Free Criminal Notice of Appeal Form - Connecticut

Local Crimin al No tice of Ap pea l Form . NO TIC E O F APP EAL Un ited States D istrict Co urt _______________ District of _______________
__________________________________ Docket No.: ___________________________________ __________________________________ _____________________________________________ (District Court Judge)

Notice is hereby given that _________________________________________________ appeals to the United States Court of Appeals for the Second

Circuit from the judgment [___________], other [____________] _______________________________________________________________________ (sp ec ify) entered in this action on _________________________. (date) Offense occurred after November 1, 1987 Yes [ ___ ] No [ ____ ]

This appeal concerns: Conviction only [ ___ ]

Sentence only [ ___ ]

Conviction and Sentence [ ____ ]

Date _______________________________________________ TO

_____________________________________________________________ (C ou ns el fo r Ap pe llan t) Address _____________________________________________________ _____________________________________________________ _____________________________________________________

ADD ADDITIONAL PAGE (IF NECESSARY)

Telephone Number: _____________________________________________

TO BE COMPLETED BY ATTORNEY

T R AN S C RIP T IN F OR M AT IO N - F O RM B

[ _____ ] I am ordering a transcript [ _____ I am not ordering a transcript Reason [ _____ ] Da ily cop y is ava ilable [ _____ ] U.S. Attorney has placed order [ _____ ] Other. Attach explanation

A TT O R N EY 'S S IG N AT U R E

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QUESTIONNAIRE

TRANSCRIPT ORDER

D E S C R IP T IO N O F PR O C E E D IN G S F O R W H I C H TR A N S C RIPT IS R E Q U I R E D (I N C L U D E D A TE )

Prepare transcript of Dates [ _____] Prepare proceedings ___________________________________ [ _____ ] Trial _________________________________________________ [ _____ ] Sentencing ___________________________________________ [ _____ ] Post-trial proceedings ___________________________________



Th e a ttorn ey c ertif ies tha t he /sh e w ill m ak e s atis fac tory a rran ge m en ts w ith th e c ou rt rep orte r fo r pa ym en t of th e c os t of th e tra ns crip t. (FR AP 10 (b)) . Method of payment [ _____ ] Funds [ _____ ] CJA Form 24 [ _____] DATE

COURT REPORTER ACKNOW LEDGMENT
Date order received Es tim ate d c om ple tion da te

To be co m ple ted by C ou rt R ep orte r an d fo rwa rde d to Court of Appeals. Estimated number of pages Signature _____________________________________ (Co urt Re porter)

Date _____________________

DISTRIBUTE COPIES TO THE FOLLOWING :

Original to U.S. District Court (Appeals Clerk). Copy U.S. Attorney's Office. Copy to Defendant's Attorney

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U.S . Co urt of Ap peals Co urt Re porte r (District C ourt)

USCA-2 FORM A REV. 8-05