Free Certificate of Civil Appeal, District Court - Nebraska

STATE OF NEBRASKA FORM NO. Appendix 5 Rev. 2/09 Chapter 2, Article 1

CERTIFICATE OF CIVIL APPEAL

CASE NUMBER:

_____________________

IN THE DISTRICT COURT OF

COUNTY, NEBRASKA

Plaintiff vs.

Attorney: Address: Telephone: Attorney: Address: Telephone:

No.

Defendant

No.

I certify that the attached are true and accurate copies of pleadings filed in the above-captioned civil case. Type of case: Law (general) Dissolution Paternity Juvenile Adjudication Termination Criminal

Origin of case: County Court District Court Other Notice of appeal directed to: Court of Appeals Supreme Court Statutory authority: Constitutionality of statute Other (specify statute) __________________ . ; or . or .

OR

Notice of appeal filed on Statutory docket fee paid on poverty affidavit filed on

posted on Cost bond in the amount of $ posted on Cash in lieu of cost bond in the amount of $ posted on supersedeas bond in the amount of $

The following motions have been filed: Date disposed of: Motion for new trial. Date filed: Date disposed of: Motion to alter or amend judgment. Date filed: Date disposed of: Motion to set aside verdict or judgment. Date filed: Date filed: None of the above motions have been filed. Date: (SEAL) Clerk of District Court By: