IN THE SUPREME COURT OF THE STATE OF ALASKA (for court system use) DOCKETING STATEMENT B For Use With Petitions for Hearing, Petitions for Review, and Original Applications and as a Notice of Intent to File Sentence Petition INSTRUCTIONS FOR MULTIPLE PARTIES OR ATTORNEYS: If there are multiple parties or attorneys, repeat the appropriate box. This may be done on a separate page. Please clearly indicate which attorney represents which party. No. 1. TYPE OF PETITION Date of Distribution of or Superior Court Decision or Order to be Reviewed Case Number Court of Appeals Type of Petition a. Petition for Review Notice of Intent to file Sentence Petition d. Petition for Rehearing: not filed filed. Date filed: Date of distribution of order denying petition: Petition for Hearing from Superior Court c. Subsequent Proceedings Petition for Hearing from Court of Appeals b. Superior Court Judge Original Application from Court of Appeals case No. from trial court case. No. Other. Explain: Motion for Reconsideration: not filed filed. Date filed: denied by order distribution: deemed denied under Civil Rule 77(k)(4). Judge . . 2. PETITIONER a. Name b. Status in the Trial Court Plaintiff c. Petitioner Mailing Address (not attorney’s address) City State Zip Code Defendant Other. Specify: . d. Telephone 3. PETITIONER’S ATTORNEY a. Name b. Bar Number c. Attorney Mailing Address d. Telephone City State Zip Code e. Fax f. Firm/Agency 4. RESPONDENT a. Name b. Status in the Trial Court Plaintiff c. Respondent Mailing Address City SCT-B (rev. 10/10) State Defendant Other. Specify: Zip Code . d. Telephone American LegalNet, Inc. www.FormsWorkFlow.com 5. RESPONDENT’S ATTORNEY a. Name Court Apptd b. Bar Number c. Attorney Mailing Address City d. Telephone State Zip Code e. Fax f. Firm/Agency 6. CONSTITUTIONAL ISSUES Yes Is the constitutionality of a state statute or regulation at issue in this proceeding? If yes, cite statute or regulation: No 7. SENTENCE PETITIONS ONLY a. Excessiveness of the sentence is the ONLY issue. b. A transcript of the sentencing proceeding is requested because Petitioner is indigent. (If petitioner has not been adjudicated indigent by the trial court, a completed, financial statement affidavit form must be attached.) 8. ATTACHMENTS The following items are submitted with this form ( a, b, or c must be check unless this is a notice of intent to file sentence petition): a. The original petition for review and SIX copies or b. The original petition for hearing from the court of appeals and NINE copies; OR c. The original application and SIX copies. d. A copy of the judgment or order from which relief is sought attached to the original petition and EACH copy. e. A $150 filing fee or petition for hearing from the superior court and SIX copies; OR a motion to appeal at public expense (financial statement affidavit form must be included). a motion to waive filing fee (if basis for motion is inability to pay, financial statement affidavit form must be included). no filing fee is required because appellant is represented by court-appointed counsel. the state or an agency thereof. an employee appealing denial of benefits under AS 23.20 (Employment Security Act) f. A motion for expedited action submitted g. A motion for stay of trial court proceedings not submitted. submitted Date not submitted Signature of Petitioner or Petitioner’s Attorney CERTIFICATE OF SERVICE I certify that on a copy of this docketing statement and all attachments (except filing fee) were mailed delivered to All Parties in the trial court (listed) Signature: SCT-B- 2 (rev. 10/10) American LegalNet, Inc. www.FormsWorkFlow.com