IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) Appellant (person bringing appeal) ) ) vs. ) ) ) ) APPEAL CASE NO. CI Appellee) REQUEST AND ORDER FOR: REQUEST Appellant Appellee requests that Reason: Date Signature of Appellant/Appellee I certify that on a copy of this request and Form AP-140 were mailed personally delivered to (list names): By: Print Name and Title (if applicable) Mailing Address City State Home Phone Work Phone ORDER Hearing ordered. Date Time a.m./p.m. Courtroom Request granted. Request denied because Date Judge/Clerk* I certify that on a copy of this order was sent Type or Print Name to (list names):*Clerk may sign only those orders authorized byAppellate Rule 612. Clerk: AP-135 (/) () REQUEST AND ORDER App. R. 612, 503 and Civ. R. 5(f) American LegalNet, Inc. www.FormsWorkFlow.com