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 Signature Appellant Name Bar Number and Firm Name (attorneys only) Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address COURT USE ONLY: District Court Filing (Docket) Fee: $8.00 Paid on Appeal Bond: (Small Claims Only) $50.00 Paid on Cost of Transcript: $ Paid on Estimate of Bill of Exceptions: $ Paid on Supersedeus Bond (Optional) $ Paid on Poverty Affidavit/Order (Optional) filed on PRAECIPE FOR BILLOF EXCEPTIONS FOR SMALL CLAIMS APPEAL vs. American LegalNet, Inc. www.FormsWorkFlow.com