Docketing Statement (Criminal Appeal)

FORM (CRIMINAL) DOCKETING STATEMENT Case Title: (Complete) Appeal from County Circuit Court No. Date of Notice of Appeal VS. Trial Judge ( ) Felony ( ) Misdemeanor ( ) In custody ( ) Out on Bond Counsel on Appeal for Appellant(s): Trial Counsel, if different Name: N ame: Address: A ddress: City, State, Zip: City, State, Zip: Telephone: Telephone: Counsel on Appeal for Appellee(s): Trial Counsel, if different Name: N ame: Address: A ddress: City, State, Zip: City, State, Zip: Telephone: Telephone: Court Reporter(s): (If more space is needed, use other side) Name: N ame: Address: A ddress: City, State, Zip: City, State, Zip: Telephone: Telephone: Approximate duration of trial court proceedings to be transcribed: Nature of Case: ( ) Appeal from Conviction ( ) Sentence only ( ) Revocation of Probation after trial ( ) Jury Trial ( ) Bench Trial ( ) Appeal by State ( ) Plea of guilty ( ) Post-conviction proceedings General statement of issues proposed to be raised. (Failure to include an issue in t his statement will not result in the waiver of the issue on appeal). American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2I, as attorney for the Appellant, HEREBY CERTIFY, that on I asked The Clerk of the Circuit to prepare the record, and on I made A written request to the Court Reporter(s) to prepare the transcript. Date Attorney for Appellant(s) I hereby acknowledge receipt of an order for the preparation of a report of proceedings. Date: (Court reporter of Supervisor) Please attach proof of service. American LegalNet, Inc. www.USCourtForms.com