APP-013 ATTORNEY OR PARTY WITHOUT ATTORNEY: NAME: FIRM NAME: STREET ADDRESS: CITY: TELEPHONE NO.: E-MAIL ADDRESS: ATTORNEY FOR (name): STATE: FAX NO.: ZIP CODE: STATE BAR NO.: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: Plaintiff: Defendant: CASE NUMBER: MEMORANDUM OF COSTS ON APPEAL NOTE: You must file a proof of service of this document. For this purpose, Judicial Council proof of service forms are available. (See www.courts.ca.gov/forms.htm?filter=POS.) An appropriate form may be completed and filed to show proof of service. Prevailing party (name): claims from (name): the following costs on appeal: 1. Filing fees 2. Preparation of the original and copies of clerk's transcript or appendix 3. Preparation of reporter's transcript 4. Printing and copying of briefs 5. Production of additional evidence 6. Transmitting, filing, and serving of record, briefs, and other papers 7. Premium on any surety bond on appeal 8. Other expenses reasonably necessary to secure surety bond 9. Other: (specify authority): 1. $ 2. $ 3. $ 4. $ 5. $ 6. $ 7. $ 8. $ 9. $ TOTALS TOTAL COSTS: $ who claims the costs listed above. the party counsel for the party agent for the party I am To the best of my knowledge, the items of cost are correct and were necessarily incurred in this case on appeal. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) Form Adopted for Mandatory Use Judicial Council of California APP-013 [Rev. January 1, 2016] (SIGNATURE OF DECLARANT) Page 1 of 1 MEMORANDUM OF COSTS ON APPEAL Code of Civil Procedure, § 1034(b); Cal. Rules of Court, rule 8.272 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com