ELEVENTH COURT OF APPEALS ******** COURT REPORTER'S STATUS REPORT AND/OR REQUEST FOR EXTENSION OF TIME TO FILE REPORTER'S RECORD Appellate Case No.: ____________________ Trial Court Case No.: ____________________ Style: ___________________________________ ___________________________________ ___________________________________ VS. ___________________________________ ___________________________________ ___________________________________ Counsel/Party Requesting Record: Name: ______________________________ Firm: ______________________________ Address: ___________________________ ___________________________________ ___________________________________ Telephone: _________________________ I, _____________________________, Official/Deputy Court Reporter, am unable to file the reporter's record in the above styled case by _______________ (due date) for the following reasons: _____ Appellant has not submitted a request for preparation and/or a written designation for the record. _____ Appellant has not paid or made arrangements to pay for the record. _____ Appellant has only made a partial payment for the record. _____ Appellant has made required payment and has filed a written designation, but due to case load, I have been unable to complete the record.* _____ Other (specify): *Monthly report reflecting case load is: _____ on file with your court _____ attached to this request I estimate the record in this appeal to be approximately _______ pages. The record covers ________ days of testimony. It is respectfully requested that an extension be granted to: (date) _________________________. Signature: Address: ___________________________________ ___________________________________ /s/ ___________________________________ CSR# ___________________________________ ___________________________________ ___________________________________ Court: ___________________________________ ___________________________________ Telephone: __________________________ Fax: _______________________________ Email Address: _______________________ NOTE: Pursuant to TEX. R. APP. P. 35.3, each extension must not exceed 30 days in an ordinary or restricted appeal, or 10 days in an accelerated appeal. PLEASE UPLOAD ORIGINAL TO THE WEB PORTAL AT: https://www.rsp.txcourts.gov/logon.aspx American LegalNet, Inc. www.FormsWorkFlow.com