CJA27 (Rev. 03/12) SUPPLEMENTAL INFORMATION STATEMENT FOR A COMPENSATION CLAIM IN EXCESS OF THE STATUTORY CASE COMPENSATION MAXIMUM: COURT OF APPEALS THIS FORM PROVIDES INFORMATION TO SUPPORT COUNSEL'S CLAIM THAT THE REPRESENTATION GIVEN WAS IN AN EXTENDED OR COMPLEX CASE, AND THAT THE EXCESS PAYMENT IS NECE SSARY TO PROVIDE FAIR COMPENSATION. SECTION 230.23.40 OF THE GUIDELINES FOR ADMINISTERING THE CJA AND RELATED STA TUTES, VOLUME 7A, GUIDE TO JUDICIARY POLICY, DEFINES THE TERMS "EXTENDED" AND "COMPLEX," AND SUGGESTS CRITERIA FOR DETERMINING "FAIR COMPENSATION." THIS FORM SERVES AS COUNSEL'S MEMORANDUM REQUIRED BY SECTION 230.30(b)(1) OF THOSE GUIDELINES, AND DOES NOT REPLACE ANY OTHER DOCUMENTATION REQUIRED TO SUPPORT THE PAYMENT REQUEST . IF EXTRA SPACE IS NEEDED, ATTACH ADDITIONAL SHEETS OF PAPER. ATTORNEY NAME: CASE NAME: DOCKET NUMBER: VOUCHER NUMBER: GUILTY PLEA TRIAL DISPOSITION HABEAS PETITION OTHER REPRESENTING: APPELLANT APPELLEE 1 APPEAL FROM: OFFENSE(S) AND NUMBER OF COUNTS ON WHICH CONVICTED: LENGTH OF SENTENCE: NUMBER OF CO-DEFENDANTS: SIZE OF TRANSCRIPT: NUMBER OF TRIAL DAYS PRE-JUDGMENT PAGES CONVICTED IF NOTEWORTHY, DESCRIPTION/LENGTH OF OTHER MATERIALS REVIEWED: 2 DID YOU REPRESENT YOUR CLIENT AT THE DISTRICT COURT LEVEL? HOURS CLAIMED FOR OBTAINING AND REVIEWING RECORDS: YES NO . IF YES, AT TRIAL? YES NO . 3 LENGTH OF APPELLANT'S BRIEF: LENGTH OF APPELLEE'S BRIEF: LENGTH OF APPELLANT'S REPLY BRIEF: PAGES. PAGES. NUMBER OF SENTENCING ISSUES: . NUMBER OF ISSUES: PAGES. NUMBER OF ISSUES: NUMBER OF OTHER ISSUES: . . . HOURS CLAIMED FOR LEGAL RESEARCH AND WRITING PRINCIPAL BRIEF: CHECK ONE OF THE FOLLOWING: ORAL ARGUMENT: . IF APPLICABLE HOURS CLAIMED FOR LEGAL RESEARCH AND WRITING REPLY BRIEF: DISPOSITION BEFORE BRIEFING SUBMISSION ON BRIEFS . APPELLEE PAGES . PAGES REPLY BRIEF: . PAGES . IF APPLICABLE, HOURS CLAIMED PREPARING FOR ORAL ARGUMENT APPELLANT RESPONSE IN OPPOSITION: 4 PETITION FOR REHEARING/SUGGESTION FOR REHEARING IN BANC FILED BY: PAGES: . NUMBER OF ISSUES RAISED: . HOURS CLAIMED FOR LEGAL RESEARCH AND WRITING PETITION/SUGGESTION OR RESPONSE IN OPPOSITION: 5 PETITION FOR WRIT OF CERTIORARI FILED BY: NUMBER OF ISSUES: . APPELLANT APPELLEE PAGES BRIEF IN OPPOSITION: HOURS CLAIMED FOR LEGAL RESEARCH AND WRITING PETITION/REPLY BRIEF OR BRIEF IN OPPOSITION (ATTACH COUNSEL'S DOCUMENTS): 6 CHECK WHETHER ANY OF THE FOLLOWING APPLY: COMPLEX LEGAL ISSUE(S) NOVEL LEGAL ISSUE(S) COMPLEX FACT PATTERN LEGAL ISSUE(S) RESEARCHED BUT NOT WRITTEN IF NOTEWORTHY, EXPLAIN IMPACT ON THE NUMBER OF HOURS CLAIMED: . ­CONTINUED ON REVERSE SIDE­ American LegalNet, Inc. www.FormsWorkFlow.com CJA 27 (03/12) (REVERSE) ITEM 6 (CONTINUED) 7 INDICATE WHETHER ANY OF THE ISSUES WERE BRIEFED AT THE DISTRICT COURT: IF YES, EXPLAIN ADDITIONAL WORK REQUIRED: YES NO . 8 EXPLAIN ANY EXPENSE (SEE ITEMS 17 AND 18 OF THE CJA 20 VOUCHER) GREATER THAN $500: 9 EXPLAIN ANY OTHER NOTEWORTHY CIRCUMSTANCES REGARDING THECASE AND THE REPRESENTATION PROVIDEDTO SUPPORT THIS COMPENSATION REQUEST: INCLUDE, IF APPLICABLE: (A) RESPONSIBILITIES INVOLVED MEAS URED BY THE MAGNITUDE AND IMPORTANCE OF THE CASE, INCLUD ING PRECEDENTIAL VALUE; (B) MANNER IN WHICH DUTIES WERE PERFORMED AND KNOWLEDGE, SKILL, EFFICIENCY, PRO FESSIONALISM, AND JUDGMENT REQUIRED OF AND USED BY COUNSEL; (C) NATURE OF COUNSEL'S PRACTICE AND HARDSHIP OR INJURY RESULTING FROM THE REPRESENTATION; AND (D) ANY EXTRAORDINARY PRESSURE OF TIME OR OTHER FACTORS UNDER WHICH SERVICES WERE RENDERED. SIGNATURE OF APPOINTED ATTORNEY: DATE: American LegalNet, Inc. www.FormsWorkFlow.com