Form DC-476 NOTICE AND ORDER TO CURE DEFICIENCIES ­ CIVIL APPEAL Data Elements, page one of two Form DC-476 1. Court case number. 2. Name of court. Check the appropriate box to indicate court. 3. Style of the case on appeal. 4. Date of noting of appeal. 5. Check appropriate box and insert required dollar amounts. 6. Check box and provide additional notice of deficiency, if applicable. 7. Check if pre-set docket call date or trial date in circuit court is to be given through the district court. 8. If Data Element No. 7 is checked, then check the first box if a pre-set trial date is given; if a pre-set docket call date for setting trial is given, check the second box. 9. Insert date and time of scheduled appearance in circuit court. 10. Insert street address and telephone number of circuit court in which appearance is scheduled. 11. Check if another method for setting trial or docket call appearance is used. 12. Date order issued. 13. Signature of judge. 14. If a hearing was held on the matter of curing defect in bond, insert date of hearing. 15. Court case number. 16. Name of plaintiff(s) in district court. 17. Name of defendant(s) in district court. 18. Insert name of appellant(s) to whom notice is served and to all other parties to whom notice is sent or served, as dictated by local practice. 19. Initials of clerk. 20. Date of certification by clerk. DISTRICT COURT MANUAL FORMS VOLUME JULY 2011 American LegalNet, Inc. www.FormsWorkFlow.com RETURNS: Each party was served according to law, as indicated below, unless not found. NAME .................................................................................................. 1 NAME ................................................................................................... ADDRESS ............................................................................................ ............................................................................................................... 2 ADDRESS............................................................................................ .............................................................................................................. 3 4 [ ] PERSONAL SERVICE [ ] PERSONAL SERVICE Tel. No. ................................................... [ ] Being unable to make personal service, a copy was delivered in the following manner: Tel. No. ................................................... [ ] Being unable to make personal service, a copy was delivered in the following manner: 5 [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. ................................................................................................... ................................................................................................... [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. ................................................................................................... ................................................................................................... 6 [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode, address listed above. (Other authorized recipient not found.) [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode, address listed above. (Other authorized recipient not found.) 7 [ ] Not found SERVING OFFICER 8 [ ] Not found SERVING OFFICER ................................... DATE 9 for _____________________ 10 .................................... DATE for _____________________ NAME .................................................................................................. ADDRESS............................................................................................ .............................................................................................................. Tel. [ ] PERSONAL SERVICE No. ..................................................... [ ] Being unable to make personal service, a copy was delivered in the following manner: NAME ................................................................................................... ADDRESS ............................................................................................ ............................................................................................................... [ ] PERSONAL SERVICE Tel. No. ..................................................... [ ] Being unable to make personal service, a copy was delivered in the following manner: [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. ................................................................................................... ................................................................................................... [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode, address listed above. (Other authorized recipient not found.) [ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of abode of party named above after giving information of its purport. List name, age of recipient, and relation of recipient to party named above. ................................................................................................... ................................................................................................... [ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode, address listed above. (Other authorized recipient not found.) [ ] Not found _________________________ SERVING OFFICER [ ] Not found ................................... DATE _________________________ SERVING OFFICER American LegalNet, Inc. www.FormsWorkFlow.com for ____________________ .................................... DATE for ____________________ FORM DC-476 (MASTER, PAGE TWO OF TWO) 11/0