COURT OF APPEAL OF THE STATE OF CALIFORNIA IN AND FOR THE FIRST APPELLATE DISTRICT Court of Appeal No. _________________ Superior Court No. _________________ vs REPORTER'S AFFIDAVIT AND ORDER FOR EXTENSION OF TIME TO FILE TRANSCRIPT ON APPEAL ____________________________________ I, __________________________ hereby certify that I am an official reporter of the Superior Court of the State of California, County of ______________________ , and I reported ______ day(s) of proceedings in the above-entitled action. The notice of appeal was filed in this matter on ___________________. I will not be able to file the transcript(s) on appeal by the time required by the California Rules of Court for the following reason(s): ____ Other priority appeal transcripts pending (list case numbers and due dates) ____________________________________________________________________________ ____________________________________________________________________________ ____ Unusually long transcript (Specify dates) ____________________________________________________________________________ ____________________________________________________________________________ ____ Illness/Vacation (Specify dates and nature)________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____ Other _______________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Therefore, I request that the court grant and enter an order extending the time for filing the transcript(s) an additional ____ days, to and including _______________. I declare under penalty of perjury that the foregoing is true and correct. Dated: __________________ _____________________________ C.S.R. No. ______________ ----------------------------------------------------------------------------------------------------------------------------I have reviewed the foregoing and determined the requested extension is reasonable and necessary and recommend approval be granted. Dated __________________ _________________________________________________ Appeals Supervising Judge ----------------------------------------------------------------------------------------------------------------------------It is hereby ordered that the above request is ____ denied ____ granted to ___________________ Dated: __________________ _______________________________________________________ Presiding Justice, First District Court of Appeal Division _______ COURT REPORTER - PLEASE COMPLETE SECTION 1 ON REVERSE SIDE. revised 8/7/2006 American LegalNet, Inc. www.FormsWorkflow.com SECTION 1. COURT REPORTER INFORMATION Business Address ___________________________________________________________________________________ Street City Zip Code Telephone Number:_________________________________ Home Address ___________________________________________________________________________________ Street City Zip Code Telephone Number:_________________________________ First District Use Only Notice of Appeal Date: ____________________________________ Present Due Date for Transcript: ___________________________ Previous Number of Extension Requests By This Reporter: _____ American LegalNet, Inc. www.FormsWorkflow.com