except FAX, MUST be supplied]: Name: ____________________________________________ Attorney # _________________________ Address:_______________________________________________________________________________ Tel. No.:_______________ Fax No.:________________ E-Mail: _________________________________ In forma pauperis: Yes [ ] No [ ] (if yes, attach proof of appointment or proof on indigency). Trial Information Date case commenced: ______________________ Date of Judgment/order:______________________ (Attach copy of judgment or order appealed from including findings and conclusions (civil) and sentencing order (criminal) Date Motion to Correct Error denied, or deemed denied, if used: (Attach copy of Motion to Correct Error) Was case heard by a judicial officer other than a judge? Yes No If yes, did the trial judge sign proposed judgment or order: Yes No Check the appropriate line(s) to show the ruling being appealed: Administrative ruling Declaratory judgment Directed verdict Dismissed Injunction Judgment (bench trial) Judgment (guilty plea) Judgment (jury verdict) Judgment notwithstanding the verdict Judgment (probation revocation) Summary judgment Other (specify) ______________________________________________________________ Is this a final judgment as to all claims and all parties? Yes No If no, state the basis on which the judgment/order is immediately appealable. T.R. 54(B) T.R. 56(C) App.R. 14(A)(1-9) App.R. 14(B) App.R. 14(C) App.R. 14(D) Did the trial court issue an order sealing or excluding from public access all or any portion of the trial court records? Yes No If yes, attach copies of all orders and entries relating to the trial court's decision to seal or exclude information from public access. Check the appropriate line(s) best describing the nature of the case: Attorney's fees Child custody/support Education law Employment and labor Professional malpractice Real property rights American LegalNet, Inc. www.FormsWorkFlow.com Civil rights Construction law Contempt Contract law Corporate law Criminal law, Misdemeanor Criminal law, habitual felon Criminal law, probation revocation Criminal law, post conviction relief Specify ______________________ Debtor/creditor rights Dissolution of marriage Driver's license revocation Environmental law Equitable distribution Guardianship Health care Insurance, auto Insurance, other Intentional torts Juvenile Landlord/tenant Municipal law Negligence Paternity Products liability Sanctions Taxation Termination of parental rights Tort claims act Unemployment compensation Unfair and deceptive practices Utilities Wills, trusts, estates Workers' compensation Wrongful death Wrongful discharge Zoning/annexation Other_________________________________________________________________________________________ Synopsis of judgment and sentence, if applicable: _______________________________________ ________________________________________________________________________________ Record Information Date notice of appeal filed__________________ (Attach copy of notice of appeal) Date clerk's record due to be assembled:__________________________________ Transcript information: Court reporter responsible for preparing transcript (Name, address, telephone number): _____________________________________________________________________ Transcript ordered: Yes No Payment arrangements made: Yes No If no, reason not ordered or made: __________________________________________ ______________________________________________________________________ Est. Transcript length ____ pp. Transcript due date: ______________________________________________ Appeal Information A short and plain statement of the anticipated issues on appeal:___________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________ (Attach copy of motion to correct errors) Prior appeals in this case with cause number: __________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Related appeals with Cause Number (prior, pending, or potential): _________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Motion for oral argument will be filed: Yes No Undecided Motion for pre-appeal conference will be filed: No Yes Purpose: Shorten record Appellate ADR Refine issues Other If civil case, was ADR used in the trial court? Yes No If civil case, is Appellant willing to participate in Appellate ADR? Yes No If yes, provide a brief statement of the facts of the case. Attach additional pages as needed. ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ If criminal case, status of defendant: On bond Incarcerated Loc
|
|||||||
