Docketing Statement D {COA-D}

IN THE COURT OF APPEALS OF THE STATE OF ALASKA DOCKETING STATEMENT D FOR USE IN CRIMINAL APPEALS FROM DISTRICT COURT UNDER APPELLATE RULE 217 Appeal filed by Defendant State of Alaska 1. DEFENDANT a. Name c. Defendant Mailing Address * (not attorney222s address) b. Did defendant have co-counsel YES NO status in the trial court? d. Will defendant seek co-counsel YES NO status in the appellate court? UNKNOWN City State Zip Code e. Telephone * If defendant is incarcerated, include name and mailing address of correctional facility. 2. DEFENDANT222S ATTORNEY IN APPEAL Defendant not represented by attorney in appeal. a. Name Court Apptd b. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Firm/Agency Same as attorney in appeal. 3. DEFENDANT222S ATTORNEY IN TRIAL COURT Defendant not represented by attorney in trial court. a. Nameb. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Firm/Agency 4. PROSECUTING ATTORNEY *a. Nameb. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Agency * Specify attorney who will handle appeal, if known. Otherwise, specify trial attorney. 5. TRIAL COURT PROCEEDINGa. Case No.b. Trial Judge c. Date Judgment Distributed d. Post-Judgment Motions: List all post-judgment motions that affect time for filing appeal. See Appellate Rule 204(a)(4). DATE OF FILING DATE ORDER DISTRIBUTED Month Day Year Type of Post-Judgment Motion Month Day Year (for court system use) No. COA-D (rev. 1/18) American LegalNet, Inc. www.FormsWorkFlow.com COA-D-2 (rev. 1/18) 5. TRIAL COURT PROCEEDING (continued)e. Co-Defendants: List all co-defendants in trial court proceeding. Co-Defendant222s Name Co-Defendant222s Trial Court Case No. f. Related Cases in the Trial Court: List all related trial court cases involving defendant (e.g., post-conviction relief proceeding under Criminal Rule 35.1, separate trial of defendant on related charges). DATE OF FILING Month Day Year Type of Proceeding Trial Court Case No. 6. JUDGMENT OR ORDER BEING APPEALEDa. Judgment (merit appeal NATURE OF APPEAL PART OF SENTENCE BEING APPEALED Count No. Offense Conviction Only Conviction and sentence Jail Fine Other (specify) b. Order. Specify: Order of dismissal. Order granting or denying post-conviction relief (Criminal Rule 35.1). Order granting or denying motion to reduce or correct sentence (Criminal Rule 35(a) or (b)). Order granting or denying motion for new trial. Order granting or denying motion to withdraw plea. Order imposing attorney sanctions. Other. Specify nature of order: . 7. RELATED PROCEEDINGS IN APPELLATE COURTa. Pending Proceedings. List other pending proceedings in superior court or court of appeals that involve defendant and arise out of the trial court case listed in 5.a. DATE OF FILING Month Day Year Pending Proceedings Appellate Court Case No. b. Prior Proceedings. List prior proceedings in superior court or court of appeals that involved defendant and arose out of the trial court case listed in 5.a. DATE OF FILING Month Day Year Prior Proceedings Appellate Court Case No. or combined merit and sentence appeal).Provide the following information for each conviction being appealed. American LegalNet, Inc. www.FormsWorkFlow.com COA-D-3 (rev. 1/18) 8. ATTACHMENTSThe following items are submitted with this form: a. A copy of the final order or judgment from which the appeal is taken. b. A statement of points on appeal. c. A $250 filing fee or a motion to appeal at public expense (financial statement affidavit form must be included). a motion to waive filing fee (financial statement affidavit form must be included). an application for exemption from filing fee under AS 9.19.010. no filing fee is required because appellant is represented by court-appointed counsel, and AS 9.19.010 does not apply. the State of Alaska. d. A designation of electronic record submitted. not submitted (no electronic record being requested). Reason why no electronic record is being requested: motion to extend submitted DateSignature of Appellant or Appellant222s Attorney 9. ATTORNEY INFORMATION*a. Nameb. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Firm/Agency *Complete this box only if the attorney who signs form is not the attorney named in box 2, 3, or 4. CERTIFICATE OF SERVICE FILING INSTRUCTIONS I certify that on a copy of the notice of appeal, this File original docketing statement and notice of appeal with all attach-ments listed in #8 and ONE copy of ALL except filing fee. docketing statement, and all attachments (except filing fee) were mailed delivered to All parties in the trial court (listed) Signature: American LegalNet, Inc. www.FormsWorkFlow.com