Free County Court Appeal to District Court, Certificate of Transript - Nebraska

STATE OF NEBRASKA FORM NO. CC 9:5 08/2007 Rev.

COUNTY COURT APPEAL TO DISTRICT COURT CERTIFICATE OF TRANSCRIPT
COURT OF

CASE NUMBER

IN THE

COUNTY, NEBRASKA

APPEARANCES
For the Plaintiff: Plaintiff

vs.

For the Defendant: Defendant

CERTIFICATE OF TRANSCRIPT
Clerk of the County Court, certify that the attached are I, true and accurate copies of the pleadings filed in this case. (Index attached). The notice of appeal was filed on The District Court filing fee in the amount of $ A poverty affidavit (copy attached) was filed on I further certify that costs of $ Date: ( By the Court: Clerk have) ( , was paid on , . . , , or

have not) been paid. (seal)

Adopted April 13, 1994; amended January 31, 1996; amended May 24, 2003, adopted July 16, 2003; amended September 12, 2007.

Appendix 1 County Court Rules