Indiana > Appellate > General
Notice Of Appeal From Trial Court - Indiana
| Notice Of Appeal From Trial Court Form. This is a Indiana form and can be used in General Appellate . |
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SAMPLE FORMS Form App. R. 9-1 Notice of Appeal IN THE INDIANA [SUPREME COURT/COURT OF APPEALS/TAX COURT] CAUSE NO. _____________________ NAME, ) ) [Appellant/Petitioner], ) [Appeal or Petition] from the ([Plaintiff/Defendant/Claimant/ ) [__________Court or Administrative Respondent below]), ) Agency] ) v. ) Trial Court [or Administrative ) Agency number] Case No.:________ NAME, ) ) The Honorable ________________, [Appellee/Respondent], ) Judge. ([Plaintiff/Defendant/Claimant/ ) Respondent below]). ) NOTICE OF APPEAL [insert whether this is an "expedited" appeal under App. R. 14.1] (Appearance) Party Information Name: ______________________________________________________ Address: _____________________________________________________ _____________________________________________________ The following party information only if not represented by an attorney: Tel. No.:______________________ Fax No.:________________ E-Mail: _________________________________ Requesting service of orders and opinions of the Court by: E-mail FAX or U.S. Mail (choose one) In forma pauperis: Yes No Attorney or attorneys representing party filing Notice of Appeal, if any (all fields must be supplied): Name: ____________________________________________ Attorney # _________________________ Address: _____________________________________________________ _____________________________________________________ Tel. No.:_________________________ Fax No.:________________________ E-Mail: _________________________________ INFORMATION FOR JUDGMENT/ORDER BEING APPEALED Date of Judgment/Order being appealed: ______________________ Title of Judgment/Order being appealed:______________________ Date Motion to Correct Error denied or deemed denied , if applicable: _____________ If case was heard by a magistrate, date trial judge approved judgment or order: ___________ Basis for Appellate Jurisdiction: Appeal from a Final Judgment, as defined by Appellate Rule 2(H) and 9(I) Appeal from an interlocutory order, taken as of right pursuant to Appellate Rule 14(A),(C),(D) Appeal from an interlocutory order, accepted by discretion pursuant to Appellate Rule 14(B)(3) Expedited Appeal, taken pursuant to Appellate Rule 14.1 This appeal will be taken to: Court of Appeals of Indiana, pursuant to Appellate Rule 5 Indiana Supreme Court, pursuant to Appellate Rule 4 999999 / 1131839-1 American LegalNet, Inc. www.FormsWorkFlow.com Trial Court Clerk/Administrative Agency/Court Reporter Instructions Pursuant to Appellate Rule 10 or 14.1(C), the clerk of [insert name of trial court or Administrative Agency] is requested to assemble the Clerk's Record, as defined in Appellate Rule 2(E). Pursuant to Appellate Rule 11 or 14.1(C), the court reporter of the [insert name of the court or Administrative Agency] is requested to transcribe, certify, and file with the clerk of the [insert name of trial court or Administrative Agency] the following hearings of record, including exhibits:_________________________________________________. Public Access Was the entire trial court or agency record sealed or excluded from public access? Yes No Was a portion of the trial court or agency record sealed or excluded from public access? Yes No If yes, which provision in Administrative Rule 9(G) provides the basis for this exclusion: _______________________________________________________________. If Administrative Rule 9(G)(1)(c) provides the basis for this exclusion, was the trial court or agency order issued in accordance with the requirements of Administrative Rule 9(H)? Yes No Appellate Alternative Dispute Resolution If civil case, is Appellant willing to participate in Appellate Dispute Resolution? Yes No If yes, provide a brief statement of the facts of the case. (Attach additional pages as needed.) _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Attachments The following SHALL be attached to this Notice of Appeal (in all appeals): Copy of judgment or order being appealed The following SHALL be attached to this Notice of Appeal if applicable (check if applicable): Copy of the trial court or Administrative Agency's findings and conclusion (in civil cases) Copy of the sentencing order (in criminal cases) Order denying Motion to Correct Error or, if deemed denied, copy of Motion to Correct Error Copy of all orders and entries relating to the trial court or agency's decision to seal or exclude information from public access If proceeding pursuant to Appellate Rule 14(B)(3), copy of Order from Court of Appeals accepting jurisdiction over interlocutory appeal The documents required by Rule 40(C), if proceeding in forma pauperis Certification By signing below, I certify that: (1) This case does does not involve an interlocutory appeal; issues of child custody, support, visitation, adoption, paternity, determination that a child is in need of services, termination of parental rights; or an appeal entitled to priority by rule or statute. (2) I have reviewed and complied, and will continue to comply, with the requirements of Appellate Rule 9(J) and Administrative Rule 9(G)(4) on appeal; and, (3) I will make satisfactory payment arrangements for any Transcripts ordered in this Notice of Appeal, as required by Appellate Rule 9(H). Respectfully submitted, _________________________________ [Insert Name of Attorney or pro se party] Address Telephone number Attorney Number (if represented by counsel) 2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF FILING AND SERVICE I hereby certify that on this _______ day of _______________, 20_____, the foregoing was filed with the Clerk of the Indiana Supreme Court, Court of Appeals, and Tax Court. I also certify that on this _______ day of _______________, 20_____, the foregoing was served upon the following in accordance with Rule 24: [list names and addresses of: (1) counsel of record in the trial court/administrative agency; (2) the trial court clerk/administrative agency clerk; (3) the parties served as required by Appellate Rule 14.1(B)(2) and (4) (if applicable); (4) the court reporter; (5) the Attorney General, if applicable under Rule 9(A)(3); (6) the judge of the trial court or hearing officer of an Administrative Agency before whom the case was heard; and, (7) any other persons required by statute.] _____________
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