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Local Criminal Notice of Appeal Form. NOTICE OF APPEAL United States District Court _____________________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 [_______________] __________________________________________ (specify) entered in this action on ___________________________________(date). Offense occurred after November 1, 1987 Date_________________________________ Yes [___] No [___]

___________________________________________________________ (Counsel for Appellant) Address ____________________________________________________ ____________________________________________________ ____________________________________________________

ADD ADDITIONAL PAGE IF NECESSARY Telephone Number ___________________________________________ ______________________________________________________________________________________________________

TO BE COMPLETED BY ATTORNEY QUESTIONNAIRE

TRANSCRIPT INFORMATION - FORM B TRANSCRIPT ORDER
DESCRIPTION OF PROCEEDINGS FOR WHICH TRANSCRIPT IS REQUIRED (INCLUDE DATE)

___________________________________________________________________________________________________________________

[____] I am ordering a transcript [____] I am not ordering a transcript Reason: [____] Daily copy is available [____] U.S. Attorney has placed order [____] Other. Attach explanation

Prepare transcript of Dates [____] Prepare proceedings______________________________________ [____] Trial__________________________________________________ [____] Sentencing_____________________________________________ [____] Post-trial proceedings____________________________________

The attorney certifies that he/she will make satisfactory arrangements with the court reporter for payment of the cost of the transcript (FRAP 10(b)). Method of payment: [____] Funds [____] CJA Form 24 [____] ______________________________________________________________________________________________________________________________ ATTORNEY'S SIGNATURE DATE TO BE COMPLETED BY Court Reporter and forwarded to Court of Appeals

COURT REPORTER ACKNOWLEDGMENT Date order received

Estimated completion date

Estimated number of pages Signature___________________________ (Court Reporter)

Date _________________________

DISTRIBUTE COPIES TO THE FOLLOWING: 1. 2. 3. Original to U.S. District Court (Appeals Clerk). Copy U.S. Attorney's Office. Copy to Defendant's Attorney 4. U.S. Court of Appeals 5. Court Reporter (District Court)

USCA-2 FORM A Rev. 10-02