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__________________________ __________________________ __________________________ __________________________ ______________________________________________________________________________ IN THE ______________________JUSTICE COURT, STATE OF UTAH ______________________________________________________________________________ __________________ Plaintiff, vs. ) ) ) )

NOTICE OF APPEAL FROM JUSTICE COURT JUDGE: _______________________

__________________, CASE NO. _________________ Defendant. ) ______________________________________________________________________________ The above captioned defendant hereby files this Notice of Appeal. ____ The defendant requests a Trial de Novo because this appeal is filed within 30 days of sentencing, or acceptance of a PIA by the Court. _____The defendant requests a hearing de novo because this appeal is filed within 30 days of the court entering an order revoking probation; an order entering a judgment of guilt or a sentence pursuant to the person's failure to fulfil the terms of a plea in abeyance agreement; or an order denying a motion to withdraw a plea. The defendant IS/IS NOT (circle one) being held in custody because of the sentence or order that is being appealed in this case. The length of that period of incarceration is ______days. ________________________________________ Defendant The above Notice of Appeal was served on the opposing party, _________________________ by ___US Mail ____ Hand delivery____ Other (Please Specify)______________ at the following address: _____________________ _____________________ _____________________