Free Acrobat - South Carolina

FORM 6 NOTICE OF APPEAL FROM ADMINISTRATIVE TRIBUNAL THE STATE OF SOUTH CAROLINA In The Court of Appeals [In The Supreme Court] ________ APPEAL FROM THE ADMINISTRATIVE LAW COURT [OR NAME OF AGENCY] George E. Brown, Administrative Law Judge _________ Case No. 05-ALJ-00-0000-CC _________ South Carolina Department of Revenue, v. Jane C. Roe, __________ NOTICE OF APPEAL __________ Jane C. Roe appeals the decision of the Honorable George E. Brown dated September 1, 2006. Appellate received a copy of this decision on September 3, 2006. September 15, 2006 s/ John E. Smith John E. Smith Post Office Box 123 Greenville, South Carolina 29000 (864) 000-0000 Attorney for Appellant Appellant. Respondent,

Other Counsel of Record: Mary P. Jones Post Office Box 456 Greenville, South Carolina 29000 (864) 000-0000 Attorney for Respondent *The bracketed language should be added to the body of the Notice of Appeal when the

appeal is taken from an written order deciding a post-trial motion under Rule 29(a), SCRCrimP.