COURT REPORTER FEE DECLARATION State of Alabama Unified Judicial System Form C-62C Rev.12/09 Court of Criminal Appeals Supreme Court of Alabama APPEAL TO THE : County Code __ __ Case Type CR Case Number __ __ __ County Name Court of Civil Appeals _________ Nonappealed Transcript (see attached documentation)* Jurisdiction _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ _ _ _ _ ____ _ ___ __ Year Case Suffix STYLE OF CASE(S): _______________________________________________________________________________________________________ v. _______________________________________________________________________________________________________ TYPE OF CASE: Civil Criminal Felony Capital Other _______________________________________________________ NOTE: If case(s) consolidated for trial, please include all trial court case numbers. Transcript(s) Fee Claim Number of Pages 1 Original Impression ________ @ $ 3.50 per page = $ ________________ 1 Certified or other copy ________ @ $ .50 per page = $ ________________ Total: = $ ________________ Date Transcript Prepared ________________________ The undersigned court reporter declares that the above claim is true and correct according to law and rule for submission on appeal. _________________________________________________________________ Court Reporter’s Signature _________________________________________________________________ Name of Court Reporter (please print) Official Special Roving Special Sworn to and subscribed before me this ________ _________________________________________________________________ day of __________________________, ________. Social Security Number/or/Tax ID Number ______________________________________ _________________________________________________________________ Work Address (including city, state, and zip code) Notary Public _________________________________________________________________ _________________________________________________________________ Work Telephone Number I, the undersigned Judge, hereby certify that the foregoing claim has been presented to me, and I have reviewed the same and believe the same to be true and correct. Done this ________ day of ________________________, __________. _________________________________________________________________ Judge’s Signature NOTICE TO COURT REPORTER AND JUDGE: Rule 29, ARJA, describes the proper manner in which transcripts should be prepared and establishes the fee for transcripts. This form must contain original signatures of the court reporter and the judge. This form (with attachments) must be submitted by the court reporter to the trial court judge for approval. After approval by the trial court judge, the court reporter must submit the original Declaration to the State Comptroller. Mail to: State Comptroller, Indigent Defense Section, P. O. Box 302602, Montgomery, Alabama 36130-2602. * Note: If the judge grants a request for a free transcript to an indigent defendant and the case is not appealed, a copy of the judge's order granting the request for a free transcript as well as a copy of the judge's order determining the defendant to be indigent must be attached to this form. Original: Comptroller Yellow: Court File Pink: Attorney American LegalNet, Inc. www.FormsWorkFlow.com