Gen No. 2IN THE APPELLATE COURT OF ILLINOIS SECOND DISTRICT Case Title: ) Appeal from Circuit Court of ) McHenry County, Illinois ) Twenty-Second Judicial Circuit ) Circuit Case No._______________________ ) Date of Notice of Appeal ) ______________________________, 20____ ) ) Trial Judge____________________________ ) ) Felony Misdemeanor ) Out on Bond In Custody _____________________________________________________________________________________ DOCKETING STATEMENT (Criminal) Counsel on Appeal for Appellant(s) Name:__________________________________________________________________ Address:________________________________________________________________ Telephone:_______________________________________________________________ Trial counsel, If Different Name:__________________________________________________________________ Address:________________________________________________________________ Telephone:_______________________________________________________________ Counsel on Appeal for Appellee(s) Name:__________________________________________________________________ Address:________________________________________________________________ Telephone:_______________________________________________________________ Trial counsel, If Different Name:__________________________________________________________________ Address:________________________________________________________________ Telephone:_______________________________________________________________ Court reporter(s) (If more space is needed, use other side) Name:__________________________________________________________________ Address:________________________________________________________________ Telephone:_______________________________________________________________ Approximate Duration of trial court proceedings to be transcribed ___________________________ Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com NATURE OF CASE: Appeal from conviction after trial Jury Trial Plea of Guilty Sentence Only Appeal by State Bench Trial Post-conviction Hearing Revocation of Probation Other (Explain) ________________________ ___________________________________________ General Statement of Issues Proposed to be Raised (Failure to include an issue in this statement will not result in the waiver of the issue on appeal.) I, as attorney for the Appellant, hereby certify that on ____________________(date) I asked the Clerk of Court to prepare the record, and on _____________________________ (date) I made a written request to the court reporter(s) to prepare the transcript(s). _________________________________ Date ___________________________________________ Appellant's Attorney I hereby acknowledge receipt of an order for the preparation of a report of proceedings. _______________________________ Date ___________________________________________ Court Reporter or Supervisor Within 7 days thereafter, Appellee's Attorney, if it is deemed necessary, may file a short responsive statement with the clerk of the reviewing court. File Docketing Statement with: OFFICE OF THE CLERK ­ APPELLATE COURT 2nd DISTRICT APPELLATE COURT BUILDING, ELGIN, ILLINOIS 60120 Amended October 21, 1969, effective January 1, 1970; amended effective July 1, 1971, July 1, 1975, and February 17, 1977; amended July 15, 1979, effective October 15, 1979; amended April 27, 1984, effective July 1, 1984, amended August 27, 1999, effective immediately; amended October 22, 1999, effective December 1, 1999; amended December 13, 2005, effective immediately; amended July 27, 2006, effective September 1, 2006. Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com