FORM: CLERK'S NOTICE OF APPEAL TO THE ARKANSAS SUPREME COURT IN DEATHSENTENCE CASE PURSUANT TO RULE 10 OF THE RULES OF APPELLATE PROCEDURE-CRIMINAL IN THE CIRCUIT COURT OF __________________ COUNTY, ARKANSAS DIVISION ____________ STATE OF ARKANSAS vs. _____________________ Case No. _____________ DEFENDANT DISTRICT _____________ PLAINTIFF NOTICE OF APPEAL FROM JUDGMENT IMPOSING DEATH SENTENCE CONVICTION(S) APPEALED (list all offenses appealed):__________________ ______________________________________________________________________ DATE OF ENTRY OF JUDGMENT:_____________________________________________________________ SENTENCE(S) (List all sentences in addition to sentence(s) of death): ______________________________________________________________________ INDIGENT: ( ) YES ( ) NO NAME AND COMPLETE ADDRESS OF: 1. COURT REPORTER(S) (List all court reporters; use additional pages if needed): __________________________________________________________ ___________________________________________________ __________________ (name) (telephone) ______________________________________________________________________ (address) (city) (state) (zip code) ___________________________________________________ __________________ (name) (telephone) ______________________________________________________________________ (address) (city) (state) (zip code) 2. DEFENDANT'S TRIAL COUNSEL (List all attorneys; use additional pages if needed): American LegalNet, Inc. www.USCourtForms.com ___________________________________________________ __________________ (name) (telephone) ______________________________________________________________________ (address) (city) (state) (zip code) ___________________________________________________ __________________ (name) (telephone) ______________________________________________________________________ (address) (city) (state) (zip code) THE COURT REPORTER SHALL IMMEDIATELY PREPARE THE ENTIRE RECORD AND TRANSMIT IT IN ACCORDANCE WITH RULE 10(a) OF THE ARKANSAS RULES OF APPELLATE PROCEDURE--CRIMINAL. THIS NOTICE OF APPEAL MUST BE GIVEN WITHIN THE TIME SPECIFIED IN RULE 2(a) OF THE ARKANSAS RULES OF APPELLATE PROCEDURE--CRIMINAL. I certify that I have served a copy of this notice of appeal on all parties or their representatives involved in the cause and on the court reporter by mailing a copy of the notice of appeal to the parties or their representatives, to the court reporter, and to the Attorney General on this ______ day of _______________, 20__. ___________________ _________________ CIRCUIT COURT CLERK American LegalNet, Inc. www.USCourtForms.com