Free 10501 Appellate Criminal Case Information Statement - New Jersey

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New Jersey Judiciary

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Superior Court - Appellate Division
CRIMINAL CASE INFORMATION STATEMENT
(For use in Criminal, Quasi-Criminal and Juvenile Actions)
Please type or clearly print all information. TITLE IN FULL TRIAL COURT DOCKET NUMBER

APPELLANT'S ATTORNEY PLAINTIFF NAME

EMAIL ADDRESS: DEFENDANT OTHER (SPECIFY) CLIENT

MAILING ADDRESS

CITY

STATE

ZIP

TELEPHONE NUMBER

RESPONDENT'S ATTORNEY NAME

EMAIL ADDRESS: CLIENT

MAILING ADDRESS

CITY

STATE

ZIP

TELEPHONE NUMBER

GIVE DATE AND SUMMARY OF JUDGMENT OR ORDER BEING APPEALED AND ATTACH A COPY:

Are there any issues below in this action involving defendant which have not been disposed of? (If so, leave to appeal must be sought. R. 2:2-4, 2:5-6) Is the validity of a statute, regulation, executive order, franchise or constitutional provision of this State being questioned? (R. 2:5-1(h)) Is defendant presently confined? If not, is defendant on bail?

YES YES

NO NO

YES YES

NO NO

Provide any State Bureau of Identification (SBI) number and date of birth: ___________________________ / __________________ Will the issue(s) in this appeal involve only whether the trial court imposed a proper sentence? If so, briefs shall not be filed without leave of court. (R. 2:9-11) Are there co-defendants? If so, state their names and whether they were tried with the defendant or shared any pretrial motion. YES NO

YES

NO

GIVE A BRIEF STATEMENT OF THE FACTS AND PROCEDURAL HISTORY:

TO THE EXTENT POSSIBLE, LIST THE PROPOSED ISSUES TO BE RAISED ON THE APPEAL AS THEY WILL BE DESCRIBED IN APPROPRIATE POINT HEADINGS PURSUANT TO R. 2:6-2(a)(5). (Appellant or cross-appellant only.):

Revised effective 9/01/2008

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IF YOU ARE APPEALING FROM A JUDGMENT ENTERED BY A TRIAL JUDGE SITTING WITHOUT A JURY OR FROM AN ORDER OF THE TRIAL COURT, COMPLETE THE FOLLOWING: 1. Did the trial judge issue oral findings or an opinion? If so, on what date? ___________________ 2. Did the trial judge issue written findings or an opinion? If so, on what date? ___________________ (Attach a copy.) 3. Will the trial judge be filing a statement or an opinion pursuant to R. 2:5-1(b)? YES YES NO NO

YES

NO

Caution: Before you indicate that there was neither findings nor an opinion, you should inquire of the trial judge to determine whether findings or an opinion was placed on the record out of counsel's presence or whether the judge will be filing a statement or opinion pursuant to R. 2:5-1(b). DATE OF YOUR INQUIRY: ____________________

1. IS THERE ANY CASE NOW PENDING OR ABOUT TO BE BROUGHT BEFORE THIS COURT WHICH: (A) Arises from substantially the same case or controversy as this appeal? (B) Involves an issue that is substantially the same, similar or related to an issue in this appeal? 2. WAS THERE ANY PRIOR APPEAL INVOLVING THIS CASE OR CONTROVERSY? IF THE ANSWER TO EITHER 1 OR 2 ABOVE IS YES, STATE: Case Name and Type (direct, 1st PCR, other, etc.): Appellate Division Docket Number: YES YES YES NO NO NO

Name of Appellant or Respondent

Name of Counsel of Record (or your name if not represented by counsel)

Date

Signature of Counsel of Record (or your signature if not represented by counsel)

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