Nebraska State Court Form REQUIRED Ch. 6, Art. 14, App. 2 Rev. 2/16 CERTIFICATE OF CIVIL APPEAL Neb. Ct. R. §6-1452(C)(3)(d) IN THE COUNTY COURT OF______________________COUNTY, NEBRASKA Case #____________________ CERTIFICATE OF CIVIL APPEAL Attorney: _____________________ Bar No ___________ __________________________________ Plaintiff vs. _________________________________ Defendant Address: _____________________________________ Telephone:___________________________________ Attorney: _____________________ Bar No ___________ Address: ______________________________________ Telephone:___________________________________ I certify that the attached are true and accurate copies of pleadings filed in the above-captioned case. The case is a civil case originating in the County Court: Adoption Inheritance Tax Probate Guardianship Juvenile Adjudication Termination Criminal Notice of appeal directed to: Court of Appeals OR Supreme Court Statutory Authority: ____________________ Constitutionality of statute . ; or . Notice of appeal filed on Statutory docket fee paid on poverty affidavit filed on All motions for new trial have been disposed of: Yes. Date: No No motions for new trial filed. Date: _________________________________________________ (SEAL) Clerk Magistrate By: _______________________________________ Page 1 of 1 Certificate of Civil Appeal Ch6Art14App2 Eff. 01/15 Appendix 2 (Neb. Ct. R. ­ Chapter 6, Article 14) American LegalNet, Inc. www.FormsWorkFlow.com Appendix 2 adopted January 31,1996; amended February 11, 2009; amended September 24, 2014; effective January 1, 2015.