STATE OF NEBRASKA FORM NO. CC 9:7 NEW 01/09
PRAECIPE FOR BILL OF EXCEPTIONS FOR SMALL CLAIMS APPEAL
CASE NUMBER:
IN THE COUNTY COURT OF
COUNTY, NEBRASKA
Plaintiff
PRAECIPE FOR BILL OF EXCEPTIONS FOR SMALL CLAIMS APPEAL
Defendant
Please prepare and certify a bill of exceptions, including exhibits, for the hearing(s) held in this case on . The costs shall be estimated at the time of this request and the appellant shall deposit the amount required within 14 days of the receipt of the estimate. I understand that the bill of exceptions will not be prepared until payment has been made. DATE: Signed:
Appellant Address Phone #
COURT USE ONLY: District Court Filing (Docket) Fee: Appeal Bond: (Small Claims Only) Cost of Transcript: Estimate of Bill of Exceptions: Supersedeus Bond (Optional) $79.00 $50.00 $ $ $ Paid on Paid on Paid on Paid on Paid on
Poverty Affidavit/Order (Optional) filed on