Free 10502 Appellate Notice of Appeal - New Jersey

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Superior Court - Appellate Division
NOTICE OF APPEAL
Type or clearly print all information. Attach additional sheets if necessary. TITLE IN FULL (AS CAPTIONED BELOW): ATTORNEY / LAW FIRM / PRO SE LITIGANT NAME

STREET ADDRESS

CITY

STATE

ZIP

PHONE NUMBER

EMAIL ADDRESS

ON APPEAL FROM TRIAL COURT JUDGE TRIAL COURT OR STATE AGENCY TRIAL COURT OR AGENCY NUMBER

Notice is hereby given that ____________________________________ appeals to the Appellate Division from a Criminal or Judgment or Order entered on ______________________ in the Civil Family Part of the Superior Court or from a State Agency decision entered on

_______________. If not appealing the entire judgment, order or agency decision, specify what parts or paragraphs are being appealed.

Have all issues, as to all parties in this action, before the trial court or agency been disposed of? (In consolidated actions, all issues as to all parties in all actions must have been disposed of.) If not, has the order been properly certified as final pursuant to R. 4:42-2? For criminal, quasi-criminal and juvenile actions only: Give a concise statement of the offense and the judgment including date entered and any sentence or disposition imposed: This appeal is from a conviction 1st Yes post judgment motion 2nd No Yes No post-conviction relief.
specify

Yes No

No

Yes

If post-conviction relief, is it the Is defendant incarcerated?

other _________________________

Was bail granted or the sentence or disposition stayed? If in custody, name the place of confinement:

Defendant was represented below by: Public Defender
Revised effective 9/01/2008

self

private counsel ______________________________________________
specify
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Notice of appeal and attached case information statement have been served where applicable on the following: Name Trial Court Judge Trial Court Division Manager Tax Court Administrator State Agency Attorney General or Attorney for other Governmental body pursuant to R. 2:5-1(a), (e) or (h) Other parties in this action: Name and Designation Attorney Name, Address and Telephone No. Date of Service Date of Service

Attached transcript request form has been served where applicable on the following: Name Trial Court Transcript Office Court Reporter (if applicable) Supervisor of Court Reporters Clerk of the Tax Court State Agency Date of Service Amount of Deposit

Exempt from submitting the transcript request form due to the following: No verbatim record. Transcript in possession of attorney or pro se litigant (four copies of the transcript must be submitted along with an electronic copy). List the date(s) of the trial or hearing:

Motion for abbreviation of transcript filed with the court or agency below. Attach copy. Motion for free transcript filed with the court below. Attach copy.

I certify that the foregoing statements are true to the best of my knowledge, information and belief. I also certify that, unless exempt, the filing fee required by N.J.S.A. 22A:2 has been paid.

DATE

SIGNATURE OF ATTORNEY OR PRO SE LITIGANT

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